Background: The lack of the eye's lens is known as aphakia. Surgery is used to fix it. Over time, a number of surgical techniques have been developed to treat aphakia. The present study compared retropupillary iris claw and scleral fixated intraocular lens in the management of post cataract aphakia. Materials &Methods: 104 patients of aphakia of both genderswere classified into 2 groups of 52 each. Group I patients underwent retropupillary iris claw fixation and group II patients underwent scleral fixated intraocular lens surgery. Both groups had their preoperative corneal oedema, preoperative retinal pathology, preoperative uncorrected distance visual acuity (UCDVA), best corrected distance visual acuity (BCDVA), interval between cataract surgery and IOL, and other parameters documented. Results: There were 32 males and 20 females in group I and 24 males and 28 females in group II.IOL placed at time of cataract surgery was seen in 34in group I and 10 in group II. Interval between cataract surgery and IOL was 15 months in group I and 7.2 months in group II. Preoperative retinal pathology was seen in 15 in group I and 8 in group II. Preoperative corneal edema was seen in 15 in group I and 9 in group II. The mean preoperative UCDVA was 1.58 in group I and 1.77 in group II. The difference was significant (P< 0.05). UCDVA at 1 month in group I was 0.8 and in group II was 0.6. BCDVA at 1 month was 0.9 in group I and 0.6 in group II. UCDVA at 1 year was 0.8 in group I and 0.5 in group II. BCDVA at 1 year was 0.9 in group I and 0.3 in group II. The difference was non- significant (P< 0.05). Conclusion: Claw of the retropupillary iris for the visual rehabilitation of post-cataract aphakia, the IOL fixation approach is comparable to SFIOL.