The visual outcomes for infants 18 months or younger with cataracts have improved dramatically over the past couple of decades. Earlier detection of infantile cataract and prompt surgical removal-with subsequent visual rehabilitation with contact lenses-mean that these patients now have a much better visual prognosis. Advances in contact lens technology have led to a significantly higher success rate with contact lenses and this has been a major factor in improving the visual outcomes for aphakic infants. This review outlines the contact lens management of infantile cataract, including a detailed analysis of the various contact lens options available and a discussion regarding the important factors that can cause issues with contact lens wear and affect the overall visual rehabilitation of the infant.