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  • Gonioscopy Aashika T 2nd Yr

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    Aashimaha thalapathi
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    Gonioscopy is a technique used to examine the anterior chamber angle of the eye. It can be performed directly using specialized contact lenses called goniolenses, or indirectly using gonio prisms placed on the cornea. Direct gonioscopy allows viewing of the entire 360 degree angle, while indirect provides a mirrored image. Indentation gonioscopy applies varying pressure to displace fluid into the angle and widen it for examination. Gonioscopy is indicated when glaucoma is suspected and contraindicated for certain corneal conditions.

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    Gonioscopy is a technique used to examine the anterior chamber angle of the eye. It can be performed directly using specialized contact lenses called goniolenses, or indirectly using gonio prisms placed on the cornea. Direct gonioscopy allows viewing of the entire 360 degree angle, while indirect provides a mirrored image. Indentation gonioscopy applies varying pressure to displace fluid into the angle and widen it for examination. Gonioscopy is indicated when glaucoma is suspected and contraindicated for certain corneal conditions.

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    3 views23 pages

    Gonioscopy Aashika T 2nd Yr

    Uploaded by

    Aashimaha thalapathi
    Gonioscopy is a technique used to examine the anterior chamber angle of the eye. It can be performed directly using specialized contact lenses called goniolenses, or indirectly using gonio prisms placed on the cornea. Direct gonioscopy allows viewing of the entire 360 degree angle, while indirect provides a mirrored image. Indentation gonioscopy applies varying pressure to displace fluid into the angle and widen it for examination. Gonioscopy is indicated when glaucoma is suspected and contraindicated for certain corneal conditions.

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    GONIOSCOPY

    T.AASHIKA
    2 YR B.OPTOM
    ND

    VK COLLEGE
    DEFNITION
    • Gonioscopy refers to the technique
    used for viewing the anterior
    chamber angle of the eye for
    evaluation ,management and
    classification of normal and
    abnormal angle structures.
    METHODS OF GONIOSCOPY

    • DIRECT GONIOSCOPY
    • INDIRECT GONIOSCOPY
    *with indentation
    *without indentation
    DIRECT GONIOLENS
    • Koeppe goniolens
    • Richardson-Shaffer
    • Huskins barkan
    • Sieback
    • Swan Jacob
    • layden
    TECHNIQUE OF DIRECT GONIOSCOPY

    1. Patient lies supine with examiner


    sitting on the side ofthe eye to be
    examined."
    2. After topical anesthesia, goniolens
    is positioned onthe cornea, using
    balanced salt solution or
    methylcellulose.
    CONTINUATION…

    • 3. Examiner holds the goniolense in


    one hand and thelight source in
    other and scans the anterior
    chamberangle by shifting his or her
    position until all 360degrees have
    been studied.
    TECNIQUE OF DIRECT
    GONIOSCOPY
    INDIRECT GONIOSCOPY
    • The light rays are reflected by
    mirror in the contact lens (gonio
    prism)
    • Provide a mirror image of the
    opposite angle & used in
    conjunction with a slit lamp
    INDIRECT GONIOSCOPY
    • 2 TYPES
    1.Non indentation
    2. indentation
    NON INDENTATION
    TECHNIQUE
    After anesthetizing the cornea,
    the coupling gel is inserted into
    the cup of gonio lens.
    Gonio lens is placed and tipped
    onto the cornea
    CONTINUATION…..

    • Slit lamp beam is focused on the


    mirror
    Which shows the inverted angle
    image.
    NON INDENTATION
    GONIOSCOPY
    GONIO PRISMS (NON INDENTATION

    Surface if slightly larger than cornea&


    requires a coupling gel.
    1.Goldmann single mirror
    2.Gold mann-3 mirror
    3.Allen-thorpe
    GOLD MANN MIRRORS
    ALLEN THORPE PRISM
    INDENTATION GONIOSCOPY
    • Varrying amount of pressure applied to
    the cornea with a tear coupled indirect
    contact lens.
    • Examiner observes the effect on angle
    width
    • increased pressure indents the central
    cornea & displaces fluid into the angle,
    opening it wider.
    GONIOPRISMS (INDENTATION)

    • Zeiss four mirror


    • Sussmman four mirror
    • Tokel single mirror
    • Posner four mirror
    ZEISS FOUR MIRROR
    SUSSMMAN FOUR MIRROR
    TOKEL SINGLE MIRROR
    POSNER FOUR MIRROR
    INDICATION

    • Suspected angle closure disease


    • elevated iop
    • Pigment dispersion syndrome
    • History of any type of glaucoma
    • Ocular blunt trauma or history of foreign body
    • Retinal vascular occlusion
    • History of ocular tumor
    CONTRA INDICATION

    • Recurrent corneal erosion


    • corneal abrasion
    • Patients with keratopathy(i.e bullous,
    band,punctate)
    • Perforating eye injuries

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