This article is more than 5 years old. Information may no longer be current.

Gonioscopy crucial for diagnostics, surgeon says

Add topic to email alerts

Receive an email when new articles are posted on

Please provide your email address to receive an email when new articles are posted on .

Subscribe

Added to email alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

Back to Healio

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

Back to Healio

LAS VEGAS — Gonioscopy is “crucial” in diagnosing angle closure glaucoma, according to one physician.

“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.”