Gonioscopy
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Frequently Asked Questions (FAQ) :
Q1: Is gonioscopy painful?
A1: No, gonioscopy is a painless procedure as topical anesthetic drops are used.
Q2: How long does a gonioscopy exam take?
A2: The procedure usually takes about 15-30 minutes.
Q3: Will I need someone to drive me home after the exam?
A3: Generally, you can drive yourself home after the procedure, but it’s best to confirm with Dr. Munjal based on your individual situation.
About Gonioscopy
Gonioscopy is a specialized ophthalmic examination technique that allows eye care professionals to visualize the anterior chamber angle of the eye. This examination is crucial in diagnosing and managing various eye conditions, particularly glaucoma. By using a gonioscope, Dr. Suraj Munjal can assess the drainage system of the eye, providing insights into the health of your eyes and determining the best course of action for treatment.
Causes of Eye Conditions Requiring Gonioscopy
Gonioscopy is often performed to investigate conditions that affect the anterior chamber angle. Common causes include:
- Glaucoma: A group of eye diseases that damage the optic nerve, often due to increased intraocular pressure.
- Angle-Closure Glaucoma: Occurs when the drainage angle in the eye becomes blocked, leading to a sudden rise in eye pressure.
- Trauma: Injuries to the eye can lead to changes in the angle, necessitating examination.
- Uveitis: Inflammation in the eye can alter the anatomy of the anterior chamber.
Types of Gonioscopy
There are several types of gonioscopy techniques, including:
- Direct Gonioscopy: Involves using a handheld gonioscope for a direct view of the angle.
- Indirect Gonioscopy: Utilizes a lens and a slit lamp to provide a wider view of the anterior chamber angle.
- Goldmann Lens Gonioscopy: A specific type of gonioscope that allows for both direct and indirect visualization, providing detailed information.
Symptoms Indicating the Need for Gonioscopy
Patients may experience symptoms that suggest a need for gonioscopy, such as:
- Sudden eye pain or discomfort
- Blurred vision or halos around lights
- Headaches
- Nausea and vomiting (often associated with acute glaucoma)
- Changes in vision
Diagnosis: What to Expect During Gonioscopy
During a gonioscopy examination, Dr. Suraj Munjal will follow these steps:
- Patient Preparation: The patient may be asked to sit comfortably in a chair.
- Topical Anesthesia: Eye drops will be administered to numb the eye and ensure comfort.
- Application of Gonioscope: A specialized lens will be placed on the surface of the eye to view the angle.
- Assessment: Dr. Munjal will carefully evaluate the angle for any abnormalities.
Treatment Options After Gonioscopy
Depending on the findings from the gonioscopy examination, treatment options may include:
- Medications: To lower intraocular pressure and manage glaucoma.
- Laser Treatments: Such as laser peripheral iridotomy or laser trabeculoplasty.
- Surgical Interventions: In severe cases, surgery may be necessary to improve drainage and reduce pressure.
Cost of Treatment and Stay in India
The cost of gonioscopy and subsequent treatment in India can vary based on the facility and complexity of the case. Generally, you can expect:
- Gonioscopy Examination: INR 1,000 – 3,000
- Treatment Costs: Medication ranges from INR 500 to 5,000 per month, while laser treatments can cost between INR 15,000 to 50,000.
- Stay in India: Accommodation costs in India vary widely, from budget hotels starting at INR 1,000 per night to luxury hotels exceeding INR 10,000 per night.