Ocular trauma occurring in childhood, adolescence or young adulthood causes unilateral increase in Axial Length (AL). Besides this, paediatric cataract surgery especially for traumatic cataract, in contrast to developmental cataract causes accelerated increase in AL . Altered scleral rigidity following trauma and ocular surgery could be a possible cause for this. Periodical reviews targeting emmetropia at every stage should be emphasized to prevent amblyopia to set in. We report two pseudophakic cases with differing sequence of events managed optimally with Intra Ocular Lens (IOL) exchange after stabilization of their refractive status.