Introduction- Over the past decade, manual small incision cataract surgery, or MSICS, has gained popularity in India. Additionally, economical, MSICS eliminates the need to pay for the phacoemulsification machine's acquisition and upkeep. It is claimed that MSICS, in which the nucleus is administered via a 6-6.5 mm scleral tunnel, offers benefits to cataract blind patients that are comparable to those of phacoemulsification. Additionally, MSICS is simpler to learn than phacoemulsification for a surgeon with training in Extracapsular Catheter Extraction (ECCE) surgery. So, the goal of the current investigation is to assess the functional and anatomical results following MSICS. Method- A prospective and observational study was conducted including 200 patients attending the ophthalmology department post cataract (SICS) surgery, performed at tertiary care centre, Sitapur, after considering the inclusion and exclusion criteria. Using the patient's discharge card, pre-operative and demographic information was noted. Post-operative ocular results, such as visual acuity, anterior segment assessment, fundus examination, and IOP at post-1 week and 6 weeks, were documented for up to 6 weeks of follow-up. Results- After the surgical treatment, the UCVA and BCVA were, respectively, 55% and 92% after 6 weeks. A statistically significant change was seen in the K1 and K2 levels between pre-operative and 6-week post-operative values. When comparing the kind of astigmatism, there was a statistically significant change (p=0.032) between baseline and six weeks post-operative surgery. Six weeks after surgery, the mean SIA value was 1.28±0.7. Conclusion- This study demonstrates that posterior chamber intraocular lens implantation with SICS can result in a favourable visual outcome with a low risk of complications (as defined by the World Health Organisation, 6/6–6/18). Therefore, SICS may be used securely and confidently to achieve vision rehabilitation, particularly when the individual is from a low socioeconomic group and the locality has few services.