Aim and Objectives: This study tries to estimate the relationship between keratometric indices and peripheral corneal disease and also their relationship with corneal topographic patterns. Design: This was an observational study. Materials and Methods: Patients between 10–30 years of age with peripheral corneal diseases were included in the study. Keratometry was done to determine k1 and k2 values and corneal topography was done for these patients to study the color patterns. Results: The study group included 59 patients having peripheral corneal disease where the mean age of the patients was 23.17 years (standard deviation ± 5.127). There was a statistically significant correlation of k2 with best fit cylinder showing a correlation between keratometric findings with topographic pictures. Conclusion: A number of atypical topographic patterns are seen among different peripheral corneal disease and a complete evaluation of keratometric indices and topography is essential for the diagnosis and follow up of these patients.