Historical notes on gonioscopy

Dellaporta, A.

doi:10.1016/0039-6257(75)90021-1

Cited by 45 publications

(15 citation statements)

References 54 publications

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“…The most versatile is the three-mirror Goldmann lens but it cannot be used to perform indentation gonioscopy. This technique is useful to determine whether the narrow angle has an appositional closure or a synechial one (Congdon et al, 1999;Dellaporta, 1975;Forbes, 1966;Friedman and He, 2008). …”

Section: Gonioscopymentioning

confidence: 99%

New findings in the diagnosis and treatment of primary angle-closure glaucoma

Marchini¹,

Chemello²,

Berzaghi³

et al. 2015

Progress in Brain Research

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Section: Gonioscopymentioning

confidence: 99%

New findings in the diagnosis and treatment of primary angle-closure glaucoma

Marchini¹,

Chemello²,

Berzaghi³

et al. 2015

Progress in Brain Research

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“…Another important step in explaining glaucoma was taken in 1898 by the Greek physician Alexios Trantas, who investigated the iridocorneal angle in vivo with the aid of an ophthalmoscope and finger indentation (Trantas 1907, 1918; Dellaporta 1975; Alward 2011). Trantas’ primary intention was to examine the anterior part of the retina and the ora serrata, together with the ciliary body, which means that the visualization of the iridocorneal angle was a fortunate mistake (Fig.…”

Section: Glaucoma Historymentioning

confidence: 99%

Glaucoma diagnostics

Geimer

2013

Acta Ophthalmologica

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. This thesis addresses several aspects of glaucoma diagnostics from both a clinical and a screening perspective. New instruments for diagnosing glaucoma have been developed over the past years, but little information is available regarding their performance as screening methods and their usefulness in ordinary clinical practice. Purpose of the research underlying this thesis: The objectives of this research were as follows: to compare the accuracy of results of analysis of the optic nerve head (ONH) achieved by computerized imaging using the Heidelberg Retina Tomograph (HRT) and by subjective assessment performed by physicians with different degrees of experience of glaucoma (paper III); to evaluate the effect of a continuous medical education (CME) lecture on subjective assessment of the ONH for diagnosis of glaucoma (paper II); to investigate subjective assessment of perimetric test results by physicians with varying knowledge of glaucoma with a trained artificial neural network (ANN) and to compare the certainty of the classifications (paper IV); and to compare the diagnostic performance of time‐domain Stratus optical coherence tomography (OCT) with that of spectral‐domain Cirrus OCT (paper I), frequency doubling technology (FDT) screening perimetry and scanning laser polarimetry with the GDx variable corneal compensator (VCC) in a random population‐based sample and in patients with glaucoma of varying disease severity. Methods and results: In evaluation of the ONH, use of the HRT statistical tools, Moorfields regression analysis (MRA) and the Glaucoma Probability Score (GPS) was compared with subjective assessment performed by 45 physicians. Optic nerve head images and photographs from 138 healthy and 97 glaucoma subjects were included. The sensitivity of MRA was higher (87–94%) than that of the average physician (62–82%), considerably greater than that of ophthalmologists with subspecialties other than glaucoma (53–77%) and non‐significantly better than that of glaucoma experts (72–88%). Sensitivity achieved by GPS (79–93%) was also greater than that of the average physician. MRA correctly classified all eyes with advanced glaucomatous visual field defects, a result that was not achieved by GPS or even by the glaucoma experts. In eyes with small discs, MRA sensitivity (88%) was comparable with that of glaucoma experts (85%) and much better than that of GPS (50%). Also, the group comprising all physicians provided specificity (75–92%) similar to that of both MRA (69 ‐ 86%) and GPS (72–94%) (Andersson et al. 2011a). A 1‐hr CME lecture on ONH assessment led to a significant improvement in sensitivity (from 70% to 80%) and a significant decrease in uncertain assessments (from 22% to 13%), whereas specificity remained unchanged (68%) (Andersson et al. 2011b). A rise in sensitivity was seen in all subgroups of physicians, including glaucoma experts. Thirty physicians assessing standard automated perimetry (SAP) test results as Humphrey Field Analyzer single‐field analysis printouts with full StatPac inf...

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“…It is instructive to learn about the history of gonioscopy and evolving understanding of the pathophysiology of angle closure. The work of Dellaporta (36) provides an excellent review and source of much of the following information. Until the middle of the twentieth century, glaucoma was classified into congestive and noncongestive.…”

Section: History Of Gonioscopy and Concepts Of Angle Closure Glaucomamentioning

confidence: 99%

Primary Angle Closure Glaucoma

Rumelt¹

2011

Glaucoma - Basic and Clinical Concepts

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Historical notes on gonioscopy

Cited by 45 publications

References 54 publications

New findings in the diagnosis and treatment of primary angle-closure glaucoma

New findings in the diagnosis and treatment of primary angle-closure glaucoma

Glaucoma diagnostics

Primary Angle Closure Glaucoma

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