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Jost B Jonas, Leonard Holbach, Songhomitra Panda-Jonas; Axial Length and Horizontal and Vertical Globe Diameters. Invest. Ophthalmol. Vis. Sci. 2016;57(12):2475.
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© 2017 Association for Research in Vision and Ophthalmology.
To assess relationships between axial length and the horizontal and vertical globe diameters
The study consisted of enucleated human eyes. The horizontal, vertical and sagittal diameters were measured.
The study included 135 globes removed because of malignant uveal melanoma (111 globes) or end-stage painful glaucoma (n=24 eyes). Mean axial, horizontal and vertical diameters were 24.6±2.6 mm (range:20-35 mm), 23.7±1.4mm (range:21-29mm) and 23.7±1.4mm (range:20-29 mm), respectively. The horizontal diameter and vertical diameter did not differ significantly (P=0.92), while both were significantly (P<0.001) shorter than the axial diameter. The horizontal diameter was significantly and linearly correlated with the vertical globe diameter (P<0.001;regression line: Vertical Globe Diameter=0.84xHorizontal Globe Diameter +3.69). The axial diameter was significantly (P<0.001) associated with the horizontal diameter and vertical diameters in a bipartite manner. In eyes with an axial length ≤24 mm, horizontal and vertical diameters increased by 0.44 mm and 0.51 mm, respectively, for each mm increase in axial diameter, while in eyes with an axial length >24 mm, the horizontal and vertical globe diameter increased by a lower amount of 0.19mm and 0.21mm, respectively, for each mm increase in axial diameter.
Myopic enlargement of the globe beyond an axial length of 24 mm takes place predominantly in the sagittal axis leading to a change in the globe form from a sphere to an elongated form. It fits with the notion that myopic elongation may occur by an elongation of the eye walls in regions close to the globe equator.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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