By Wallace L. M. Alward MD, Reid A. Longmuir MD
Gonioscopy is a method of exam of the iridocorneal perspective of the attention. it's a severe section of the exam of all sufferers, really people with glaucoma. it's a a part of the attention exam that's tremendous tough for trainees to profit. a few older practitioners have by no means turn into specialist in gonioscopic recommendations. This atlas offers all elements of the approach from the elemental sciences throughout the rules, exam concepts and interpretation of findings.
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Additional resources for Color Atlas of Gonioscopy
102 47 Color Atlas of Gonioscopy Angle Blood Vessels Angle Width Typically, normal angle blood vessels have a radial orientation in the iris or form looping branches from the major arterial circle. Although the major circle is usually located in the ciliary muscle, it may occasionally be seen in the periphery of the iris. Short segments of the major circle are often visible in lightly pigmented irides and are sometimes visible in darkly pigmented irides (103) (Henkind, 1964). Pathologic angle vessels tend to be fine, cross the scleral spur, and branch.
U-Wl _. 5. u I. 1M:. 114 Seeker's goniogram, on which gonioscopic findings are drawn. The central dark line represents the scleral spur. The three lines outside the dark line represent the trabecular meshwork. The three lines inside the dark line represent the various levels of iris insertion into the ciliary body. A color code is provided for recording findings. (Stanley C. Seeker, MD. Clinical Gonioscopy: A Text and Stereoscopic Atlas, 1972, p. 79. , 1969). A narrow slit beam is placed perpendicular to the most peripheral part of the cornea.
It 127 127 Axenfeld's anomaly. Multiple iris processes have formed between the iris and a prominent Schwalbe's line. There is a broad area of iris adhesion to Schwalbe's line on the left of the illustration. (Hermann M. Burian, MD, et al. Published courtesy of Arch. Ophthalmol. 1955; 53: 767-782. ) 128 128 Axenfeld's anomaly with dense iris adhesions that almost completely cover the trabecular meshwork. Particles of pigment are deposited along a very prominent Schwalbe's ring. (Hermann M. Burian, MD, et al.
Color Atlas of Gonioscopy by Wallace L. M. Alward MD, Reid A. Longmuir MD