Case #005 Epithelial staining s/p Gonioscopy

Epithelial Staiing

Epithelial staining s/p 4 mirror Zeiss-type goniolens

It’s inevitable that some kind of epithelial microtrauma will occur with gonioscopy. This is especially true where the patient is anxious and blepharospastic. The value of doing the procedure is always weighed against the extent of the microtrauma that will occur. In this case, the patient had an apparent Grade 1- Van Herrick angles horizontally in both eyes and a +4.00 equivalent sphere best vision refraction. Of course there was diabetes of 10 years and no prior eye examination since that original diagnosis 10 years ago.

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About Richard Hom OD, MPA

Dr. Hom holds Doctor of Optometry and Masters in Public Administration degrees and practices family eye care and consults on public policy, health information technology and program evaluation.
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One Response to Case #005 Epithelial staining s/p Gonioscopy

  1. It does surprise me sometimes how much trauma can result on gonioscopy even from someone like myself who does this many times per day as a glaucoma specialist. From time to time a patient returns within the hour following their exam in horrible pain. Although usually it is almost impossible to see obvious trauma, the pain can be pretty bad.

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