{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:12:57Z","timestamp":1789560777130,"version":"build-2803163510"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Couching, an ancient technique of cataract management where cataractous lens is manually dislocated from its anatomical position into vitreous cavity. A 85-year-old female was referred complaining of diminished vision, redness and photophobia in both eyes for 2 weeks. A history of similar episodes in the past for which she used topical medication from local doctor. She underwent cataract surgery 25 years back, without intraocular lens implantation and has been using thick spectacles since then. Best-corrected visual acuity in both eyes was hand movements close to face. Bilateral circumcilliary congestion, diffuse corneal edema, anterior chamber reaction, iridodonesis, sluggish pupillary reaction and aphakia were noted. Intraocular pressures were raised. After medical treatment, bilateral cornea cleared. Fundus examination revealed vitritis and vitreous degeneration with optic atrophy in both eyes. B-scan revealed dislocated crystalline lens in the vitreous cavity inferiorly near the posterior pole. Due to the presence of optic atrophy, conservative management was done and inflammation was successfully controlled.<\/jats:p>","DOI":"10.4103\/aam.aam_793_25","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T07:03:35Z","timestamp":1775545415000},"page":"S294-S297","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Furious Eyes: Chronic Intraocular Inflammation as Post-Couching Sequelae: A Rare Case Report"],"prefix":"10.4103","volume":"25","author":[{"given":"Ratnapriya","family":"Srivastava","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Motilal Nehru National Medical College, Prayagraj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Motilal Nehru National Medical College, Prayagraj, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanket Vinubhai","family":"Davra","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Dr. D. 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Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"R1-20260916","first-page":"Doc26","article-title":"Bilateral posterior crystalline lens dislocations in an otherwise healthy child","volume":"7","author":"AlShehri","year":"2017","journal-title":"GMS ophthalmology cases"},{"key":"R2-20260916","first-page":"64","article-title":"Couching techniques for cataract treatment in Osogbo, South West Nigeria","volume":"47","author":"Isawumi","year":"2013","journal-title":"Ghana Med J"},{"key":"R3-20260916","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1111\/aos.12843","article-title":"Hollow needle cataract aspiration in antiquity","volume":"93","author":"P\u00e9rez-Cambrod\u00ed","year":"2015","journal-title":"Acta Ophthalmol"},{"key":"R4-20260916","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.21037\/atm-2019-rcs-04","article-title":"The history of cataract surgery: From couching to phacoemulsification","volume":"8","author":"Leffler","year":"2020","journal-title":"Ann Transl Med"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/IIO.0000000000000322","article-title":"Perioperative management of dropped lenses: Anterior and posterior segment considerations and treatment options","volume":"60","author":"Venkateswaran","year":"2020","journal-title":"Int Ophthalmol Clin"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"358","DOI":"10.4103\/0301-4738.158098","article-title":"Considerations in the management of aphakia","volume":"63","author":"Prasad","year":"2015","journal-title":"Indian J Ophthalmol"},{"key":"R8-20260916","doi-asserted-by":"crossref","first-page":"2860","DOI":"10.4103\/ijo.IJO_1026_22","article-title":"Commentary: Decision-making in the management of surgical aphakia","volume":"70","author":"Chattannavar","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R9-20260916","doi-asserted-by":"crossref","first-page":"649","DOI":"10.2147\/OPTH.S100708","article-title":"A medieval fallacy: The crystalline lens in the center of the eye","volume":"10","author":"Leffler","year":"2016","journal-title":"Clin Ophthalmol"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_793_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:00:44Z","timestamp":1789560044000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_793_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":8,"journal-issue":{"issue":"Suppl 2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_793_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]},"assertion":[{"value":"2025-12-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}