Goniotomy

[Bess21]

Anyone had a GoniotomyThanks

[AlfredV]

If you mean gonioscopy then yes, I think this can be quite a common examination if you have suspected narrow angle glaucoma. It's a lens they hold on your eye and it is rotated which enables the consultant to look at your trabecular mesh. It's not painful because they administer the same anaesthetic for a regular checkup, but it is an unusual sensation.

Due to allergies, I have it done without anaesthetic, which is uncomfortable and if it is a consultant who isn't familiar with you it can be hard convincing them it's okay!

[Bess21 in reply to AlfredV]

It's not a gonioscopy. Consultant said it would be performed same time as cataract surgery

[AlfredV in reply to Bess21]

Oh, ok. Not something I'm familiar with then.

[Longwalks3]

I had cananoplasty in both eyes at the same time as cataract surgery a couple of years ago. This is similar to gonioscopy as it increases fluid outflow by clearing the blockages in the drainage tubes. It was really successful in my case ( more so than my consultant expected!) and was not a long or painful procedure - I had it done under local anaesthetic. My pressures have been and stable since - a great result for me.

[KieranGlaucomaUK Administrator]

Hi there. A goniotomy is a type of microinvasive glaucoma surgery which can be done in conjunction with cataract surgery. It is becoming more common to do these types of combined surgeries. Minimally invasive surgeries are usually quite quick - around 10-15 minutes on top of your cataract surgery. The goniotomy works by creating a small incision in the trabecular meshwork (where the fluid in the eye drains out of), helping to further reduce the eye pressure. Other minimally invasive surgeries combined with cataracts include things like stents which are inserted into the trabecular meshwork in the eye. Hope that makes sense.