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
An argument in support of the reliability of our figures may be drawn
from the extraordinarily widespread opinion, amongst both European
and Indian practitioners, that the vaidyans’ results are appalling.
The writer had the opportunity of talking on the subject with a large
number of men who practised in the parts where couching was rifest, and
their testimony was unanimous. Ekambaram, who has already been freely
quoted, has made these men’s methods a special study, and, impressed by
the wholesale destruction of eyes he had witnessed, made the request
that the matter should be brought to the notice of Government through
the Surgeon-General, which was accordingly done. Apropos of the figures
now under discussion, Colonel Drake-Brockman wrote: “I have seen quite
enough to convince me of the truth of Major Elliot’s statement, and
that his percentage of actual loss of eyes from this cause alone is
by no means exaggerated.” Major Smith has given his experience of the
disastrous results of couching, and has gone so far as to say that even
the best cases, if followed long enough, end in absolute blindness.
With this last observation we cannot wholly agree, nor do our
statistics in the south bear out his opinion that “partial dislocation
is more frequent than the complete dislocation in the hands of adepts
in the art.” He is satisfied that a great majority of cases go bad
immediately, either from suppuration or from iridocyclitis, and that a
large proportion of the remainder are but imperfectly couched. Other
surgeons, too, have testified to the disastrous nature of the vaidyans’
results.
Public-domain text, read in full here on John Shaqi.
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