For the most part, cataracts in adults are alike and cataract surgery in adults has become relatively routine. Children with cataracts, however, may have a variety of individual problems that confound the results of successful surgery. Nevertheless, good visual results are attainable with early diagnosis, prompt surgical removal of significant lens opacities, stable optical correction, and occlusion therapy for amblyopia in cases of uniocular cataract. Our best option for stable optical correction in a growing eye is still a contact lens, but studies of intraocular lens implantation and epikeratophakia demonstrate good results in properly selected cases.