A Clinical Evaluation Of Corneal Stippling Gonioscopy Evaluation Comparing Celluvisc And Goniosol.

The purpose of this double blind study was to compare the corneal stippling observed following gonioscopy evaluation comparing celluvisc (1.0% carboxymethylcellulose) and goniosol (2.5% hydroxypropylmethylcellulose) on 15 patients (thirty eyes). All 15 patients presented with no corneal abnormalities and with tear break-up times (TBUT) greater than 10 seconds. The corneas were observed five minutes after and 15 minutes after evaluating the anterior chamber angle 360 degrees. Celluvisc showed a more significant decrease in corneal stippling than did goniosol in all 15 patients. However, more airbubbles were observed with the celluvisc solution compared to goniosol. We did find that after careful manipulation of the single use celluvisc applicator, fewer bubbles were observed. It was concluded that celluvisc is a viable alternative to goniosol for angle evaluations and observation of the retina with the goldmann 3-mirror.