Cataracts in infants and children are rare. Infantile and childhood cataracts generally represent a more complex problem than cataracts in adults. The surgery itself can be more challenging and complicated, usually requiring vitrectomy surgery .IOL insertion can be more difficult, and is controversial in infants. The child’s eye is growing and continues to grow after surgery, and this has serious implications. Most importantly a child’s eye is connected to a developing brain, so that visual rehabilitation and follow-up must continue, often for many years, after surgery.