Introduction: Juvenile cataracts account for 5–20% of blindness in children globally and an even larger proportion of juvenile visual impairment in underdeveloped nations. The occurrence of cataract in childhood has been estimated to range from 1 to 15 per 10,000 children. The causes of childhood cataract can be ocular defects, ocular trauma, prenatal infections, related disorders, or inherited factors.Materials and method:A cohort study was undertaken at the ophthalmology department of a tertiary care hospital. The study involved the collection of medical records, both retrospectively and prospectively. A total of 100 patients (150 eyes) were examined. All patients who arrived without an appointment and were seen at the ophthalmology unit of the hospital, as well as the youngsters who were examined at different screening camps organised by the department, were included.Results:This study involved 100 eyes from 56 male children and 50 eyes from 44 female children. 50 children, accounting for 50% of the total, visited the outpatient department without prior appointment. Another 50 youngsters, also representing 50% of the total, were selected from screening camps and received free medical treatment. 60 children (60%) had cataract in one eye, while 40 children (40%) had cataract in both eyes. The average age of the study participants at the time of surgery was 8.2 ± 4.6 years.Conclusion:Our research found that most cases of paediatric cataracts are present from birth. To tackle cataract blindness, it is necessary to actively search for cases and provide guidance to parents, along with establishing clear paths for referrals. Surgery should be performed by a children's eye doctor in a well-equipped facility, with skilled staff, and various approaches may be needed to enhance post-surgery monitoring.