ONE GONIOSCOPIC FALLACY

Traditional gonioscopic practice assumes that, if most of the angle is gonioscopically closed, intraocular pressure increases. Evidence is produced to show that this is fallacious, because at its inception angle closure is iridocorneal contact occurring on the corneal side of the limbus. Although the angle cannot be seen by means of a gonioscope, there is initially no iridotrabecular contact. It is only after pressure increases that iris is pushed against trabecular meshwork and the angle is truly closed.