Description
What’s Included
- Nidek Tonoref II autorefractor/keratometer/tonometer main unit
- Patient chin and forehead rest assembly
- Power cable and accessories
- 90-day Digital Eye Center warranty
Condition & Warranty
Used. This Nidek Tonoref II autorefractor/keratometer/tonometer has been inspected and verified for autorefraction, keratometry, and non-contact IOP measurement function. Covered by a 90-day warranty on parts and workmanship.
Nidek Tonoref II — Used Autorefractor Keratometer Tonometer

Research published in Scientific Reports comparing portable tonometry devices against non-contact tonometry confirms that non-contact IOP measurement — the tonometry method built into the Nidek Tonoref II — remains the established clinical reference method for pre-testing IOP screening against which emerging portable alternatives are benchmarked.
Why Practices Choose the Nidek Tonoref II
Three instruments in one — autorefraction, keratometry, and NCT — the Tonoref II performs objective autorefraction (sphere, cylinder, axis), corneal keratometry (K1/K2 readings), and non-contact tonometry (IOP) in a single instrument at one chin-rest position; practices that previously used three separate instruments — an autorefractor, a keratometer, and a non-contact tonometer — for pre-testing can consolidate to the Tonoref II and reduce the total instrument count in the pre-testing lane
- Non-contact tonometry — IOP screening without topical anesthetic — the Tonoref II uses an air-puff non-contact tonometer for IOP measurement; NCT does not require topical anesthetic drops, making it appropriate for pre-testing staff without clinical scope to administer medications; the air-puff method provides IOP screening data before the exam room without the preparation time or patient discomfort of Goldmann or contact tonometry
- Autorefraction — objective starting point for subjective refraction — the autorefraction component delivers the objective sphere, cylinder, and axis measurements used to set the phoropter starting position for subjective refraction; accurate autorefraction reduces chair time in the exam room and increases exam efficiency; the same autorefraction data is used for spectacle prescription verification and contact lens fitting starting points
- Keratometry — corneal curvature for contact lens and IOL workflows — the keratometry component measures K1 and K2 corneal radii and axes for contact lens base curve selection, toric axis alignment, and pre-surgical IOL power calculation; combining K-readings with autorefraction and IOP at a single pre-testing station provides the full contact lens fitting data set before the patient enters the exam room
- Workflow consolidation — fewer instrument positions per patient visit — eliminating a separate tonometer removes one instrument position from the pre-testing sequence; practices with high daily patient volume benefit from the reduction in per-patient pre-testing time; pre-testing staff can complete the entire AR/K/IOP sequence on a single instrument without reassigning patients between rooms or devices
- Used at $7,400 with 90-day warranty — 3-in-1 pre-testing at accessible pricing — the used Tonoref II at $7,400 provides the complete autorefraction/keratometry/tonometry pre-testing station for a fraction of purchasing three separate instruments new; 90-day warranty on parts and workmanship included
Clinical Applications
- Pre-testing workflow — complete refractive and IOP data before the exam room — the Tonoref II allows pre-testing staff to measure objective refraction, K-readings, and non-contact IOP in a single instrument pass; the complete pre-testing data set arrives with the patient before the phoropter or slit lamp is used, accelerating exam room workflow and increasing throughput in high-volume practices
- Glaucoma pre-screening — NCT IOP check at pre-testing — non-contact IOP measurement at pre-testing identifies patients with elevated IOP before they see the physician; the Tonoref II’s NCT component provides the IOP screening step that prompts clinical follow-up with Goldmann applanation in patients with elevated readings, supporting glaucoma case-finding in general ophthalmology and optometry practices
- Contact lens fitting — AR and K at one station — objective sphere and cylinder from the autorefractor and corneal radii from the keratometer at the same instrument provide the data needed for initial soft, toric, and RGP contact lens selection; practices with active contact lens fitting programs benefit from the integrated K-reading without a separate keratometer
- IOL planning support — K-readings for biometry workflows — the keratometry values from the Tonoref II supplement optical biometry data for IOL power calculation; practices can use Tonoref II K-readings as a cross-check measurement alongside their primary biometer for surgical planning
- Pediatric and general screening clinics — efficient multi-measurement capture — completing autorefraction, keratometry, and IOP screening at a single instrument reduces total pre-testing time and the number of instrument moves per patient; useful in pediatric eye care, school screening programs, and mobile clinical settings where minimizing the number of measurement steps per patient is a priority
Who This Is For
- Practices adding IOP screening to their autorefractor station — the Tonoref II replaces a standard AR/K unit with a combined AR/K/NCT instrument at a comparable price point; practices that currently perform IOP screening on a separate non-contact tonometer can consolidate to the Tonoref II and reduce total instrument count
- High-volume ophthalmology practices reducing pre-testing chair time — the single-station workflow eliminates patient repositioning between instruments; high-volume practices where pre-testing throughput is a clinical bottleneck benefit from the Tonoref II’s consolidated measurement sequence
- Optometry practices upgrading their pre-testing capability — the used Tonoref II at $7,400 gives optometry practices the autorefraction/keratometry/IOP pre-testing station used by high-volume ophthalmology lanes, at a used-instrument price with 90-day warranty; practices currently using a basic autorefractor without IOP screening can add NCT capability without purchasing a separate tonometer
- Multi-specialty clinics with combined diabetes and eye care programs — diabetic patients requiring annual refraction, contact lens follow-up, and IOP screening can have all three pre-testing measurements completed at the Tonoref II before seeing either the internist or the optometrist/ophthalmologist; the combined instrument supports shared-service clinic workflows where multiple specialties share pre-testing resources
Technical Specifications
| Specification | Detail |
| Manufacturer | Nidek |
| Model | Tonoref II |
| Measurement Functions | Autorefraction, keratometry, non-contact tonometry |
| Tonometry Type | Non-contact (air-puff) — no topical anesthetic required |
| Keratometry Output | K1/K2 corneal radii and axes |
| Autorefraction Output | Sphere, cylinder, axis |
| Condition | Used |
| Warranty | 90 days |
Compare Pre-Testing Instrument Options
| Instrument | Functions | Condition | Price |
| Topcon KR-800s | AR + K + VA chart | Used | $7,700 |
| Nidek Tonoref II (this unit) | AR + K + NCT | Used | $7,400 |
| Nidek ARK-1e | AR + K | Used | $6,300 |
Questions about the Nidek Tonoref II? Contact us — we can confirm autorefraction accuracy, NCT calibration, and shipping details before purchase.




