Clinical Scorecard: Pearls for Using Different Gonioscopy Viewing Systems

At a Glance

Key Highlights

• Gonioscopy is essential for diagnosing and managing glaucoma.
• Different gonioscopy lenses are used for various clinical and surgical applications.
• Intraoperative gonioscopy is critical for angle-based surgical procedures.

Guideline-Based Recommendations

Diagnosis

• Use gonioscopy in the initial exam for primary open-angle and angle-closure glaucoma.

Management

• Incorporate gonioscopy into follow-up evaluations and surgical planning.

Monitoring & Follow-up

• Document gonioscopic exams prior to glaucoma surgeries.

Risks

• Inadequate gonioscopy can lead to misdiagnosis and improper surgical planning.

Patient & Prescribing Data

Medicare beneficiaries undergoing glaucoma surgeries

Only 49% had a documented gonioscopic exam in the years preceding surgery.

Clinical Best Practices

• Ensure proper technique and patient positioning during gonioscopy.
• Use appropriate gonioscopy lenses based on clinical needs and patient comfort.

References

• American Academy of Ophthalmology Preferred Practice Patterns
• Study on Medicare beneficiaries and gonioscopy documentation