DEVELOPMENT OF CLINICAL ALGORITHMS FOR THE TREATMENT OF SECONDARY CATARACTS AND PUPILLARY MEMBRANES IN CHILDREN

This study presents the development and clinical validation of diagnostic and treatment algorithms for secondary cataracts and pupillary membranes in pediatric patients. A total of 160 children (320 eyes), aged 6 months to 15 years (mean age 5.2 ± 3.1 years), were examined post-cataract surgery. Based on cataract etiology, age, and intraocular lens status, personalized laser intervention protocols were created. The proposed algorithm improved visual outcomes and reduced complications. Postoperative optical axis clarity was achieved in 92.5% (296 eyes), and visual acuity increased by two or more lines in 88.4% (283 eyes). The algorithm provides structured decision-making for pediatric ophthalmologists.