The precise measurement in lens thickness in vivo, provides great application value for intraocular accommodation and ametropia development mechanism research. And it has great clinical significance for the diagnosis and treatment of glaucoma and cataract. Currently, many ultrasonic methods and optical methods are used in measuring lens thickness. The measurement principles, advantages, disadvantages and the accuracy of the instruments are summarized in this paper. Among these methods, Orbscan II, Pentacam, Lenstar and AS-OCT can be used to measure lens thickness instead of A-scan. More important is the fact that UL-OCT can dynamically monitor the change of the lens thickness with intraocular accommodation. Choosing an instrument with higher measuring accuracy to examine the lens thickness, can provide more accurate and convincing lens thickness data for clinical and scientific research.