
A good understanding of gonioscopy is a prerequisite to approach minimally invasive glaucoma surgery, according to a specialist speaking at Real World Ophthalmology.
“People get into trouble because they are not rotating the head away from them enough. As you start to rotate toward you, the perceived distance between tissue planes — trabecular meshwork, scleral spur and ciliary body — becomes smaller. You start to lose your view, and you might end up doing surgery or placing devices in the wrong tissue plane. If you are not where you want to be as far as your view goes, you