Study is to evaluate the visual outcomes in eyes with Posterior polar cataract. This prospective study comprised 49 eyes of 48 consecutive patients with posterior polar cataract. Cataract surgery was performed by a single experienced surgeon using a standard technique of small incision cataract surgery (SICS). Study was done for a period of 14 months. Out of 49 eyes, in one case posterior capsular rupture (PCR) was noted. In all eyes PCIOL was implanted in the bag. In patient with PCR, PCIOL was implanted in the sulcus. In 5 patients best corrected visual acuity (BCVA) was 6/12 out of which 3 had posterior capsular plaque. In 16 patients BCVA is 6/9 and in 24 patients it is 6/6. Post operatively in patient with PCR there was decentration of IOL. In another case, decentered IOL was noted on first postoperative day and IOL was repositioned in to the capsular bag. Anterior chamber reaction was noted in 2 patients till first follow up (7 days) and in 1 patient striate keratopathy persisted till first follow up, both resolved during subsequent visits. Careful preoperative evaluation, anticipating the possible problems, planned surgical technique with emphasis on gentleness and well practiced technique can minimize the complication rate and lead to improved visual outcomes in posterior polar cataract at low resource areas