gonioscopy

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gonioscopy

An ophthalmologist performs a gonioscopy on a patient's eye.

Definition

Noun: A diagnostic medical procedure that involves the visual examination of the anterior chamber angle of the eye, specifically the area where the iris meets the cornea. This examination is a critical tool for assessing the eye's drainage system and is primarily used to differentiate between the two main types of glaucoma: open-angle glaucoma and closed-angle glaucoma.

Usage

Gonioscopy is a standard procedure in ophthalmology. It is performed using a specialized optical instrument called a goniolens or gonioprism, which is placed on the patient's eye. This lens, often coupled with a slit lamp microscope, allows the clinician to directly view the iridocorneal angle, which is otherwise hidden from normal observation.

Examples
  • The ophthalmologist performed a gonioscopy to evaluate the patient's risk for angle-closure glaucoma.
  • Regular gonioscopy is recommended for patients with ocular hypertension to monitor the drainage angle.
  • The results of the gonioscopy confirmed the diagnosis of open-angle glaucoma.
Advanced Usage
  • Dynamic Gonioscopy: A technique where pressure is applied to the goniolens during the examination to manipulate the anterior chamber angle, providing additional information about its structure and potential for closure.
  • Indentation Gonioscopy: A specific type of dynamic gonioscopy used to assess the reversibility of angle closure.
Variants and Related Words
  • Goniolens (n): The specialized contact lens used to perform gonioscopy.
  • Gonioprism (n): A type of goniolens that uses a prism to provide the view of the angle.
  • Goniophotography (n): The photographic documentation of the anterior chamber angle.
  • Gonioscopic (adj): Pertaining to or performed by gonioscopy. (e.g., ).
Synonyms
  • Angle examination
  • Anterior chamber angle assessment
Related Phrases and Terms
  • Iridocorneal angle: The anatomical structure examined during gonioscopy.
  • Trabecular meshwork: The eye's primary drainage system, located within the angle and visualized during gonioscopy.
  • Shaffer grading system: A common method used during gonioscopy to classify the width and appearance of the anterior chamber angle.
gonioscopy

An ophthalmologist performs a gonioscopy on a patient's eye.

Noun
  1. an examination of the front part of the eye to check the angle where the iris meets the cornea; it is used to distinguish between open-angle glaucoma and closed-angle glaucoma