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February 25, 2026Korean Journal of Ophthalmology0 citationsOpen Access

A Comparative Analysis of Intraocular Pressure Measurement Across Different Tonometry Methods and Experience Levels

ŞHŞerife Çiloğlu HayatYYYusuf Cem YılmazHDHatice Davarcı

Key Points

  • This analysis aims to evaluate differences in intraocular pressure measurements across various tonometry methods and observer experience levels.
  • Compared GAT (Goldmann Applanation Tonometry) and NCT (Non-Contact Tonometry) measurements.
  • Evaluated results from residents and a senior ophthalmologist.
  • Assessed inter-observer variability against clinical acceptability benchmarks.
  • GAT measurements between residents and the senior ophthalmologist showed variability exceeding ±4 mmHg.
  • Less experienced observers demonstrated lower measurement accuracy.
  • Experience and proficiency improvements may narrow variability over time.

Abstract

There was notable inter-observer variability in GAT-based IOP measurements between residents and the senior ophthalmologist, exceeding the ±4 mmHg clinical acceptability benchmark. This variability suggests that less experienced observers may not yet have fully developed skills, impacting measurement accuracy. Over time, this range may narrow as experience and proficiency improve. Additionally, clinicians should interpret NCT results with caution-especially in postoperative assessments or when modifying treatment. Cross-checking with GAT and incorporating structured training protocols may enhance measurement consistency.

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Cite This Study

Hayat et al. (2026) studied this question.

synapsesocial.com/papers/699e90eff5123be5ed04e37ahttps://doi.org/10.3341/kjo.2025.0117
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