Introduction: Manual small incision cataract surgery under topical anesthesia with 0.5% proparacaine hydrochloride and 1% preservative free intracameral lignocaine is a reasonably well tolerated procedure and is absolutely safer alternative to surgery under peribulbar or retrobulbar anesthesia with excellent outcome. Aim: To evaluate the patient’s and surgeon’s experience in MSICS using topical anesthesia with 0.5% proparacaine hydrochloride eye drops andpreservative free intracameral 1% lignocaine in terms of pain, surgical complications and outcome.

Keywords: Topical anesthesia, 0.5% proparacaine hydrochloride eye drops,1% preservative freeintracameral lignocaine, small incision cataract surgery, pain evaluation.