In most cases the lens will be cloudy enough to prevent clear vision developing and the child will need surgery to have the lens removed. Glasses with thick lenses or contact lenses will be needed for the child to focus after the cloudy natural lens has been removed. The strength of these will need to be regularly changed as the child's eye grows, unlike an artificial lens placed inside the eye, which cannot be altered. In a few cases in recent years, if the eye is of normal size, a lens implant can be considered. In these cases, the child has to wear glasses of lower power or contact lenses in addition to the implant.
It is most important that children born with cataracts in both eyes have regular eye examinations. In those cases with mild cataract, that does not need a surgical operation, glasses are often needed and the cataract may become denser with time. Children who have had cataract surgery require regular review of their vision development, glasses prescription, a check for glaucoma and examination of their retina.