“…1 In cases of associated perforating eye injury, our preference is to perform cataract extraction as a secondary procedure, although some authors advocate primary IOL implantation at time of repair. 3 In 1995, Churchill and colleagues 4 published a retrospective review of 32 children with unilateral traumatic cataracts, the majority of whom received aphakic contact lenses after lensectomy. Complex trauma, delay in referral for lensectomy, inadequate postoperative correction of aphakia, contact lens difficulties, and problems with occlusion were associated with an adverse outcome.…”