The Indian operation of couching for cataractElliot, Robert Henry
History
The Indian operation of couching for cataract
Elliot, Robert Henry
Cataract -- Surgery -- India; Ophthalmology -- India -- History
reached when the surgeon removes a thread from his garment, and the
patient not merely recognizes it as such, but triumphantly tells its
hue. The Western ophthalmic surgeon, with his wide incision and his
anxiety for the safety of the vitreous, can never savour such dramatic
moments as these. They carry us back to the descriptions of the early
Christian miracles, with all the mental and spiritual associations,
which enwrap such stories as those of Bartimæus, and of the pools of
Siloam and Bethesda. Alas that life’s “hereafters” should so often be
fraught with disillusionment, disappointment, and suffering! Palestine
and its storied past rise before us as we read how the vaidyan called
for a white cloth and for water, how he dipped the cloth in the fluid
and washed out the sufferer’s eye therewith, how he made a paste and
smeared it over the skin around the brow, how he closed the eye with
“clean white linen,” and then sent the erstwhile blind man rejoicing
away. Over the abyss of nearly twenty centuries, the East stretches out
her unfaltering hand to the past of the nearer East, whilst the West
looks on in wonder, not unmixed with admiration, for a spirit which the
corroding passage of time seems unable either to fret or to change.
There is a step of the procedure which has been purposely left to the
last, as its interest is psychologic, and not surgical. It is common to
both methods of operation. I refer to the anointing of the eye with the
blood of a freshly killed fowl. It is a measure in which superstition,
cunning, self-preservation, and greed, overwhelm and mask a faint
and feeble therapeutic design. The sacrificial element is present,
and a hazy idea that the death of the votive bird may turn evil from
the patient looms in the background. Next comes the need to mask
the shedding of the patient’s blood, since he is often told that no
operation is to be performed, but that a mere “medicinal application”
is to be made; the blood of the outraged bird covers the guilt of the
vaidyan’s falsehood. Largest of all towers the fact that the curry-pot
even of a worker of surgical marvels needs constant replenishing, and
that fowl is an excellent substitute for mutton on such occasions.
Lastly, these men seem to believe that the coagulation of the fowl’s
blood helps to close the puncture. In view of the dirty condition of
the instruments which they introduce into the interior of the eye, this
last factor may practically be neglected.
CHAPTER III
THE INDIAN COUCHER AND HIS HABITS
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