How do I record my Gonioscopy?
How do I record my Gonioscopy?
When documenting your gonioscopy findings, draw a large X to designate the four quadrants. Record the most posterior structure youve observed in each quadrant, and record the abnormalities and amount of pigment. Also, use the van Herick system for grading angle depth.
What is a Gonioscopy used for?
Gonioscopy is a painless examination to see whether the area where fluid drains out of your eye (called the drainage angle) is open or closed. It is often done during a regular eye examination, depending on your age and whether you are at high risk for glaucoma.
How does a Gonioscopy work?
How Is It Done? Gonioscopy is performed with the head positioned in the slit lamp (the special microscope used to look at the eyes). After numbing the eye with drops, a special contact lens is placed directly on the eye and a beam of light is used to illuminate the angle.
Does gonioscopy require dilation?
Finally, gonioscopy should be performed without dilation to best understand the iris and angle configuration in the context of relative pupillary block. Note that gonioscopy performed after pupillary dilation could reveal an angle that is more or less open than the natural state.
What structures are seen in gonioscopy?
From cornea to iris, the angle structures visible on gonioscopy include Schwalbes line, trabecular meshwork (TM), scleral spur and ciliary body base (figure 1). Trabecular meshwork. The TM is the next structure seen in the angle. It is divided into anterior non-pigmented and posterior pigmented portions.
What is the meaning of gonioscopy?
(GOH-nee-OS-koh-pee) A procedure in which a gonioscope (special lens) is used to look at the front part of the eye between the cornea (the clear layer) and the iris (the colored part of the eye). Gonioscopy checks for blockages in the area where fluid drains out of the eye.
What lens is used in gonioscopy?
The dome shaped lens is used for gonioscopy. However, with a Zeiss lens, no coupling agent is required. Use the shortest slit beam possible (around 2 mm wide).
How do you read a gonioscopy?
Interpreting Your Gonioscopy View We recommend always starting your gonioscopy by viewing the inferior angle. This is typically the widest angle and the easiest to identify structures due to the increased pigmentation. Remember that, with indirect gonioscopy, your mirror is 180° away from the angle you are viewing.
What is gonioscopy used to diagnose?
Diagnosis and treatment Gonioscopy is the mainstay of diagnosis in angle recession. It is avoided during the acute phase of ocular injury if a hyphema is present. The angle appearance can be quite variable after a contusive injury and it is best to compare the angles of both eyes using a Zeiss or Goldman lens.
How often should gonioscopy be done?
The AAO’s Preferred Practice Patterns suggests that gonioscopy be repeated periodically and mentions every 1 to 5 years. Repeat testing is indicated when medically necessary for new symptoms, progressive disease, new findings, unreliable prior results, or a change in the treatment plan.
Which is the first seen structure on gonioscopy?
The scleral spur is made up of a ridge of collagen tissue. This is noted by its white color during gonioscopy. Identifying this structure helps to differentiate open angles from closed angles.
How do I record findings for a gonioscopy?
Simply documenting findings under the Gonio tab of the Eye Exam or applying glyphs will not generate a gonioscopy billing code. Open the Ocular Exam Room. Click Perform Exam. Select Eye Exam from the list of exam sets. Select the check box for gonioscopy. Record your findings.
Which is the best site to learn gonioscopy?
Welcome to Atlas of Gonioscopy. This site is dedicated to teaching gonioscopy through the use of videography. It covers the basic examination techniques and more advanced techniques, such as indentation and the corneal wedge. There are video examples of most glaucoma-related diseases. We hope that you find it to be educational.
When is direct gonioscopy performed in the operating room?
During direct gonioscopy, the viewer has an erect view of the angle structures. Direct gonioscopy is most easily performed with the patient supine and in the operating room for an exam under anesthesia or a MIGS procedure. More commonly used in the clinic setting.
How to document gonioscopy using Eyefinity EHR?
You can document gonioscopy within the Ocular Exam Room. Eyefinity EHR enables you to record your evaluation in several different ways. To record your overall findings, use the Gonio section of the Eye Exam. To visually record findings, select Gonioscopy Drawing under Glyphs.
