The purpose of this study is to determine whether intraocular lidocaine increases patient comfort during the different stages of MSICS while under topical anesthesia.

Inclusion Criteria:

• Both men and women
• Cataract density grade III-V according to the Emery-Little system classification system
• Patients need to do manual small incision cataract surgery

Exclusion Criteria:

• Legal guardian(s) is/are not present for permission
• Any patient with a known sensitivity or allergy to Lidocaine or the "Caine" family of medicines.
• Patients with altered levels of pain perceptions