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In ophthalmology, gonioscopy is a routine procedure that measures the angle between the iris and the cornea (the iridocorneal angle), using a goniolens (also known as a gonioscope) together with a slit lamp or operating microscope. [1] [2] Its use is important in diagnosing and monitoring various eye conditions associated with glaucoma.
Iris Gonioscopy of the anterior chamber angle Anterior chamber angle cross-section imaged by an SD-OCT. The trabecular meshwork is an area of tissue in the eye located around the base of the cornea , near the ciliary body , and is responsible for draining the aqueous humor from the eye via the anterior chamber (the chamber on the front of the ...
Gonioscopy of the anterior chamber angle. Labeled structures: 1. Schwalbe's line, 2. Trabecular meshwork (TM), 3. Scleral spur, 4. Ciliary body, 5. Iris Gonioscopy of the anterior chamber angle. Schwalbe's line is the anatomical line found on the interior surface of the eye's cornea, and delineates the outer limit of the corneal endothelium layer.
Also ophthalmoscopy and gonioscopy examinations can also be performed through the slit lamp when combined with special lenses. These exams help to see the specific structures, such as the retina and optic nerve, which is at the back of the eye, and the drainage system that controls the intraocular pressure, which is in the angle formed between ...
It should not however, be used as a replacement for the gonioscopy examination but rather be used as a means of refuting or confirming the results of a gonioscopy examination. [3] The Van Herick's technique has become the most commonly used qualitative method of assessing the size of the anterior chamber angle (ACA).
Sampaolesi line is a sign which may be observed during a clinical eye examination. During gonioscopy (where the structures of the eye's anterior segment are examined), if an abundance of brown pigment is seen at or anterior to Schwalbe's line, a Sampaolesi line is said to be present.
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Eye examination with the aid of a slit lamp. Side view of a slit lamp machine. Cataract in human eye: magnified view seen on examination with the slit lamp. In ophthalmology and optometry, a slit lamp is an instrument consisting of a high-intensity light source that can be focused to shine a thin sheet of light into the eye.