The functional results and postoperative complications of secondary implantation of posterior-chamber artificial lenses (AL) in 122 children (165 eyes) aged 2 to 7 years. The specific feature of this operation in children is the high frequency of postoperative complications: 48 and 60% after capsular fixation and scleral sutural fixation, respectively. In most cases, they appear as a second-grade inflammatory reaction in the early postoperative period and as slowly progressive iridocyclitis in the late postoperative period. Secondary implantation of posterior-camber ALs with capsular fixation is an effective and safe technique for correcting aphakia in children, by yielding good functional results. Postoperative complications are treatable and fail to lower visual acuity. Secondary implantation of ALs with scleral fixation in children is associated with a relatively high risk of intractable complications that decrease visual results and it should be performed in single cases if there are strict indications.