ASCRS 2026: Gonioscopy Still Matters - Summary - MDSpire

ASCRS 2026: Gonioscopy Still Matters

  • April 14, 2026

  • 3 min

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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.

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