LASER CAPSULOTOMY IN CHILDREN WITH SECONDARY CATARACTS: INDIVIDUALIZING THE APPROACH BASED ON CLINICAL AND OPHTHALMOLOGICAL DATA

This study evaluates the effectiveness of an individualized approach to Nd:YAG laser capsulotomy in pediatric patients with secondary cataracts. A total of 135 children (270 eyes), aged 8 months to 13 years (mean age: 6.1 ± 2.3 years), were examined after previous cataract surgery. Laser parameters were selected based on posterior capsule fibrosis density, age, and intraocular lens (IOL) type. At the 12-month follow-up, 89.6% (242 eyes) retained a clear visual axis and 83.3% (225 eyes) showed improvement by at least 2 Snellen lines. Complication rate was reduced to 7.8%. The individualized method enhances safety and visual outcomes in pediatric laser treatment.