The Indian Operation of Couching for Cataract

INDEX

A
Abu el Kasim, 2, 4
Accidental injuries during couching, 46
Advocacy (modified) of couching, 10, 11, 12
Ægineta, Paulus, 3
Age of patient, usual in couching, 27
Albertotti, 10
Alexandria, ophthalmic surgeons in, 1
Anæsthesia during couching, 15, 21
Anatomical examination of couched eyes, by Collins, 11;
by Hudson, 11;
by Kirkpatrick, 11;
by Parsons, 10
Anterior chamber, 55
albuminous exudates in, 56
blood in, 56
lens matter in, 56
pus in, 56
scantiness of contents, 55
vitreous substance in, 56
Anterior operation, 14
Antiquity of couching, 1
Antillus, 7
Apology for the coucher, 23
Avicenna, 2, 3, 4
B
Bartisch, 5
Basso, 11
Bell, Benjamin, 7
Benvenuto, 4
Bland-Sutton, Sir John, 1
Brisseau, Pierre, 7
C
Capsulo-corneal synechia, 46
Cataracts, entangled in vitreous exudate, 39, 81
fixed in vitreous chamber, 40, 80
floating freely in vitreous, 39
matted in inflammatory tissue, 43
peculiarities of, in India, 32
Causes of failure after couching, 28
Celsus, 1, 2, 3, 7, 90
Charlatanism, 6, 7, 20
Chemotaxis, 61, 63
Choroid, 73
changes in, due to hypotony, 73
detachments of, 73
Choroidal vessels unusually distinct, 74
Collins, E. T., 11, 12, 73
Comparison of depression and reclination, 88
of pain after couching and after extraction, 86
of scleral and corneal routes for operation, 89
Condemnation of couching, 11, 22, 26, 77
Copper probe, 16, 17, 51
Cornea, fistula of, 46, 78
scars in, 16, 46, 78
Coucher, descriptive titles of, 19
Coucher’s methods, 20, 33
Cusson, 7
Cyanopsia, 32
D
Dark Ages, couching in, 6, 20
Daviel’s extraction, 7
Delayed iridocyclitis, 28
Demonstration of couched cataract, method of, 79
Depression of cataract, 8, 88
Diagnosis of couching having been performed, 77
Difficulties in deciding surgical questions in India, 84
Difficulty of couching, 11, 90
Dislocation of cataract, backward, 39
behind retina, 45, 88
between ciliary body and sclera, 88
forward, 36, 87
in front of anterior hyaloid membrane, 44
partial, 81
Drake-Brockman, E. F., 22
Drake-Brockman, H. E., 9, 22
E
Ekambaram, 10, 11, 16, 17, 24, 26, 49
Extraction of cataract, 7
Extraction of couched cataract, 61, 77, 82, 83, 84
F
Fees of couchers, 22
Fixation of lens, degree of, 82
Fowl’s blood, use of, by couchers, 18, 20
Fundus reflex absent, 81
G
Galen, 3
Glaucoma, 28, 29, 74
after couching, 86
causes of, after couching, 75, 76
frequency of, after couching, 74, 75
Government servants as couchers, 22
H
Habits of couchers, 19
Hæmorrhage after couching, 67
Haly Abbas, 2
Hay, William, 7
Headquarters of couchers, 19
Hindu couchers, 19
Hirschberg, 9
Histories of Indian patients, unreliable, 77, 82
Hudson, A. C., 11
Hyphæma, 56
Hypopyon, 56
Hypotony, effect of, on uveal tract, 73
I
Imperfect dislocation of cataract, 28, 29
Incision, variation of site of, in couching, 49
Indian Medical Service Officers and couching, 9
Instruments for couching, 4, 16, 20
Invention of couching, first, 2
Iridocyclitis, 25, 28
Iris, atrophy of, 78
flat plane of, in couched eye, 77
scars in, 16, 78
tremulous, 78
Iris bombé, 55
J
Jesu Haly, 2
K
Kirkpatrick, H., 11, 61, 84
Knife, guarded, 16
L
Lens, calcification of, 55
Listerism, influence of, on couching, 9
M
Mackenzie, 7, 90
Magic, element of, in couching, 24
Mahomedan couchers, 19, 21
Maynard, F. P., 11
Membrane, dried pieces of, used by couchers, 20
Metabolic changes in development of cataract, 33
Miracles, early Christian, 18
Mistakes in diagnosis, couchers’, 23, 29, 30
Morgagnian cataracts, 27, 90
O
Ophthalmoscopy of couched eyes, 31, 80
Optic atrophy, 28, 29
Optic neuritis, 30, 63
P
Pain during couching, 15
following couching, 85, 87
causes of, 86
Panophthalmitis, 25, 52, 82
Parsons, J. H., 10
Pathological material available, 35
Philoxenes, 1
Phthisis bulbi, 82
Position of couched cataract, recognition of, 77, 79, 80, 82
Posterior operation, 16
Pott, Percival, 7
Power, Henry, 10
Punjabi couchers, 21
Pupil, blackness of, in couched cataract, 77
occlusion of, 81
Q
Quartillera, 11
R
Razes, 2
Reascension of couched cataract, 89
Reclination of cataract, 7, 8, 88
Reluctance to remove couched lenses, 77
Removal of couched lens, 61
Results of couching, 25, 26, 27
Retina, cysts of, 65, 70, 73
dots on, 68
dots on, frequency of, 68
dots on, pathology of, 69
Retinal changes ascribed to couching, 30
Retinal detachment, 28, 29, 64
causes of, 64, 65, 66
due to operative traumatism, 68
stick-like, 65
Retinal pigment, changes found in, after cataract-extraction, 32
Retinal pigment, changes in, found in couched eyes, 31, 32
Retino-corneal synechia, 46
S
Sandalwood paste, 17
Scarpa, 7
Scarpa’s needle, 8
Sclera, scars of, 49, 78
Scleral fistula, 50
Smith, H., 11, 22, 26
Social status of couchers, 22
Sprengel, 1
Statistics of couching, author’s, 11, 22, 25, 26
Kirkpatrick’s, 11, 25
Maynard’s, 10, 22
Straub on experimental hyalitis, 61
Subretinal exudate, 67
Suction of cataract, 7
Suppression of couching, 34
Sympathetic ophthalmia, 29, 55
T
Tabri, 2
Technique of couching, Abu el Kasim, 4
Avicenna, 4
Bartisch, 5
Benvenuto, 4
Brisseau, 7
Celsus, 2, 3
Indian operators, 10, 14, 16, 25
Mackenzie, 7
Thorn used in couching, 14
Tobit, recovery of sight of, 1
Transillumination of couched eyes, 80
U
Uveal coat, calcification of, 55
Uveal tract, injuries of, 50
Uveitis, plastic, 52
Uveitis, proliferative, 55
V
Visual results after couching, 27
Visual results of couching and extraction compared, 28
Visual tests employed by couchers, 16
Vitreous body, infiltration of, 59
Vitreous chamber, 56
cone of exudate in, 30, 43
cone of exudate in, altered artificially, 60
cone of exudate definitely pathological, 60
filmy exudate in, 62
Vitreous exudate, fibrous organisation of, 59, 64
Vitreous opacities, 28
W
Ware, James, 7
Willburg, 7

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