COMPLICATIONS OF EMPIRIC TREATMENT OF CATARACT BY COUCHING

Published 2022 - 26th ESCRS Winter Meeting

Reference: P070 | Type: Abstracts | DOI: 10.82333/0w4f-b495

Authors: Mekyna Synthia* ¹ , Kougou Ntoutoume Annick Rolande ¹ , Cherkaoui Lalla Ouafa ¹

¹Ophtalmology A,université mohamed V -faculté de médecine de Rabat,RABAT,Morocco

Purpose

To determine complications of empiric treatment of cataract by couching.

Setting

Traditional lens lowering is still practiced in some developing countries. The complications of this empirical technique are serious and represented by glaucoma, retinal detachment and endophthalmitis.

We report the case of phacoantigenic uveitis and hypertonia following lowering of the lens.

Methods

A 70-year-old woman consulted for a red and painful right eye that had progressed for 7 days. She is type 2 diabetic, illiterate and comes from a modest social background. She reported on a traditional lens lowering notion of the eye 3 weeks ago.

Results

The ophthalmologic examination of the right eye found visual acuity to count the fingers closely, significant inflammation in the anterior chamber, grade 1 hyphema, a wick of vitreous in the anterior chamber, hypertonia at 45 mmHg and a luxated cataract lens in the vitreous, mobile according to eye movements and confirmed on ocular ultrasound. Examination of the left eye mainly notes visual acuity including the fingers and a cataract lens.The patient underwent emergency hypotonizing treatment, corticosteroid therapy and an anterior and posterior vitrectomy with phacofragmentation, without implantation in the right eye.

Conclusion

In conclusion, patients who are victims of this archaic practice are exposed to numerous complications which are often of poor prognosis. Hence the interest of informing and sensitizing populations in precarious socio-economic and intellectual situations.