This essay will review literature concerning indications, types, complications and optimum age of (IOL) implantation in children. Also the refractive changes that normally occur in pediatric eyes and the various reports of methods that have been suggested to predict the dioptric power of the IOLs. This essay will review literature regarding IOLs implantation in the pediatric age group. As what power to use, whether to settle for immediate emmetropia or to under-correct for the aging changes, and if so by how much to under-correct the child.