title: Sushruta in 600 B.C. introduced extraocular expulsion of lens material.
abstract: It is generally accepted that Jacques Daviel introduced in the 18th century the extracapsular technique of extraction of the lens while the couching method of cataract operation had already been practiced since ancient times. Present study analyses the first known cataract surgery description in three translations into English from the original Sanskrit Sushruta textbook and all the available literature on the subject. We found evidences that some sort of extraocular expulsion of lens material through a limbal puncture (paracentesis) was described by the Indian surgeon. Nevertheless, this incision cannot be considered as a classic extracapsular procedure because it was not large enough to allow the extraction of the entire lens.
authors: Department of Ophthalmology, Poznan City Hospital, Poznań, PolandChair of Ophthalmology, University of Warmia and Mazury, Olsztyn, PolandDepartment of Ophthalmology, 'Lozano Blesa' University Clinic Hospital, Zaragoza, Spain;Aragon Health Sciences Institute, Zaragoza, Spain.
authors: Andrzej
authors: A
authors: Grzybowski
authors: Francisco J
authors: FJ
authors: Ascaso
mesh_terms: D002386:Cataract / Q000266:history; D002387:Cataract Extraction / Q000266:history / Q000379:methods; D049690:History, Ancient; D006801:Humans; D007194:India; D009885:Ophthalmology / Q000266:history
keywords: Sushruta Samhita; ancient history; cataract surgery history; couching technique; extracapsular cataract extraction; history of medicine