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Gonioscopy crucial for diagnostics, surgeon says
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LAS VEGAS — Gonioscopy is “crucial” in diagnosing angle closure glaucoma, according to one physician.
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“Every adult ophthalmic patient should have gonioscopy performed and intermittently reassessed,” Jody Piltz-Seymour, MD, said here at the OSN Las Vegas meeting. “Befriend your goniolens, carry it in your pocket, and use it on every patient. Remember — it’s a simple mirror.”
Dr. Piltz-Seymour said that chronic angle closure glaucoma can mimic primary open angle glaucoma unless careful gonioscopy is performed.
“Without gonioscopy, patients with sub-acute and chronic angle closure glaucoma will be misdiagnosed,” Dr. Piltz-Seymour said.
She advised ophthalmologists to perform gonioscopy in light to identify landmarks, and then to recheck in dim illumination, both with and without compression.
“Beware of the non-pigmented angle,” she said.
She stressed the biggest mishap in performing gonioscopy “is the failure to perform gonioscopy.”