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Intraoperative Gonioscopy – A Necessity for Minimally Invasive Glaucoma Surgery Cover

Intraoperative Gonioscopy – A Necessity for Minimally Invasive Glaucoma Surgery

By: N. Velikova and  B. Kutchoukov  
Open Access
|Mar 2026

References

  1. Tham YC, Li X, Wong TY et al. Global Prevalence Of Glaucoma And Projections Of Glaucoma Burden Through 2040: A Systematic Review And Meta-Analysis. Ophthalmology. 2014 Nov;121(11):2081-90. doi: 10.1016/J.Ophtha.2014.05.013.
  2. Weinreb RN, Aung T, Medeiros FA. The Pathophysiology And Treatment Of Glaucoma: A Review. JAMA. 2014 May 14;311(18):1901-11. doi: 10.1001/Jama.2014.3192.
  3. Lavia C, Dallorto L, Maule M, et al. Minimally-Invasive Glaucoma Surgeries (MIGS) For Open Angle Glaucoma: A Systematic Review And Meta-Analysis. Plos One. 2017;12(8):E0183142. Published 2017 Aug 29. doi:10.1371/Journal.Pone.0183142
  4. Dhingra D, Bhartiya S. Evaluating Glaucoma Surgeries In The MIGS Context. Rom J Ophthalmol. 2020;64(2):85-95.
  5. Samples JR, Singh K, Lin SC, et al. Laser Trabeculoplasty For Open-Angle Glaucoma: A Report By The American Academy Of Ophthalmology. Ophthalmology. 2011; 118(7):2296-2302
  6. Schehlein EM, Kaleem MA, Swamy R et al. Microinvasive Glaucoma Surgery: An Evidence-Based Assessment. Expert Rev Ophthalmol. 2017;12(4):331-343. doi: 10.1080/17469899.2017.1335597.
  7. Bloom P, Leon AU. Minimally Invasive Glaucoma Surgery (MIGS) Is A Poor Substitute For Trabeculectomy – The Great Debate, Ophthalmol Ther. 2018 Dec; 7(2): 203–210., Published Online 2018 Jun 22. doi: 10.1007/S40123-018-0135-9
  8. Vijaya L, Manish P, Ronnie G, et al. Management Of Complications In Glaucoma Surgery. Indian J Ophthalmol. 2011 Jan;59 Suppl(Suppl1):S131-40. doi: 10.4103/0301-4738.73689.
  9. Morgan MG. Goniotomy With A Dual Blade, Glaucoma Today Nov/Dec 2016; 18-20, Available from: https://Glaucomatoday.Com/Articles/2016-Nov-Dec/Goniotomy-With-A-Dual-Blade
  10. Shah M. Micro-Invasive Glaucoma Surgery – An Interventional Glaucoma Revolution. Eye And Vis 6, 29 (2019). doi. Org/10.1186/S40662-019-0154-1
  11. Thomas R, Thomas S, Chandrashekar G. Gonioscopy. Indian J Ophthalmol. 1998 Dec;46(4):255-61.
  12. Feng R, Luk SMH, Wu CHK et al. Perceptions of Training In Gonioscopy. Eye (Lond). 2019;33(11):1798-1802. doi:10.1038/S41433-019-0498-8
  13. Palmberg P. Gonioscopy In The Glaucoma. In: Ritch R, Sheilds MB & Krupin T Eds. The Glaucomas, I: Basic Sciences, II Edition. St. Louis: Mosby; 1996, Vol I,455-469.
  14. Morrison J, Pollack I. Glaucoma Science And Practice, New York/Stuttgart,Thieme, 2003,42-56
  15. Agrawal P. Bradshaw SE. Systematic Literature Review Of Clinical And Economic Outcomes Of Micro-Invasive Glaucoma Surgery (MIGS) In Primary Open-Angle Glaucoma. Ophthalmol Ther (2018) 7:49–73.doi/10.1007/S40123-018-0131-0
  16. Chilova-Atanasova B, Konareva-Kostyaneva M, Atanasov M, et al. The Glaukomas, ISBN: 9789544492601, Steno, Varna, (2006), 59-61
  17. Aref AA, Tripathy K, Ridha F, et al. Microinvasive Glaucoma Surgery (MIGS), American Academy Of Ophthalmology, Eyewiki May 2023,Source: https://eyewiki.org/Microinvasive_Glaucoma_Surgery_(MIGS)
  18. Shareef S, Alward W, Crandall A, et al. Gonioskopy:A Key To Successful Angle Surgery. Expert Rev. Ophthalmol. Early Online, 2014, 1–13.
