Gonioscopic Evaluation of the Anterior Chamber Angle

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• Corneal ulcer Contraindications • Corneal abrasion • Blunt or penetrating injury • New/recent surgical wound Goldmann tonometry prior to gonioscopy Draft Only
Technique Insertion • Set up slit lamp (low mag., narrow beam, straight ahead) • Have patient look down, pull upper lid • Have patient to look up, pull lower lid • Place lower edge <strong>of</strong> lens in inferior cul-de- sac • Tilt lens forward against plane <strong>of</strong> cornea, let lower lid go Draft Only • Position/focus microscope into gonio mirror • Increase magnification to 16x • Lens in place - held by capillary action. – Balance lens without much pressure exerted to globe
Page 1 and 2: Gonioscopic Evaluation of the Anter
Page 3 and 4: Gonioscopy - Indications • Glauco
Page 5 and 6: KOEPPE GONIOSCOPY • Convex lens i
Page 7 and 8: Draft Only
Page 9 and 10: Gonioscopy - Koeppe Lens Draft Only
Page 11 and 12: • Zeiss 4 mirror lens - Indirect
Page 13 and 14: Gonioscopy - Posner Placement Draft
Page 17 and 18: Indirect Gonioscopy (Contemporary)
Page 19 and 20: Gonioscopy - Sussman Lens Draft Onl
Page 21 and 22: Anterior-Chamber Angle Anatomy Draf
Page 23 and 24: Indirect Gonioscopy (Contemporary)
Page 25 and 26: Universal/Goldmann Lens • Most co
Page 33 and 34: EXAMINATION TECHNIQUES Goldmann (Un
Page 37: Draft Only
Page 43 and 44: Removal Technique • Break suction
Page 45 and 46: STRUCTURAL OVERVIEW TO UNDERSTANDIN
Page 49 and 50: Normal angle Draft Only
Page 53 and 54: CILIARY BODY (CBB) • Highly vascu
Page 61 and 62: SCHLEMM'S CANAL • Often appears a
Page 63 and 64: TRABECULAR MESHWORK (TM) • Trabec
Page 71 and 72: Abbreviations • CBB: Ciliary body
Page 73 and 74: • Recording: OD OS Draft Only •
Page 75 and 76: USE OF GONIOSCOPY 1. Pre -dilation
Page 89 and 90:
3. What is considered a narrow vers
Page 91 and 92:
Draft Only
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Gonioscopic Evaluation of the Anterior Chamber Angle

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