This study conducted a retrospective analysis of 32 pediatric patients with bilateral congenital cataracts in rural southern Ethiopia, observing their progress over an average of 4.8 years. The findings emphasize the impact of timely cataract surgery on visual acuity and intraocular pressure, shedding light on the significance of accessible ophthalmic care in underserved regions. With the positive outcomes post-surgery, including improved visual acuity and reduced ocular hypertension, the study underscores the global importance of addressing preventable blindness in developing nations. The results highlight the potential benefits of expanding ophthalmic services and promoting early intervention strategies to enhance eye health and minimize visual impairments worldwide.