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April 1958

Slit Lamp Gonioscopy.

AMA Arch Ophthalmol. 1958;59(4):632. doi:10.1001/archopht.1958.00940050188034

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Gonioscopy, like slit-lamp microscopy, has become a necessary routine office procedure, and no ophthalmologist can afford to treat patients with glaucoma unless he acquires this technique. This manual is presented for the purpose of acquainting the ophthalmologist untrained in gonioscopy with the principles and techniques he must learn and acquire in order to interpret pathological changes in the chamber angle. The history of the development of gonioscopy is sketched, and the anatomy of the angle in man and the comparative anatomy in animals are described.

The technique of gonioscopy is described, with use of a slit-lamp for illumination, which necessitates the patient being examined in the sitting position and imposes the added difficulty of focusing a slit beam. While there are undoubtedly certain advantages to slit-lamp gonioscopy as compared with gonioscopy with a Barkan lamp, it seems to this reviewer that this imposes an unnecessary difficulty for the novice and

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