Purpose: To evaluate intraoperative and post operative complications in Small incision cataract surgery in patients with poorly dilating pupil. Methods: An interventional study done between November 2016 to April 2017 which included patients with poorly dilating pupil (<6mm) after pharmacological dilatation, who underwent SICS under local anaesthesia by same surgeon. Intraoperative and post operative complications were studied. Patients were reviewed upto 6weeks postoperatively. Results: Total of 60 eyes with poorly dilating pupil underwent cataract surgery. Intra operative complications encountered were zonulardialysis (2 eyes), posterior capsular tear (1 eye), iris trauma (2 eyes). Post operative complications were corneal odema (12 eyes), anterior chamber reaction (6 eyes), irregular pupil (6 eyes), 80% patients had BCVA >6/18. Conclusion: Surgeons should be aware of the potential complications during cataract surgery in poorly dilating eyes. Caution should be taken at each stage to prevent complication.

Keywords: Intraoperative Complications; Post Operative Complications; Poorly Dilating Pupil.