We compared the reliability of measurements of three keratometers and
keratometry readings from a corneal topography system to determine if
they were as accurate as the ''gold standard'' Javal-Schiotz keratomet
er. Same-day measurement of the steepest and flattest powers of the ce
ntral 3 mm of the corneas of 200 eyes (100 patients) revealed no stati
stically significant difference in reliability between the newer kerat
ometers and the Javal-Schiotz. In addition, the newer machines are mor
e convenient and efficient in some clinical settings.