The poor visual results of the present series especially in monocular congenital infantile and juvenile cataracts suggest that a comprehensive eye health education programme including an aggressive anti amblyopia therapy must be under-taken for congenital and juvenile cataract. Routine ophthalmic checkup should be done by a paediatrician or by vaccinators for early detec-tion of cataracts and for early appropriate referral. The surgery should be performed at the earliest and the optical correction and anti amblyopia therapy must be given in the early post-operative period compulsively. Ideally, continuos wear con-tact lens should be used but at times the method of optical correction which is suitable and possible for the patient may be selected on an individual basis. The role of ′ IOL in children remains disputable in the present time but definitely needs more attention and follow-up.