By Wallace L. M. Alward MD, Reid A. Longmuir MD
Gonioscopy is a method of exam of the iridocorneal perspective of the attention. it's a serious component to the exam of all sufferers, relatively people with glaucoma. it's a a part of the attention exam that's super tricky for trainees to profit. a few older practitioners have by no means turn into professional in gonioscopic innovations. This atlas offers all features of the strategy from the elemental sciences during the rules, exam ideas and interpretation of findings.
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Additional info for Color Atlas of Gonioscopy
In acute angle-closure glaucoma the affected 145 144 144 Sketch of pupillary block. A relative seal between iris and lens traps aqueous in the posterior chamber. The aqueous pushes the peripheral iris forward, causing iris bombe and eventual angle closure. 145 Pupillary block with iris bombe. Note that the midperipheral iris is bowed forward and that the central anterior chamber is relatively deep. 67 Color Atlas of Gonioscopy 146 146 Acute angle-closure glaucoma injection and a steamy cornea. with marked 147 147 Gonioscopic view after an attack of acute angle closure.
67 Color Atlas of Gonioscopy 146 146 Acute angle-closure glaucoma injection and a steamy cornea. with marked 147 147 Gonioscopic view after an attack of acute angle closure. The cornea is edematous, which limits visualization. The trabecular meshwork has a ruddy appearance. 148 148 Iris bombe. No trabecular structures are visible. Note that the inner and outer lines of the corneal wedge do not meet in the anterior chamber, meaning that Schwalbe's line and the trabecular meshwork are hidden by the iris.
Soc. UK. ) 113 A (C)D30S angle in the Spaeth classification. The D means that iris insertion is into the ciliary body face, but the C means that the steep approach made the insertion appear to be just posterior to the scleral spur until indentation gonioscopy was performed. The number 30 is the angular width of the angle. The letter S means that the iris has a steep or convex configuration. This is an angle capable of closure. (Published courtesy of George L. Spaeth, MD. ) or iris bombe, and 'q' for a 'queer' or concave curvature (112).