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Dr Jayant V Iyer, Dr Jason Lee and Dr Audrey Pang at the reception of The Straits Eye Centre.

Gonioscopy

A look at where fluid drains from the eye, with a small mirrored lens on a numbed eye. A few minutes, and not painful.

  • Senior Consultant Eye Surgeons
  • 50+ combined years in ophthalmology
  • Seven clinics in six locations islandwide

Camden (Orchard)Joo ChiatClementiBedokToa PayohJurong

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What gonioscopy is

Gonioscopy is a look at the drainage angle, the corner inside the eye where the iris meets the cornea.

Fluid is made inside the eye all the time and leaves through this corner, which keeps the pressure steady. The corner cannot be seen looking straight in, so a lens with mirrors shows it from the side.

  • Looking straight in: the view misses the corner

  • With a mirrored lens: the corner is seen from the side

How gonioscopy is done

A few minutes, at the slit lamp.

  • Contact lenses come out first.
  • A numbing drop goes in each eye.
  • You rest your chin at the slit lamp, the same microscope used for the rest of the examination.
  • A small mirrored lens is rested on the eye, with a little gel, while a light shines in. It may be pressed gently to see the angle better.

You may feel the lens resting on the eye, but it is not painful.

What gonioscopy shows

How open the drainage angle is.

  • An open angle leaves room for fluid to drain.
  • A narrow angle is one where the iris sits close to the drainage corner, leaving less room.
  • A closed angle is one where part of the iris blocks the corner. When fluid cannot leave, the pressure inside the eye can rise, which is angle-closure glaucoma.
  • The corner itself, for pigment or scarring.

What a finding means is for your eye doctor to explain.

  • An open angle: room for fluid to drain

  • A narrow angle: the iris sits close to the corner

  • A closed angle: the iris blocks the corner

After gonioscopy

The numbness wears off on its own.

  • Your vision may be a little blurred for a short while from the gel.
  • Do not rub your eyes until the numbness has worn off.
  • You can usually drive afterwards, unless dilating drops were used too.
  • Dr Jayant V Iyer

Told your drainage angle is narrow? Tell our friendly staff what you have been told and they will arrange the right appointment.

Read alongside other eye tests

Pressure and drainage are looked at together.

Gonioscopy Cost in Singapore

Gonioscopy is done during an eye specialist consultation, as required. These are our eye specialist consultation fees; please enquire for the test itself.

Service Price
With a Senior Eye Specialist · Camden (Orchard) and Parkway East (Joo Chiat)
First consultation $174.40
Follow-up consultation $119.90
Gonioscopy Please enquire
With a Senior Eye Specialist · Bedok, Clementi, Toa Payoh and Jurong
First consultation $130.80
Follow-up consultation $98.10
Gonioscopy Please enquire

All fees shown are nett. Any tests you need are decided at your consultation.

Where can I do a Gonioscopy Test in Singapore?

Seven clinics, at six addresses. The consultation fee depends on the clinic, as the table above shows.

The Straits Eye and Myopia Clinic @ Camden

Camden Medical Centre
1 Orchard Boulevard, #12-04
Singapore 248649

Nearest MRT
Orchard Boulevard (TE13)
Directions
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Have your eyes checked

Send us a message with what you have been told and a time that suits, and our staff will arrange the appointment.

Common questions

Does gonioscopy hurt?

No. The eye is numbed with a drop first. You may feel the lens resting on it, but it is not painful.

How long does gonioscopy take?

A few minutes, at the slit lamp. Each eye takes a minute or two.

Is gonioscopy invasive?

No. The lens rests on the surface of the eye, and nothing goes into it.

Does gonioscopy need dilating drops?

No. It is usually done before any dilating drops, because the size of the pupil changes how open the angle looks.

Why is gonioscopy done?

To see whether the drainage angle is open, narrow or closed. It is most often part of a glaucoma assessment, done alongside an eye pressure test.

What is a narrow angle?

An angle where the iris sits close to the drainage corner, leaving less room for fluid to leave the eye. Your eye doctor explains what it means for your eye and whether anything needs to be done.

Is gonioscopy the same as a slit lamp examination?

No, but it is done at the slit lamp. A slit lamp examination looks at the front of the eye straight on; gonioscopy adds a mirrored lens to see the drainage angle around the corner.

Is gonioscopy the same as tonometry?

No. Tonometry measures the pressure inside the eye; gonioscopy looks at the corner the fluid drains through. The two are often done at the same visit.

Is gonioscopy the same as an OCT scan?

No. An OCT scan of the front of the eye pictures the angle with light, without touching the eye; gonioscopy lets the doctor look at it directly through a lens. The two can be used together.

Is gonioscopy part of a routine eye check?

It is not part of our eye screening packages. It is done at an eye specialist consultation when the doctor needs to see the angle, most often as part of a glaucoma assessment.

Can I drive after gonioscopy?

Usually, yes, once any blur from the gel has cleared. If dilating drops were also used, wait until your vision is clear.

How much is gonioscopy?

It is done during an eye specialist consultation, as required. A first consultation with an eye specialist is $174.40 nett at Camden and Parkway East, and $130.80 nett at our community clinics in Bedok, Clementi, Toa Payoh and Jurong. Please enquire for the fee for the test itself.

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