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All Journal Jurnal Kedokteran Syiah Kuala The Indonesian Journal of Public Health The Indonesian Biomedical Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indian Journal of Forensic Medicine & Toxicology KESANS : International Journal of Health and Science Vision Science and Eye Health Journal Prominentia Medical Journal Ophthalmologica Indonesiana Folia Medica Indonesiana
Komaratih, Evelyn
Departemen Ilmu Kesehatan Mata, Fakultas Kedokteran, Universitas Airlangga, Surabaya, Jawa Timur
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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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 Abdullah, Muhammad Rizqy Akbar, Royhan Alyssa Claudia Valerie Gunawan Ardiany, Deasy Asti, Annisa Kinanti Cita Rosita Sigit Prakoeswa Ferdian Ramadhan Hakim, Affannul Herdina Ramadhani Heriyawati, Heriyawati Indriaswati, Dyah Kusworini Jamaluddin Jamaluddin Karunika, Anindya Ramadian Kevin Anggakusuma Hendrawan Konginan, Agustina Listya Dyah Rihardini Maria Jessica Rachman Milan Samudera, Raditya Effendi Ni Made Inten Lestari Ni Putu Ayu Reza Dhiyantari Nugraha, Andarisa Rachman Nurwasis Nurwasis Nurwasis, Nurwasis Prakoeswa, Camilla Amanda Primitasari, Yulia Pryandhini, Pradistya Astri Rozalina Loebis, Rozalina Setiawati, Yunias Sony Wibisono Subagiono, Arya Agung Hari Suparman Suparman Susy Fatmariyanti Titiek Ernawati Titiek Ernawati Umiastuti, Pirlina Widyati, Dyah Ratri Wilson Christianto Khudrati Wilson Christianto Khudrati Yuliawati, Diana Yuyun Rindiastuti Yuyun Rindiastuti Zuhria, Ismi