The Indian operation of couching for cataract — John Shaqi
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
Fig. 22: Specimen No. 138.--A large Morgagnian cataract in its capsule
lies dislocated behind the totally detached retina; the tear in the
front part of the lower half of the retina, through which the lens was
thrust, is now represented by a wide puckered scar.
Fig. 23: Specimen No. 9.--A whole-section showing a persistent fistula
of the cornea.
Fig. 24: Specimen No. 45.--A brown nucleus dislocated downward in its
capsule lies tightly adherent to the back of the iris and ciliary
body; it is fixed there by organised exudate, the bands from which
radiate out into the retina and are determining the detachment of that
membrane. The iris is torn on the nasal side, and through the tear
there passes a capsulo-corneal synechia.
Fig. 25: Specimen No. 116.--The retina is totally detached, and rolled
up like a closed umbrella. There is a retino-corneal synechia. The lens
has been reclined; it probably lay outside the vitreous cavity. The
subretinal exudate, coagulated by preparation, gives the eyeball the
appearance of a cut marble. During life the pressure of the lens, which
had been wedged backward, thrust the retina and the parts adherent
to it backward below, thus displacing the subretinal exudate there,
and causing it to bulge in the upper half of the eyeball; this bulge
effectually obliterated the upper part of the anterior chamber, whilst
the direct pressure of the lens obliterated the chamber below.
Fig. 26: Specimen No. 306.--There is a pigmented scar running through
the thickness of the sclera, just behind the level of the ciliary
processes. The optic disc is deeply cupped, and the anterior chamber is
very shallow.
Fig. 27: Specimen No. 306.--Low-power magnification of the previous
specimen shows a persistent fistula running through the substance of
the sclera; the ciliary body is impacted in its deeper part, and there
is a filtering scar on its surface.
[Illustration: PLATE IV.
Fig. 22 (No. 138).--Right eye, lower half.
Fig. 23 (No. 9).--Left eye, whole section.
Fig. 24 (No. 45).--Right eye, lower half.
Fig. 25 (No. 116).--Right eye, nasal half.
Fig. 26 (No. 306).--Left eye, upper half.
Fig. 27 (No. 306).--Microscopic section, low power.]
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