Purpose: To study the prevalence, complications and visual outcomes in patients with PPC undergoing small incision cataract surgery (SICS) Materials & Method: This is a prospective study of 96 patients undergoing surgery for PPC. All surgeries were performed by a single surgeon. All cases were bilateral and present in young age so the possibility of amblyopia was explained. They were also explained about preexisting posterior capsular dehiscence. After completion of continuous curvilinear capsulorhexis, controlled hydrodelineation was done in case of immature cataract. In the case of mature cataracts with PPC nucleus was separated from the capsule using spatula. Anterior vitrectomy done in case of posterior capsule rupture (PCR) & IOL placed in sulcus. Results: Total number of cataract surgery in one year was 6000. Prevalence of PPC was 1.6%. out of 96 cases overall rate of PCR was 10(10.41%). 3(3.1%) cases had cortical drop. 5(5.2%) cases showed cystoid macular edema (CME) as a complication which was treated with NSAID eye drop. All 96(100%) cases achieved a final visual acuity of 6/9 to 6/6 at 6 weeks follow up. Conclusion: clinical diagnosis and typing of cataract are most important in case of PPC. Before surgery patients should be counselled about the possibility of preexisting dehiscence, PCR occurring on table and the possible postoperative complications. During surgery care should be taken to avoid hydrodissection. Surgery done with due precautions gives good results in PPC.