The development of cataract is the most frequent vision-threatening complication of uveitis in children. In such cases cataract surgery is associated with a particular risk of intra- and postoperative complications and requires an intensive perioperative immunosuppression, an essentially atraumatic operation in a quiscient eye, and aggressive amblyopia treatment. When these factors are taken into consideration, a timely cataract operation can result in a sustained visual rehabilitation even for children with uveitis.