Gonioscopy: What Is It And Why Is It Needed?

Have you or your family member been advised to undergo gonioscopy and you are wondering what the test is all about? Well, gonioscopy is done to evaluate the internal drainage system of the eye. The front part of the eye is filled with clear fluid. It is this fluid that nourishes the lens and maintains pressure within the eye. The fluid carries nutrients to the lens and cornea. The fluid naturally drains out of the eyes from the area between the iris and the cornea. An ophthalmologist performs a gonioscopy to check to see if this drainage system is working properly. Here is an overview of why gonioscopy is done and what does it entail by our eye doctors in Kolkata

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  • Why is gonioscopy  done? Gonioscopy is recommended if your ophthalmologist thinks you should be checked for glaucoma. The eye condition damages the optic nerve. There are many types of glaucoma. They do not have any warning signs. By the time noticeable symptoms such as blind spots and floaters appear the condition is in advanced stages. If you have glaucoma, gonioscopy can help your ophthalmologist see which type of glaucoma you have. Early detection of glaucoma is the best way to prevent vision loss due to the condition. 
  • How glaucoma affects the eyes? In most types of glaucoma, the eye’s drainage system doesn’t work as it should and the clear fluid cannot drain. The excess fluid builds pressure inside the eye. This increased pressure damages the sensitive optic nerve fibres, which if not treated can result in vision loss. 
  • What to expect during the test? For a gonioscopy exam, your eyes will be dilated with eye drops. This is done so that the ophthalmologist can fully examine the health of the optic nerve and retina. Once the pupils are dilated, you will rest your head in the chin holder of a slit-lamp microscope. Through the instrument, your ophthalmologist will look into your eyes. Now, the doctor will direct a beam of light into the lens of the eyes. It is a painless examination. 
  • Should everyone get gonioscopy done? Early signs of vision changes and eye disease often start at around 40. All adults should get a baseline eye screening by an ophthalmologist at 40. Those who have diabetes need eye exams more frequently. Your ophthalmologist will tell you how often to have follow-up exams such as gonioscopy based on the results of this screening. 
  • Who should get gonioscopy done? Some people are considered glaucoma suspects. Their ophthalmologist may recommend gonioscopy and other glaucoma screenings regularly. When it comes to glaucoma, time is of the essence. Regular exams can save your vision.
  • How often should gonioscopy be done? Gonioscopy is suggested every 1 to 5 years, depending on the type of glaucoma. For closed-angle cases, the test is recommended at regular intervals. In open-angle cases, the test is performed at least once a year. 

At Disha Eye Hospitals, we offer high-quality eye care and a wide range of diagnostic and imaging services including gonioscopy. Our team of eye doctors in Kolkata include optometrists, surgeons, ophthalmologists and paediatric ophthalmologists will help you understand your eye condition and will offer the best patient care possible. 

 

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