Wilson ME, et al. - In this retrospective review, researchers reported the outcomes of piggyback (PB) intraocular lens (IOL) implantation, or temporary polypseudophakia, in children who have undergone cataract surgery and evaluated their safety in pediatric patients. They analyzed the records of consecutive patients who had PB IOL implantation at a single institution over a period of 15 years. In total, 48 eyes (40 eyes at the time of cataract surgery and 8 eyes as a later secondary procedure) of 38 children received PB IOL implantation. Early complications occurred in 4 eyes, but late complications have not been reported, and glaucoma developed at predictable rates for this population. Piggyback IOL placement appears to have an acceptable safety profile within the cohort of young children.