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All Journal Indian Journal of Forensic Medicine & Toxicology Vision Science and Eye Health Journal Ophthalmologica Indonesiana JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Nurwasis Nurwasis
Department Of Ophthalmology, Dr. Soetomo General Academic Hospital, Surabaya
Health Professions Medicine & Pharmacology Public Health

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Gonioscopy in Practical Ophthalmology: A Comprehensive Review of Its Principles, Practice, and Clinical Relevance Widyati, Dyah Ratri; Primitasari, Yulia; Komaratih, Evelyn; Nurwasis
Vision Science and Eye Health Journal Vol. 5 No. 1 (2025): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v5i1.2025.39-45

Abstract

Introduction: Gonioscopy is a vital ophthalmic examination that enables direct visualization of the anterior chamber angle, which is primarily essential for glaucoma diagnosis and management. Despite being the gold standard, it remains underutilized in clinical practice. Purpose: This review synthesizes current knowledge on gonioscopy's principles, techniques, and clinical relevance, emphasizing its predominant role in glaucoma while acknowledging its broader diagnostic utility. Reviews: Gonioscopy allows detailed assessment of angle structures, which are crucial for distinguishing between open-angle and angle-closure glaucoma and for detecting secondary glaucomas such as neovascular or pigment dispersion glaucoma. Its dynamic indentation capability uniquely differentiates appositional angle closure from permanent synechiae, unlike static imaging modalities. The review highlights historical evolution, technique nuances, indications, and technological advancements, including digital imaging tools. Gonioscopy guides clinical decision-making by identifying angle pathology that influences interventions like laser peripheral iridotomy or surgical procedures. Challenges include operator skill requirements and patient cooperation, with underuse reported even among surgical candidates. Guidelines advocate routine gonioscopic examination for glaucoma suspects. Conclusions: Gonioscopy remains indispensable, especially in glaucoma care, providing dynamic, real-time anatomical insights that cannot be replaced by imaging alone. Improving clinical training and integration into routine practice is critical to optimize early detection, accurate diagnosis, and tailored management of glaucoma and other anterior segment disorders.
Co-Authors Asti, Annisa Kinanti Clevia Levana Herryawan Clevia Levana Herryawan Eddy Bagus Wasito Endang Retnowati Fitriani, Dila Nur Gatut Suhendro Hakim, Affannul Hendrian D Soebagjo Herdina Ramadhani I'tishom, Reny Indri Wahyuni Karunika, Anindya Ramadian Komaratih, Evelyn Luki Indriaswati Mohamad Nurdin Zuhri Ni Putu Ayu Reza Dhiyantari Nyilo Purnami Primitasari, Yulia Pudji Lestari Retno Handajani S.Pd. M Kes I Ketut Sudiana . SOETJIPTO Sutiman B Soemitro Ugresone Y Bintoro Widyati, Dyah Ratri WINARTO Windhu Purnomo Zuhria, Ismi