Abstract
Gonioscopy is an essential technique for the diagnosis and treatment of glaucoma. It is important for viewing the anterior chamber angle. Other techniques such as slit-lamp biomicroscopy or imaging techniques such as anterior segment optical coherence tomography or ultrasound biomicroscopy, may allow collection of the same information we can obtain by gonioscopy. So in eyes with angle-closure glaucoma it is possible to recognize if an angle is occludable or if there is an appositional or synechial closure. But in open angle glaucoma also it is possible to observe the landmarks, the iris insertion and the pigmentation of the angle. Gonioscopic examination is an invaluable tool in glaucoma and would have been incorporated into the routine examination as a standard protocol. In this chapter there are figures to show the anatomy of a normal angle, the landmarks, and the grading systems, and there are different images of angle-closure and open angle glaucomas.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Trantas A (1918) L’ophthalmoscopie de l’angle irido-cornéen (gonioscopie). Arch Ophthalmol 36:257–276
Salzmann M (1914) Die Ophthalmoskopie der Kammberbucht. Z Augenheilk 31:1–19
Salzmann M (1915) Nachtrag zu Ophthalmoskopie der Kammberbucht. Z Augenheilk 34:160–162
Curran EJ (1920) A new operation for glaucoma involving a new principle in the etiology and treatment of chronic primary glaucoma. Arch Ophthalmol 49:131
Koeppe A (1920) Das stereo-mikroskopische Bild des lebenden Kammerwinkels an der Nernstspaltlampe bein Glaukom. Klin Monatsbl Augenheilk 65:389–391
Troncoso MU (1925) Gonioscopy and its clinical applications. Am J Ophthalmol 8:433–439
Barkan O, Boyle SF, Maisler S (1936) On the genesis of glaucoma. An improved method based on slit lamp microscopy of the angle of the anterior chamber. Am J Ophthalmol 19:209–215
Sugar HS (1949) Newer conceptions in the classification of the glaucomas. Am J Ophthalmol 32:425–433
Shaffer RN, Tour RL (1956) A comparative study of gonioscopic methods. Am J Ophthalmol 41:256–265
Scheie HG (1957) Width and pigmentation of the angle of the anterior chamber; a system of grading by gonioscopy. Arch Ophthalmol 58:510–512
Goldmann H (1968) Biomicroscopy of the eye. Am J Ophthalmol 66:789–804
Spaeth GL (1971) The normal development of the human anterior chamber angle: a new system of descriptive grading. Trans Ophthalmol Soc UK 91:709–739
Dada T, Sharma R, Sobti A (2013) Gonioscopy. A text and atlas. Jaipee Borthers, New Delhi
Fish BM (1993) Gonioscopy of the glaucomas. Butterworth-Heineman, Boston
Van Herick W, Shaffer RN, Schwartz A (1969) Estimation of width of angle of anterior chamber. Incidence and significance of the narrow angle. Am J Ophthalmol 68:626–629
Schields MB (1983) Axenfeld-Rieger syndrome: a theory of mechanism and distinctions from the iridocorneal endothelial syndrome. Trans Am Ophthalmol Soc 81:736–784
Grant WM, Walton DS (1974) Progressive changes in the angle in congenital aniridia with development of glaucoma. Am J Ophthalmol 78:842–847
Prince AM, Streeten BW, Ritch R, Dark AJ, Sperling M (1987) Preclinical diagnosis of pseudoexfoliation syndrome. Arch Ophthalmol 105:1076–1082
Ritch R (1994) Exfoliation syndrome and occludable angles. Trans Am Ophthalmol Soc 92:845–944
Lehto I, Vesti E (1998) Diagnosis and management of pigmentary glaucoma. Curr Opin Ophthalmol 9:61–64
Lichter PR, Shaffer RN (1970) Iris processes and glaucoma. Am J Ophthalmol 70:905–911
Blanton FM (1964) Anterior chamber angle recession and secondary glaucoma. A study of the aftereffects of traumatic hyphemas. Arch Ophthalmol 72:39–43
Chandler PA (1952) Narrow-angle glaucoma. Arch Ophthalmol 35:1696
Pollack IP (1971) Chronic angle-closure glaucoma; diagnosis and treatment in patients with angles that appear open. Arch Ophthalmol 85:676–689
Forbes M (1966) Gonioscopy with corneal indentation. A method for distinguishing between appositional closure and synechial closure. Arch Ophthalmol 76:488–492
Ritch R (1982) Argon laser treatment for medically unresponsive attacks of angle-closure glaucoma. Am J Ophthalmol 94:197–204
Schulze RR (1967) Rubeosis iridis. Am J Ophthalmol 63:487–495
John T, Sassani JW, Eagle RC Jr (1983) The myofibroblastic component of rubeosis iridis. Ophthalmology 90:721–728
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Figus, M., Taloni, M., Posarelli, C. (2016). Gonioscopy. In: Ferreras, A. (eds) Glaucoma Imaging. Springer, Cham. https://doi.org/10.1007/978-3-319-18959-8_2
Download citation
DOI: https://doi.org/10.1007/978-3-319-18959-8_2
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18958-1
Online ISBN: 978-3-319-18959-8
eBook Packages: MedicineMedicine (R0)