One of the most dreaded complications of cataract surgery is nucleus or intraocular lens (IOL) drop in vitreous cavity. Scleral fixated intraocular lens (SFIOL) is treatment of choice in such cases of aphakia. Complication related to sutures, induced astigmatism, anterior uveitis and glaucoma can affect visual outcome in secondary SFIOL cases. We studied long term outcome of cases complicated with either nucleus or IOL drop managed with vitrectomy and secondary SFIOL. Timely and planned intervention even in cases of complicated primary cataract surgery can have good visual outcome.