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Gonioscopy

Gonioscopy is an eye examination to look at the front part of your eye (anterior chamber) between the cornea and the iris.

Gonioscopy is a painless examination to see whether the area where fluid drains out of your eye (called the drainage angle) is open or closed. It is often done during a regular eye examination, depending on your age and whether you are at high risk for glaucoma.

Gonioscopy is done if your doctor thinks you should be checked for glaucoma. Glaucoma is an eye disease that can cause blindness by damaging the optic nerve. If you have glaucoma, gonioscopy can help your eye doctor see which type of glaucoma you have.

Why It Is Done

Gonioscopy is done to:

  • Look at the front of the eye to check for glaucoma.
  • See if the drainage angle of the eye is closed or nearly closed. This helps your doctor see which type of glaucoma you have. Gonioscopy can also find scarring or other damage to the drainage angle.
  • Treat glaucoma. During gonioscopy, laser light can be pointed through a special lens at the drainage angle. Laser treatment can decrease pressure in the eye and help control glaucoma.
  • Check for birth defects that may cause glaucoma.

How It Is Done

Gonioscopy is usually done by a doctor who treats eye problems (ophthalmologist).

Eyedrops are used to numb your eye so that you will not feel the lens touching your eye during this painless examination.

Gonioscopy is usually done in your doctor’s office. During gonioscopy, you may be asked to lie down or to sit in a chair. A microscope (slit lamp) is used to look inside your eye. If you sit, you will place your chin on a chin rest and your forehead against a support bar and look straight ahead. A special lens is placed lightly on the front of your eye, and a narrow beam of bright light is pointed into your eye. Your doctor looks through the slit lamp at the width of the drainage angle.

The examination takes less than 5 minutes.


 

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