Purpose: To compare and evaluate of visual acuity and surgically induced astigmatism in Phacoemulsification cataract surgery and manual small incision cataract surgery. Methods: The study group included patients above 50 years undergoing cataract surgery at the hospital either by Phacoemulsification technique or manual small incision cataract surgery. Group 1 included patients who underwent Phacoemulsification with a rigid posterior chamber intra ocular lens implantation with a single temporal suture. Group 2 included patients who underwent suture less manual small incision cataract surgery with a rigid posterior chamber IOL implantation. All patients were followed up post operatively at the end of the first day, 1 week, 4th week and 6th week