Gonioscope Eye Examination
A gonioscope is a specialized medical instrument that is used to examine the angle of the eye, where the iris (the colored part of the eye) meets the cornea (the clear front part of the eye). The angle of the eye is important because it contains the trabecular meshwork, a network of tiny tubes that helps drain aqueous humor (the clear fluid that fills the front part of the eye) from the eye.
A gonioscope examination is an important part of a comprehensive eye exam and is often used to diagnose and monitor glaucoma, a group of diseases that can damage the optic nerve and lead to vision loss. Elevated intraocular pressure (IOP) is the most important risk factor for the development and progression of glaucoma, and a gonioscope examination can help determine the cause of elevated IOP.
There are several types of gonioscopes, including the Goldmann gonioscope and the non-contact gonioscope. The Goldmann gonioscope is the most common type and consists of a handheld lens that is placed on the surface of the eye. The lens is angled so that it can visualize the angle of the eye, and the examiner uses a light source to illuminate the eye. The Goldmann gonioscope requires the use of anesthetic drops to numb the eye, and it may cause some discomfort.
The non-contact gonioscope is a newer type of gonioscope that does not require contact with the eye. It uses a beam of light to scan the angle of the eye and generates a 3D image that can be viewed on a computer screen. The non-contact gonioscope is generally more comfortable for the patient and may be more accurate than the Goldmann gonioscope in certain situations.
During a gonioscope examination, the patient is seated at the slit-lamp biomicroscope, a specialized instrument that is used to examine the front part of the eye. The patient is asked to look at a fixed point, and the gonioscope is used to examine the angle of the eye. The examiner may use a range of lenses and filters to help visualize different structures and to detect abnormalities.
A gonioscope examination is generally quick and painless, and it is an important part of a comprehensive eye exam. Regular eye exams are important for maintaining good eye health and for detecting and treating eye conditions early, before they cause permanent damage. If glaucoma is detected during a gonioscope examination, treatment may involve medications to lower IOP or surgery to improve the outflow of aqueous humor from the eye.
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