Objective:

To emphasize the continued importance of gonioscopy in glaucoma care despite advancements in imaging technologies.

Approach:

Key Findings:

• Gonioscopy is critical for direct assessment of angle structures in glaucoma management.
• Imaging technologies can supplement but not replace gonioscopy.
• Handheld imaging devices like Goniopen and EyeCam may improve gonioscopy practice.

Interpretation:

Despite advancements in imaging, gonioscopy remains essential for accurate glaucoma diagnosis and management, particularly for procedural planning and identifying secondary pathologies.

Limitations:

• Inconsistent performance and documentation of gonioscopy in clinical settings.
• Challenges in capturing high-quality images across all quadrants.

Conclusion:

Gonioscopy continues to play a vital role in glaucoma care, and practitioners should enhance their examination practices alongside utilizing new imaging technologies.

Sources:

• Coleman et al. (2006)
• Khan et al. (2024)
• Lee et al. (2024)
• Barbour-Hastie et al. (2023)
• Akkara et al. (2026)
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