Introduction: Secondary implantation of the intraocular lens in the posterior chamber is a safe and effective option for visual rehabilitation for cases with inadequate capsular support following cataract surgery, subluxation or anterior dislocation of lens following trauma, collagen vascular diseases or pseudoexfoliation. Aim: This study was done to analyze the visual outcomes and complications associated with scleral fixated intraocular lenses. MATERIAL AND METHOD- This prospective study was conducted in Krishna institute of medical sciences Karad from OCTO BER 2018- MAY 2020 for a period of 18 months.67 patients were included who were diagnosed with surgical aphakia, traumatic aphakia, subluxation of the lens and traumatic dislocation of the lens. All the patients underwent the Ab-external fixation technique of Scleral-fixated intraocular lenses (SFIOL) after informed consent. All the surgeries were performed by the same surgeon. The patients were followed up on the first day, one week, one month and three months after the surgical procedure and Best Corrected visual acuity and postoperative complications were noted. Results: Visual acuity at end of 3 months of follow up showed 74.62% cases had 6/9- 6/12 visual acuity and the remaining had visual acuity between 6/18-6/36 in 20.89% of cases and __ampersandsignle; 6/60 in 4.48% cases. The immediate postoperative complications were: corneal oedema in 62.69%, followed by striate keratopathy in 11.94% cases, anterior uveitis among 2.99% cases, CME and raised IOP among 1.49% cases each. The late postoperative complication rate was reduced as compared to the early post-operative period. 68.66% had no postoperative complication after 12 weeks. The incidence of CME at the end of 12 weeks was 13.43%. 8.96% cases had raised IOP. Transient anterior uveitis was noted in 2 cases (2.99%). Retinal detachment (RD) was developed in 2.99% of cases. Conclusion: SFIOL is a safe and effective option in cases of inadequate posterior capsular support due to surgery or trauma, providing better visual rehabilitation with decreasing long term complication rates.