  19. Kalantzis G, Georgalas I, Tsiamis C, et al. The Invention Of Gonioscopy By Alexios Trantas And His Contribution To Ophthalmology,Paper, J R Coll Physicians Edinb 2015; 45: 226–8
  20. Alward WLM. A History of Gonioscopy. Optom Vis Sci 2011; 88:29–35
  21. Alward WLM, Longmuir RA. Principles Of Gonioscopy, Color Atlas Of Gonioscopy, Nov 08, 2017, Available from: https://www.Aao.Org/Disease-Review/Principles-Of-Gonioscopy.
  22. Sinha A, Shalini Mohan MS, Gupta V, et al. DOS Times, March 2005,10(9):322-328.
  23. Minckler D, Baerveldt J, Ramirez AA, et al. Clinical Results With The Trabectome,A Novel Surgical Device For Treatment Of Open-Angle Glaucoma. Trans Am Ophthalmol Soc 2006; 104:40-50.
  24. Neomedix Corporation. 510 (K) Summary. [Internet]. Available From: https://www.accessdata.fda.gov/cdrh_docs/pdf6/k061258.pdf
  25. Konstantinov N. On the treatment of congenital glaucoma, Reports of the Vth National Conference of Ophthalmology, 10/1967,187-188.
  26. Velikova N, Kuchukov B. Kahook Dual Blade – ab-interno go-niotomy – methodology and first results, Bulgarian Glaucoma Society Journal “ The Glaucomas”, ISSN 1314-7692, 8(2), 2019, 34-40
  27. Velikova N, Kuchukov B, Uzunov R. Intraoperative gonios-copy – a look at minimally invasive glaucoma surgery, Report from the XIV Congress of the Bulgarian Society of Ophthalmology, Borovets, 14-17.10.2021. Available from: https://mareamedical.com/bg/sabitiya/ophthalmology_oct_2021/predvaritelna-programa-3/
  28. Vold S, Ahmed I. Intraoperative Gonioscopy: Past, Present, And Future. Glaucoma Today, Summer Edition. 2010. 31-4, Available from: https://glaucomatoday.com/articles/2010-sept/intraoperative-gonioscopy-past-present-and-future
  29. Hetherington J JR. Gonioscopy: A Review. Sept/Oct 2008 I Glaucoma Today, 30-31, Source: https://glaucomatoday.com/articles/2008-sept-oct/GT0908_06-php, (Accessed Dec 2024)
  30. Savage JA. Gonioscopy In The Management Of Glaucoma. Am Acad Ophthalmol. Focal Points. 2006;24(3)
  31. Dada T, Sidhu T. Gonioskopy: A Text And Atlas. New Delhi. Jaypee Borthers Medical Publishers, Second Edition, 2018, 17-18;172-178
  32. Coleman AL, Yu F, Evans SJ. Use of gonioscopy in medicare beneficiaries before glaucoma surgery. Journal of Glaucoma 2006;15:486-93.
  33. Ocular Catalog 2012. [Internet]. Available from: https://www.ocularinc.com/media/pdfs/Ocular%20Catalogue%202012_Updated%204-2016_Small.pdf.
  34. YouTube, iStent Hand and Scope Position Ike Ahmed Narration (720p).m4v. [Internet]. Available from: https://www.you-tube.com/watch?v=7Q2JJOxvpP0.
  35. Shareef. S. Gonioskopy Is Essential For MIGS.Glaucoma Today September/Octomber 2016,41-46. [Internet]. Available from: https://glaucomatoday.com/articles/2016-sept-oct/gonioscopy-is-essential-for-migs.
