Spectacle prescription: All aphakic eyes will require high power spectacles or contact lenses for visual rehabilitation. Even in pseudophakic eyes, because children under 8 years of age have an under-correction of IOL power, they require additional glasses or contact lenses following surgery. In children in the preschool age group, full-time near glasses are prescribed. The near addition of +3.0D is added to residual refractive error. When these children start going to school, bifocals are provided to the child. The frames should be of light plastic or polyamide. The use of a head–band/elastic is advisable in very young patients. Contact lenses are considered the best option for unilateral aphakia when an intraocular lens cannot be implanted. They have the advantages of less aniseikonia, less distortions compared to glasses and better cosmesis. All unilateral cataracts will need amblyopia therapy. In bilateral cataracts with gap of more than 2-3 weeks between two eyes, the eye operated later may require amblyopia management. Occlusion therapy is the mainstay of amblyopia management. Ideal is to have total alternate occlusion. This should not deter the parents from occluding the dominant eye for as long a period of the day as the child complies.