Managing Post-Couching Complications

In this video, Dr. Ashar Agarwal and colleagues from India demonstrate their approach for managing complications related to couching while working in Africa. Couching is one of the oldest surgical procedures for managing cataract, and involves the use of a sharp instrument that is pierced the eye at the limbus, dislocating the opaque lens from the central visual axis and pushing into the vitreous cavity. The procedure can lead to severe complications. Dr. Agarwal’s approach includes cataractous lens extraction with a secondary IOL placement using the glued IOL technique due to deficient capsular support.

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