Objective:

To emphasize the importance of gonioscopy in glaucoma diagnosis and management amidst the rise of advanced imaging technologies.

Key Findings:

• Only 49% of Medicare patients had documented gonioscopy prior to glaucoma surgery.
• Over 70% of patients lack documented gonioscopy within the first 6 months of evaluation.
• Gonioscopy remains essential for direct assessment of angle structures in glaucoma care.

Interpretation:

Gonioscopy is critical for effective glaucoma management, providing insights that current imaging technologies cannot fully replicate.

Limitations:

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

Conclusion:

Gonioscopy continues to play a vital role in glaucoma diagnosis and management, and there is a need for improved performance and documentation in clinical practice.