POSTERIOR SUBLUXATION OF CRYSTALLINE LENS FOLLOWING CATARACT COUCHING: A CASE REPORT

Published 2022 - 26th ESCRS Winter Meeting

Reference: P021 | Type: Abstracts | DOI: 10.82333/pf36-2898

Authors: Meriem Elakhdari* ¹ , Hajar Hnich ² , Louai Serghini ² , Abdlkrim Aboulanoir ² , Amina Berraho ²

¹ophtalmology B,Speciality hospital ,Rabat,Morocco, ²ophtalmology B,speciality hospital ,Rabat,Morocco

Purpose

The aim of our presentation is to reveal the risks and the complications of cataract couching as a traditional archaic practice which is rare but still existing in several countries.

Setting

Couching is the oldest recorded form of cataract surgery, still performed in several areas of the world. This technique involves the manual dislocation of the crystalline lens into the vitreous cavity, without anesthesia or asepsis conditions, its complications are serious and are represented mainly by glaucoma, retinal detachment and endophthalmitis, with a risk of evisceration.

Methods

We report a case of a 63 year old man living in a rural area with a history of cataract couching 2 months ago in his left eye, causing a pain and a decrease in visual acuity.

Results

The clinical examination finds visual acuity radiuses to 1/20, with posterior subluxation of the crystalline lens, without sign of inflammation, ocular hypertonia or retinal detachment.

The patient has benefited from cataract extraction and pars plana vitrectomy, and a retro-pupillary iris-claw lens was implanted. A final best corrected visual acuity of 10/10 was achieved.

Conclusion

Cataract couching is an archaic traditional technique with a high rate of complications, like dislocation of the crystalline lens described in our case. Fortunately, the outcome after surgery for our patient was satisfactory.