Bronze instruments from the 1st century AD found in the Montbellet in France. They were probably used in couching.
Couching was perfected by Sustruta (the Hippocrates of India) in the 6th century BC. The procedure involved 
pressing down the afflicted lens (couch the cataract) with sharp instuments. The procedure lifted the veil of blindness in a matter of minutes though the patient is left aphakic. 
Post-operative complications such as endophthalmitis, severe uveitis and retinal detachment were likely to be high and the patients were unlikely to enjoy more than a few days of brightness.

Return to the main page