  36. Shareef S,Intraoperative Gonioskopy:A Key To Angle Surgery. [Internet]. Available from: https://Www.Urmc.Rochester.Edu/Medialibraries/Urmcmedia/Eye-Institute/Angle-Surgery/Images/10-Essential-Steps_Email.Pdf.
  37. Fernández JL, Galin MA. Technique of Direct Goniotomy. Arch Ophthalmol. 1973;90(4):305–306. Doi:10.1001/Archopht.1973.01000050307013
  38. Provencher LM. Tips On MIGS And Intraop. Gonio. [Internet]. Available from: https://www.youtube.com/watch?v=iqo7rGuQrNg.
  39. Shareef SR, Essentials of Intraopertive Gonioskopy, J Clin Exp Ophthalmol 2015, 6:5 doi: 10.4172/2155-9570.1000482
  40. Single Use Optics In Ophthalmology. [Internet]. Available from: https://corzaeye.com/media/contentmanager/content/articles-doc/single-use-optics-in-ophthalmology.pdf.
  41. Volk Vold Goniolens. [Internet]. Available from: https://www.volk.com/products/vvg-migs-gonio
  42. Caceres V. Meeting MIGS Challenges With Unique Approaches, Eyeworld, Oct 2013. [Internet]. Available from: https://Www.Eyeworld.Org/Article-Meeting-Migs-Challenges-With-Unique-Approaches.
  43. Ocular Instruments Catalog,Kazuhiko Mori Goniolens, Jour-nal Reference: AJO, Vol 143, No 1, Pp154-155, January 2007. [Internet]. Available from: http://Www.Ocularinc.Com/_Data/Product/OMUSG.Pdf
  44. Kazuhiko Mori Upright Goniolens Video. [Internet]. Available from: https://www.youtube.com/watch?v=itZ4Y39Vj_4
  45. Ocular Ahmed DVX Surgical Gonio. [Internet]. Available from: https://Ocularinc.Com/Media/Productmedia/669/12443%20-%20OADVX-H%20Rev%20C.Docx%20.Pdf
  46. Shareef S. Optimazing Angle Surgery with ACT. [Internet]. Available from: https://glaucomatoday.com/articles/2015-may-june/optimizing-angle-surgery-with-act
  47. Tsaousis KT, Kopsachilis N, Tsinopoulos IT, et al. Time-Dependent Morphological Alterations And Viability Of Cultured Human Trabecular Cells After Exposure To Trypan Blue. Clin Exp Ophthalmol. 2013 Jul;41(5):484-90. Doi: 10.1111/Ceo.12018.
  48. Van Dooren BT, Beekhuis WH, Pels E. Biocompatibility Of Trypan Blue With Human Corneal Cells. Arch Ophthalmol. 2004 May;122(5):736-42. Doi: 10.1001/Archopht.122.5.736.
  49. Jhanji V, Chan E, Das S, Zhang H, et. al. Trypan Blue Dye For Anterior Segment Surgeries. Eye (Lond). 2011 Sep;25(9):1113-20. Doi: 10.1038/Eye.2011.139.
  50. Parker JS, Parker A, Parker JS. Trypan Blue-Assisted Micro-invasive Glaucoma Surgery. J Cataract Refract Surg. 2017 Dec;43(12):1613. Doi: 10.1016/J.Jcrs.2017.10.031.
  51. De Vincentis C. Incisions dell angolo irideo nel glaucoma. Annals of Ophthalmology. 1893; 22:540–542.
  52. Morales J, Al Shahwan S, Al Odhayb S, et al. Current surgical options for the management of pediatric glaucoma. J Ophthalmol. 2013; 2013:763735. doi: 10.1155/2013/763735.
DOI: https://doi.org/10.2478/amb-2026-0048 | Journal eISSN: 2719-5384 | Journal ISSN: 0324-1750
Language: English
Page range: 75 - 84
Submitted on: Jan 16, 2025
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Accepted on: Sep 11, 2025
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Published on: Mar 17, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 N. Velikova, B. Kutchoukov, published by Medical University - Sofia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.