The authors present a retrospective records review of children who had bilateral cataract surgery between the ages of two and seven years of age over a 23-year period. Children with other ocular pathology and prior surgery were excluded. A minimum of two years follow-up and being at least five-years-old at the final visit were requirements for inclusion. A total of 57 children (114 eyes) met the eligibility criteria. The median age at which surgery was performed was 4.4 years, ranging from 2.2 to 6.6 years. The best-corrected vision across all eyes included was 0.3 LogMAR. or better, with the majority of children being orthophoric at the final visit. Fewer adverse events were recorded in older children. The authors acknowledge the retrospective nature of the study and lack of data collection standardisation as limitations. Recommendations of the type of cataract surgery for this age group are made.