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eGleams - What is Gonioscopy?

Your April Newsletter from Glaucoma Research Foundation
Your April Newsletter from Glaucoma Research Foundation
eGleams newsletter
April 2016
Gonioscopy: What Is It And Why Is It Needed?
Gonioscopy: What Is It?
Gonioscopy is performed during the eye exam to evaluate the internal drainage system of the eye, also referred to as the anterior chamber angle. The "angle" is where the cornea and the iris meet. This is the location where fluid inside the eye (aqueous humor) drains out of the eye and into the venous system. Under normal circumstances, the angle cannot be seen on exam. A special contact lens prism placed on the surface of the eye allows visualization of the angle and drainage system.
Gonioscopy exam
Why Is It Needed?
The pressure inside the eye is maintained by constant production and drainage of fluid. If the drainage system is not working properly, the pressure inside the eye, also known as intraocular pressure, can increase.
High intraocular pressure can cause damage to the optic nerve, the "cable" that sends images from the eye to the brain. This kind of damage is called glaucoma, the second leading cause of blindness worldwide.

By looking at the "angle," physicians can determine if it is open or closed as well as if there are abnormal blood vessels, adhesions (synechiae), or damage from previous eye trauma.
A closed angle is an abnormality that can predispose the patient to have a sudden or rapid increase in intraocular pressure. This increase in pressure can cause a very serious, acute form of glaucoma.
Related video:
This video provides a brief introduction to laser iridotomy for treating narrow-angle glaucoma.
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