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Gonioscopy

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Glaucoma Imaging

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.

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References

  1. Trantas A (1918) L’ophthalmoscopie de l’angle irido-cornéen (gonioscopie). Arch Ophthalmol 36:257–276

    Google Scholar 

  2. Salzmann M (1914) Die Ophthalmoskopie der Kammberbucht. Z Augenheilk 31:1–19

    Google Scholar 

  3. Salzmann M (1915) Nachtrag zu Ophthalmoskopie der Kammberbucht. Z Augenheilk 34:160–162

    Google Scholar 

  4. 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

    Google Scholar 

  5. Koeppe A (1920) Das stereo-mikroskopische Bild des lebenden Kammerwinkels an der Nernstspaltlampe bein Glaukom. Klin Monatsbl Augenheilk 65:389–391

    Google Scholar 

  6. Troncoso MU (1925) Gonioscopy and its clinical applications. Am J Ophthalmol 8:433–439

    Google Scholar 

  7. 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

    Article  Google Scholar 

  8. Sugar HS (1949) Newer conceptions in the classification of the glaucomas. Am J Ophthalmol 32:425–433

    Article  CAS  PubMed  Google Scholar 

  9. Shaffer RN, Tour RL (1956) A comparative study of gonioscopic methods. Am J Ophthalmol 41:256–265

    Article  CAS  PubMed  Google Scholar 

  10. Scheie HG (1957) Width and pigmentation of the angle of the anterior chamber; a system of grading by gonioscopy. Arch Ophthalmol 58:510–512

    Article  CAS  Google Scholar 

  11. Goldmann H (1968) Biomicroscopy of the eye. Am J Ophthalmol 66:789–804

    Article  CAS  PubMed  Google Scholar 

  12. 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

    CAS  PubMed  Google Scholar 

  13. Dada T, Sharma R, Sobti A (2013) Gonioscopy. A text and atlas. Jaipee Borthers, New Delhi

    Google Scholar 

  14. Fish BM (1993) Gonioscopy of the glaucomas. Butterworth-Heineman, Boston

    Google Scholar 

  15. 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

    Article  PubMed  Google Scholar 

  16. Schields MB (1983) Axenfeld-Rieger syndrome: a theory of mechanism and distinctions from the iridocorneal endothelial syndrome. Trans Am Ophthalmol Soc 81:736–784

    Google Scholar 

  17. Grant WM, Walton DS (1974) Progressive changes in the angle in congenital aniridia with development of glaucoma. Am J Ophthalmol 78:842–847

    Article  CAS  PubMed  Google Scholar 

  18. Prince AM, Streeten BW, Ritch R, Dark AJ, Sperling M (1987) Preclinical diagnosis of pseudoexfoliation syndrome. Arch Ophthalmol 105:1076–1082

    Article  CAS  PubMed  Google Scholar 

  19. Ritch R (1994) Exfoliation syndrome and occludable angles. Trans Am Ophthalmol Soc 92:845–944

    PubMed Central  CAS  PubMed  Google Scholar 

  20. Lehto I, Vesti E (1998) Diagnosis and management of pigmentary glaucoma. Curr Opin Ophthalmol 9:61–64

    Article  CAS  PubMed  Google Scholar 

  21. Lichter PR, Shaffer RN (1970) Iris processes and glaucoma. Am J Ophthalmol 70:905–911

    Article  CAS  PubMed  Google Scholar 

  22. Blanton FM (1964) Anterior chamber angle recession and secondary glaucoma. A study of the aftereffects of traumatic hyphemas. Arch Ophthalmol 72:39–43

    Article  CAS  PubMed  Google Scholar 

  23. Chandler PA (1952) Narrow-angle glaucoma. Arch Ophthalmol 35:1696

    CAS  Google Scholar 

  24. Pollack IP (1971) Chronic angle-closure glaucoma; diagnosis and treatment in patients with angles that appear open. Arch Ophthalmol 85:676–689

    Article  CAS  PubMed  Google Scholar 

  25. Forbes M (1966) Gonioscopy with corneal indentation. A method for distinguishing between appositional closure and synechial closure. Arch Ophthalmol 76:488–492

    Article  CAS  PubMed  Google Scholar 

  26. Ritch R (1982) Argon laser treatment for medically unresponsive attacks of angle-closure glaucoma. Am J Ophthalmol 94:197–204

    Article  CAS  PubMed  Google Scholar 

  27. Schulze RR (1967) Rubeosis iridis. Am J Ophthalmol 63:487–495

    Article  CAS  PubMed  Google Scholar 

  28. John T, Sassani JW, Eagle RC Jr (1983) The myofibroblastic component of rubeosis iridis. Ophthalmology 90:721–728

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Michele Figus MD, PhD .

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© 2016 Springer International Publishing Switzerland

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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

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  • 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

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