Background: Cataract is the most prevalent and major cause of reversible blindness across the world. This study focuses on the best corrected visual acuity after surgery and the secondary post-operative complications at various intervals following surgery for 180 days, thereby doing all the required interventions to prevent and treat problems. Materials and Methods: An interventional study conducted among 50 patients. We selected patients according to the inclusion and exclusion criteria. After a detailed history and examination, the preoperative assessment was done for all intraoperative complicated surgery and planned secondary IOL implantation cases. The postoperative examination included best corrected visual acuity (BCVA), intra ocular pressure (IOP), endothelial cell count (ECC), Central macular thickness (CMT) and other complications. The observations were made on the following postoperative days - Day 1, Day 7, Day 30, Day 90, and Day 180. Results: The BCVA postoperatively improved in 35 eyes (70%). The mean post-operative IOP by the end of 180th day was within normal range. Endothelial cell count and central corneal thickness were reduced in all the patients post operatively which was significant, but the cornea was still healthy. The central macular thickness measured by OCT macula was increased in five patients postoperatively, which was normal by the 180th POD. Conclusion: Our study demonstrated that retro fixated iris claw lens implantation is a safe procedure with good visual outcome in the majority of patients with fewer complications.