|Year : 1972 | Volume
| Issue : 3 | Page : 139
Sympathetic ophthalmia after couching operation
GC Sood, P Singh, BA Chappu
Maulana Azad Medical College & Irwin Hospital, New Delhi, India
G C Sood
Maulana Azad Medical College & Irwin Hospital, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sood G C, Singh P, Chappu B A. Sympathetic ophthalmia after couching operation. Indian J Ophthalmol 1972;20:139
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|| |
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|| |
The complications reported after couching operation are secondary glaucoma, panophthalmitis, phthisis bulbi after cataract, retinal detachment, corneal distrophy, and staphyloma (Saxena,  Sood and Natrajan).  To our knowledge sympathetic ophthalmia has not been reported after couching operation and this is perhaps the first case.
| Summary|| |
A case of sympathetic ophthalmia after couching operation is reported.
| References|| |
Saxena, R. C.: Couching and its Hazards. J. All Ind. Ophth. Soc. 13: 100. (1965).
Sood, N. N. and Natrajan, A.: Couching for Cataract Am. Jour. Ophth. 66, 687 (1968).