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Year : 1972  |  Volume : 20  |  Issue : 3  |  Page : 139

Sympathetic ophthalmia after couching operation

Maulana Azad Medical College & Irwin Hospital, New Delhi, India

Correspondence Address:
G C Sood
Maulana Azad Medical College & Irwin Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

PMID: 4668490

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How to cite this article:
Sood G C, Singh P, Chappu B A. Sympathetic ophthalmia after couching operation. Indian J Ophthalmol 1972;20:139

How to cite this URL:
Sood G C, Singh P, Chappu B A. Sympathetic ophthalmia after couching operation. Indian J Ophthalmol [serial online] 1972 [cited 2023 Mar 20];20:139. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1972/20/3/139/34652

Couching operation is still practiced by unqualified quacks in remote vil­lages of India and Pakistan, although some time they come to the cities. The present case was operated by a couch­er in Delhi. The interesting feature of the case is that he developed sympa­thetic ophthalmia in the other eye four months after the operation, a compli­cation which to the best of our know­ledge has not been reported earlier.

  Case Report Top

K. M., Hindu male of 70 years at­tended the out patient department of Irwin Hospital on Oct. 14, 1969 with the complaint of pain, redness and di­minution of vision in the right eye. On interrogation it was revealed that he had cataract operation from an un­qualified eye surgeon on his right eye on April 15, 1969. His right eye was bandaged for only three days after which his vision was considerably im­proved. After about four months his right eye became red and painful. This was soon followed by slight blurring of vision of left eye. He took some treat­ment from an unqualified person for a few days before attending the out pa­tient department of our Hospital.

Examination of the right eye re­vealed moderate circum-corneal con­gestion, deep anterior chamber, dilated pupil and cataractous lens displaced down and nasally in the posterior seg­ment. Slit lamp examination showed multiple white and pigmented rounded K.P.s and aqueous flare. The left eye showed slight rarcumcorneal conges­tion and immature cataract. On slit lamp examination multiple white K.P.s with minimal aqueous flare was seen which was suggestive of sympathetic ophthalmia.

Systemic examination and labora­tory investigations were negative.

The patient was put on oral Pred­nisolone 10 mg. O.D.S. Locally At­ropine ointment 1%, Hydrocortisone eye ointment 1 % was given four times a day in both the eyes, supplemented with subconjunctival injection of hy­drocortisone biweekly. The patient responded well to the treatment is be­ing continued.

  Discussion Top

The complications reported after couching operation are secondary glaucoma, panophthalmitis, phthisis bulbi after cataract, retinal detach­ment, corneal distrophy, and staphy­loma (Saxena, [1] Sood and Natrajan). [2] To our knowledge sympathetic oph­thalmia has not been reported after couching operation and this is perhaps the first case.

  Summary Top

A case of sympathetic ophthalmia after couching operation is reported.

  References Top

Saxena, R. C.: Couching and its Hazards. J. All Ind. Ophth. Soc. 13: 100. (1965).  Back to cited text no. 1
Sood, N. N. and Natrajan, A.: Couching for Cataract Am. Jour. Ophth. 66, 687 (1968).  Back to cited text no. 2


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