By Wallace L.M. Alward, Frederick C Blodi
Gonioscopy is a method of exam of the iridocorneal attitude of the attention. it's a serious section of the exam of all sufferers, relatively people with glaucoma. it's a a part of the attention exam that is tremendous tricky for trainees to profit. a few older practitioners have by no means turn into professional in gonioscopic innovations. This atlas provides all facets of the method from the elemental sciences during the rules, exam recommendations and interpretation of findings.
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Extra resources for Colour Atlas of Clinical Gonioscopy
Viewed histopathologically (124), the trabecular pillars are thick. The anterior cilia1·y body and iris insert over the posterior trabecular meshwork. There is histopathological and clinical evidence of traction on the pillars . The traction may cause compaction of the trabecular spaces, with impairment of aqueous outflow. Goniotomy and trabeculotomy cut through the tight pillru·s and relieve the compaction of the trabecular spaces (Anderson, 1981). 122 122 Fifteen-year-old with primary infantile glaucoma.
It is valuable to compare these surface features between the two eyes. In some pathologic conditions, such as Fuchs' heterochromic iridocyclitis, the normal markings are lost, g iving the iris a flat, featureless appearance. The iri s also has concentric contraction rolls, which are most p rominent when the pupil is large and the iris bunched. Tbe most peripheral roll of the iris is frequently more prominent than other contraction rolls (83). In some eyes this last roll can obscure visualization of the trabecular meshwork.
62 •: Developmental Abnormalities of the Angle changes seen in Axcnfeld's anomaly with the add ition of abnormalities of the iris. The iris is thinned, with areas o r atrophy and hole formation. This leads to polycoria (multiple pupils) (132) and corectopia (a displaced pupil) (133). Hole formation generally occurs 180° from the d irection of the displaced pupil. , 1979). In Rieger's syndrome the ocu lar 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.
Colour Atlas of Clinical Gonioscopy by Wallace L.M. Alward, Frederick C Blodi