Turk J Ophthalmol 2017; 47: 247-248
Received Date: 17.02.2017
Accepted Date: 07.03.2017

KMT Primary Care Center, Bangkok, Thailand


DY Patil University Faculty of Medicine, Pune, India

Pediatric Patients and Tonometers

Dear Editor,

The recent publication on “Pediatric Patients and Tonometers” is interesting.1 Eraslan et al.1 concluded that “Because Tono-Pen (TP) measurements were lower than Goldmann applanation tonometer (GAT) measurements and non-contact tonometer measurements were higher than GAT measurements, patient follow-ups, treatment strategies, and surgery plans must be organized taking these differences into consideration”. The results in this report are similar to a recent report by Galgauskas et al.2 In fact, the use of different kinds of tonometer can result in different measures values and this has to be kept in mind by practitioners. The correlation study can be useful for checking the variability of the tool. Nevertheless, there are some concerns that should be addressed. First, the lack of a gold standard for the comparative study is a big issue for further discussion. At present, we can only perform the inter-tool agreement check but there is no gold standard for checking the accuracy of the measurement. Second, for each tool the within-day and between-day precision of the tool should also be checked. Finally, the calibration error of the tool should be regularly checked since it can contribute to incorrect measurement results.3 In the present report by Eraslan et al.,1 there is no error checking as well.


Peer-review: Internally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: Sora Yasri, Viroj Wiwanitkit, Concept: Sora Yasri, Viroj Wiwanitkit, Design: Sora Yasri, Viroj Wiwanitkit, Data Collection or Processing: Sora Yasri, Viroj Wiwanitkit, Analysis or Interpretation: Sora Yasri, Viroj Wiwanitkit, Literature Search: Sora Yasri, Viroj Wiwanitkit, Writing: Sora Yasri, Viroj Wiwanitkit.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.


1.    Eraslan M, Eren Çerman E, Sümmen S. Comparison of Intraocular Pressure Measurements in Healthy Pediatric Patients using Three Types of Tonometers. Turk J Ophthalmol. 2017;47:1-4.
2.    Galgauskas S, Strupaite R, Strelkauskaite E, Asoklis R. Comparison of intraocular pressure measurements with different contact tonometers in young healthy persons. Int J Ophthalmol. 2016;9:76-80.
3.    Choudhari NS, Rao HL, Ramavath S, Rekha G, Rao A, Senthil S, Garudadri CS. How Often the Goldmann Applanation Tonometer Should be Checked for Calibration Error? J Glaucoma. 2016;25:908-913.

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