Purpose:To evaluate the efficacy and outcome of implantation of a single-piece foldable acrylic intraocular lens(IOL)in children younger than 2 years in the Ukraine.Method:A total of 31 children from all over the Ukraine with a median age of 11 months(range 2-28 months)underwent cataract surgery with anterior and posterior capsulorhexis,implantation of a singlepiece AcrySof SA30AL IOL and anterior dry vitrectomy.Of these,22 patients attended the last follow-up.Ten patients had follow-up periods of 12-months 12 had follow-up periods of 18 months.At the postoperative visits,we investigated visual acuity(VA),whether or not the subject had strabismus,lens epithelial cell migration and signs of secondary glaucoma.Results:The single-piece IOL remained clinically centred in all eyes.No secondary glaucoma was detected.Eleven patients needed surgery for after-cataract.All but two patients achieved better VA after surgery.Many patients suffered from deprivation amblyopia as quite a few cataracts were probably congenital;however,the improvement in VA shows that cataract surgery was worth performing despite the late intervention.Conclusion:The foldable single-piece acrylic IOL seems to be well tolerated by children aged 0-2 years.No serious complications were seen and no patient developed secondary glaucoma within the follow-up time.However,lens epithelial cells are very lively in this age group. Purpose: To evaluate the efficacy and outcome of implantation of a single-piece foldable acrylic intraocular lens (IOL) in children younger than 2 years in the Ukraine. Method: A total of 31 children from all over the Ukraine with a median age of 11 months (range 2-28 months) underwent cataract surgery with anterior and posterior capsulorhexis, implantation of a single piece AcrySof SA30AL IOL and anterior dry vitrectomy. Of these, 22 patients attended the last follow-up.Ten patients had follow-up periods of 12-months 12 had follow-up periods of 18 months. At the postoperative visits, we investigated visual acuity (VA), whether or not the subject had strabismus, lens epithelial cell migration and signs of secondary glaucoma. Results: The single-piece IOL remained clinically centred in all eyes. No secondary glaucoma was detected. Eleven patients needed surgery for after-cataract. All but two patients achieved better VA after surgery. Many patients suffered from deprivation amblyopia as quite a few catara cts were probably congenital; however, the improvement in VA shows that cataract surgery was worth performing despite the late intervention. Confclusion: The foldable single-piece acrylic IOL seems to be well tolerated by children aged 0-2 years.No serious complications were seen and no patient developed secondary glaucoma within the follow-up time. However, lens epithelial cells are very lively in this age group.