Objective:

To highlight the diagnostic value of gonioscopy in glaucoma management, especially in light of advanced imaging technologies, and provide efficient techniques for its performance and interpretation.

Key Findings:

• Gonioscopy remains essential for assessing angle structures and glaucoma management, including angle pigmentation and neovascularization.
• Different lenses and techniques can optimize the gonioscopy experience for both practitioner and patient.
• Patient education is crucial to reduce anxiety and improve diagnostic accuracy, particularly in understanding the procedure.

Interpretation:

Despite advancements in imaging technology, gonioscopy is a critical tool for evaluating the anterior chamber angle, assessing structures like the trabecular meshwork, and guiding treatment decisions in glaucoma.

Limitations:

• Gonioscopy can be challenging and uncomfortable for patients, particularly in cases of narrow angles or low pigmentation.
• Visualization of certain structures may be difficult, necessitating specific techniques to enhance clarity.

Conclusion:

Gonioscopy is a valuable diagnostic tool that, when performed correctly, can significantly aid in the management of glaucoma.