We compared the accuracy of keratometry and computerized videokeratography (CVK) for use in intraocular lens calculations. We studied 48 eyes of 45 patients having phacoemulsification and posterior chamber lens implantation. Computerized videokeratography was performed with the EyeSys Corneal Analysis System (ECAS). Using the SRK II, SRK/T, and Holladay formulas, we evaluated predictive accuracy calculated with keratometric values and four values derived from ECAS measurements. For each formula, the use of one of the CVK parameters resulted in lower mean absolute errors between actual and predicted postoperative refractive errors and higher percentages of cases with power prediction errors < 0.5 and < 1.0 diopters. Computerized videokeratography may provide a more accurate corneal curvature value than keratometry for use in intraocular lens calculations.