Cataract Removal (Couching)

Cataract Removal (Couching) is a surgical procedure during which the cataract-affected lens is moved down and back from the pupil to the vitreous body using a small scalpel inserted through the edge of the cornea. This operation was widely used in the ancient civilizations of India, and is sometimes performed in our time. Its only advantage is the speed of execution, but modern developments in surgery and anesthesia have practically pushed it into the background. After this operation, the patient often develops various complications.



Cataract Removal (Couching): Past, Present and Complications

There are many treatments for cataracts in the medical world, one of which is a procedure known as “cataract extraction” or “couching.” This surgical procedure, which was widely used in ancient civilizations, involves moving the cataract-affected lens down and back from the pupil to the vitreous humor. Although this method is rarely used in modern times, it is still worth considering due to its historical significance and the potential complications associated with its implementation.

In ancient times, couching was especially popular in ancient civilizations, especially among people of Indian origin. The procedure involved using a small scalpel inserted through the edge of the cornea to displace the cataract-clouded lens into the eye. The operation was performed without the use of modern methods of anesthesia or microsurgery, and, despite its lack of precision and technical perfection, it was very common due to its relative simplicity and speed of execution.

However, with the development of modern surgery and anesthesiology, the couching method has been practically replaced by other more effective and safe cataract removal procedures. Currently, the most common methods are cataract extraction with phacoemulsification and intraocular lens (IOL) implantation. These procedures provide greater accuracy and predictability of results, and reduce the risk of complications.

Complications associated with couching surgery are one of the reasons why this method has become obsolete. After surgery, patients may face a number of problems. One of the most serious complications is the development of secondary glaucoma, which can occur due to damage to the drainage pathways of the eye or changes in intraocular pressure. In addition, patients may experience problems with visual perception, including refractive errors and astigmatism.

It should be noted that modern methods of cataract removal, such as phacoemulsification, have a much lower risk of complications and provide more predictable and successful results. In these procedures, the cataract lens is broken down and removed from the eye using ultrasound waves and then replaced with an artificial intraocular lens. This allows patients to restore their vision and significantly improve their quality of life.

In conclusion, couching cataract surgery, although it has its historical significance, is gradually giving way to more modern and effective methods. Modern cataract surgical procedures provide more reliable results and a lower risk of complications. If you have vision problems due to cataracts, it is recommended that you consult an experienced ophthalmologist who will suggest the most appropriate and safe treatment method based on your individual case. Caring for your vision should be based on the most modern and proven methods to ensure the best results and minimize risks.



Cataract removal

Cataract removal is a surgical procedure in which the lens of the eye is moved from its normal position to clear space for light and restore vision. This is a major operation that usually requires several days in the hospital, including preparation and recovery from the procedure. However, cataract removal can significantly improve vision for patients suffering from severe vision problems caused by cataracts. In this article, we'll look at what cataract surgery is, how the procedure is performed, and the risks and benefits that come with it.

What are cataracts and why do they cause vision problems A cataract is a cloudy yellow lens inside the eye that can cause vision loss. This lens has lost its clarity due to age-related degeneration or another medical condition. Cataracts can develop at any age, but usually develop in old age - for example, after 65 years. Cataract removal rates for patients over 60 years of age are more than 80%.

**The main reasons for the development of cataracts:** - Age-related changes in the lens of the eyes - Eye injuries - Complications from other eye surgeries and eye injuries - Diseases associated with metabolism

If the lens is permanently stained, it blocks light passing through the pupil, making vision blurry and unclear.