A new instrument for orbital anthropometry is described. it consists o
f the base for a slit-lamp upon which the patient's head rests and rul
ers mounted on three independently movable axes, The z-axis probe is u
sed to measure sagittal relationships between the corneal apices and p
oints on the orbital perimeter. The instrument was tested against a sl
iding caliper and its accuracy was found to be within 0.2 mm or 2%. In
tra- and inter-observer reliability were assessed by repeated measurem
ents of two subjects by three observers. The intra-observer reliabilit
y was 0,99, Variations between observers was not significantly differe
nt for points orbitale inferius (si), nasion (n), and orbitale superiu
s (os), however, there was a statistically significant difference for
measurement of orbitale laterale (ol), The correlation between anthrop
ometric readings for lateral orbital wall to apes corneal (ol- ac) and
CT scans for the same landmarks was assessed. Analysis of variance sh
elved no difference between the measurement methods, This anthropomete
r is convenient and accurate for measurement of the sagittal orbital-g
lobe relationships. A disadvantage is that it cannot be used intraoper
atively.