To compare the accuracy and clinical usefulness of various devices by measuring axial length, keratometry, and white-to-white.

In 64 eyes of 56 cataract patients, axial length was measured using Galilei™, Lenstar®, and A-scans, and keratometry was measured using Galilei™, Lenstar®, and ARK. In 86 eyes of 74 cataract patients, white-to-white was measured using Galilei™ and Lenstar®.

The average axial length measurements using Galilei™, Lenstar®, and A-scans were significantly correlated ( p < 0.001), but without a statistically significant difference ( p = 0.611). The 95% agreement range was the smallest at 0.22 mm for the Lenstar® and A-scans. The average mean K using Galilei™, Lenstar®, and ARK were significantly correlated ( p < 0.001), but without a statistically significant difference ( p = 0.657). The 95% agreement range was relatively small at 1.83 D for Lenstar® and ARK. The average white-to-white using Galilei™ and Lenstar® were significantly correlated ( p < 0.001), with a statistically significant difference ( p = 0.011). The 95% agreement range was 2.20 mm.

Axial length, keratometry, and white-to-white measured by different devices were highly correlated and were not statistically different; however, agreement was low between measurements. It is therefore important to consider these findings when using them equally.