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Complications after cataract surgery are relatively uncommon. Posterior vitreous detachment (PVD) may occur but does not directly threaten vision. [23] Some people develop a posterior capsular opacification (PCO), also called an after-cataract. This may compromise visual acuity, and can usually be safely and painlessly corrected using a laser.
"Couching for cataract"; Wellcome Collection illustration of Indian doctors performing the technique. Couching is the earliest documented form of cataract surgery. It involves dislodging the lens of the eye, thus removing the cloudiness caused by the cataract. Couching was a precursor to modern cataract surgery and pars plana vitrectomy.
A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision of the eye. [ 1 ] [ 7 ] Cataracts often develop slowly and can affect one or both eyes. [ 1 ] Symptoms may include faded colours, blurry or double vision , halos around light, trouble with bright lights, and difficulty seeing at night . [ 1 ]
An infection of the eyes or nearby that could cause endophthalmitis, so should be treated before cataract surgery. [31] The person does not want surgery. [31] Functional vision can be provided by glasses or other visual aids which is sufficient for the person's requirements. [31] Corneal diseases such as glaucoma may be a relative ...
After being used regularly for centuries, couching has been mostly abandoned in favour of more effective techniques, due to its generally poor outcomes, and is currently only routinely practised in remote areas of developing countries. [11] [12] Cataract surgery was first mentioned in the Babylonian code of Hammurabi 1750 BCE. [13]
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