See EyeWiki: One of the earliest surgical interventions for cataracts, dating as early as the 5th century BC, was a technique called couching, which comes from the french word “coucher” meaning “to put to bed.” In this method, a sharp needle is used to pierce the eye near the limbus until the provider can manually dislodge the cataract - typically into the vitreous chamber - and out of the visual axis.