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, fairly people with glaucoma. it's a a part of the attention exam that is super tough for trainees to profit. a few older practitioners have by no means develop into specialist in gonioscopic suggestions. This atlas provides all facets of the procedure from the elemental sciences in the course of the ideas, exam strategies and interpretation of findings.
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Extra resources for Color Atlas of Gonioscopy
They found that grade I and 11 angles were present in 6% of those over 60 years of age and in none of those under 20 years of age. , 1936). Cholinergic stimulating agents, such as pilocarpine, cause the lens-iris diaphragm to move forward. This narrows the angle and makes the approach to the angle steeper. Rarely, cholinergic agents can cause pupillary block and closure of the angle. Angle narrowing caused by cholinergic agents can be reversed by anticholinergic drugs, which tend to widen the angle.
Hermaf'ln M. Burian, MD, et al. Published courtesy of Arch. Ophthalmol. 1955; 53: 767-782. ) 62 Developmental changes seen in Axenfeld's anomaly with the addition of abnormalities of the iris. The iris is thinned, with areas of atrophy and hole formation. This leads to polycoria (multiple pupils) (132) and corectopia (a displaced pupil) Abnormalities of the Angle (133). Hole formation generally occurs 1800 from the direction of the displaced pupil. , 1979). In Rieger's syndrome the ocular changes of 131 131 The angle of a man examined because his infant son was diagnosed as having bilateral Axenfeld's anomaly with severe secondary glaucoma.
The central dark line represents the scleral spur. The three lines outside the dark line represent the trabecular meshwork. The three lines inside the dark line represent the various levels of iris insertion into the ciliary body. A color code is provided for recording findings. (Stanley C. Seeker, MD. Clinical Gonioscopy: A Text and Stereoscopic Atlas, 1972, p. 79. , 1969). A narrow slit beam is placed perpendicular to the most peripheral part of the cornea. The oculars are adjusted to give a view at an angle of about 60° from the light beam.