For 36 hours, our results showed no significant linear change in MOR, while there was a significant linear increase in OAL (Table). However, residual circadian changes in MOR and OAL were significantly correlated in each eye, as was the pooled raw data. However, the slopes of raw and residual plots of MOR versus OAL (
Figs. 3b,
3c) are opposite in sign to that given by a schematic eye model,
44 confirming their previously suggested “paradoxical” relationship. That is, when the eye lengthens, it surprisingly becomes more hyperopic.
6,37
A change in MOR can be expressed in terms of changes in optical length and in ocular power
45 (see Appendix equation A1). If the power does not change, the constant of proportionality, based upon a schematic eye model of a normally growing 7-day-old chick eye, can be calculated as −26 D/mm optical length change
44 (see Appendix equation A2). However, our slopes are positive, indicating a large concurrent contribution of the second term in equation A1, a change in power. We predicted the variation of power by rearranging equation A1 (see Appendix equation A3) and substituting the measured variations of MOR and OAL.
In
Figure 6, we predict the variation of MOR due to the variation in OAL. The variation in power is the difference between this prediction and the actual variation of MOR. The curves for power for each of the three sample eyes shown (
Fig. 6) are approximately sinusoidal. In these examples, the variation of MOR predicted from OAL variation and the variation of power are in phase, producing a reduction in the amplitude (
Fig. 6c) or even a phase reversal of MOR variation (
Fig. 6b) from that expected from OAL variation alone (Appendix, equation A1). On average, the change in MOR is opposite in direction to that predicted by OAL changes (
Figs. 4,
6b). However, the variation of MOR is sometimes dominated by the length contribution (
Fig. 6c) and sometimes shows a more complex relationship over time (
Fig. 6a). An approximately 12-hour period in OAL can produce a longer (∼24 hour) period (
Fig. 6a) or a similar period (
Fig. 6b) in MOR.
Over 24 hours, MOR has an amplitude of variation of >30% and OAL of only 2%. However, a 2% decrease in eye power with a concurrent 2% increase in OAL gives a 25% increase in MOR. Adjusting the change in power to 2.5% predicts the observed amplitude change in MOR. This emphasizes the relative amplitudes of length and power oscillation, which produce the observed MOR oscillation, and the fact that any direct measurement of power oscillation used to predict MOR will need to be quite precise.
Since shorter time-course diurnal changes do not follow the expected relationship between MOR and OAL (
Fig. 4), we considered published longer-term changes during normal emmetropization of the chick eye. During normal growth, the power decreases and OAL increases, with active tuning of the retinal position leading to a less hyperopic MOR. However, MOR and OAL change on different time courses.
44,46 During the first 16 days post hatching, the average rate of change in MOR is −2.55 D/mm change in OAL,
44 much less than the value predicted (Appendix, equation A2) but with the expected sign, indicating that OAL contributes more than power. The small rates of change of MOR for both short-term diurnal changes and longer-term emmetropization indicate that in normal growth, changes in the power of the eye (the second term in Appendix equation A1) are as important to MOR changes as are OAL changes.
In form-deprivation myopia, on average, 13.47 D of myopia is induced for a 0.47-mm change in vitreous chamber depth,
47 giving a proportionality constant of −28.6 D/mm, not significantly different from that calculated from OAL (Appendix, equation A2). For induced differences between treated and untreated eyes for lenses between −10 D and +18 D,
48,49 MOR and axial length have a linear dependence with a slope equal to the −26 D/mm, as predicted (Appendix, equation A2). Thus, length changes almost completely account for long-term experimental induction of MOR,
48,49 without considering changes in power.
There are several possible explanations for the observed circadian dependence of MOR on OAL and power, where power decreases as length increases. This could correspond to a flattening of the cornea, a decrease in crystalline lens power, and/or an increase in the anterior chamber depth (ACD), consistent with MOR, lens, ACD, and length changes found by Tian and Wildsoet
6 and their postulated flattening of the cornea. However, others find out-of-phase ACD and length changes in chick
32,35 and humans.
8,10
Approximately out-of-phase changes in power and OAL could be due to a change in IOP, which could simultaneously lengthen the chick eye
4,32–34 and flatten the cornea
6,50 owing to passive expansion.
10,46 IOP changes could also change lens power.
51 In chick, corneal flattening (giving a decrease in corneal power of 1.2 D) corresponds to a 9-mm Hg increase in IOP
50 and for the same IOP increase, OAL increases by 0.11 mm.
32 For our observed diurnal MOR variation, there needs to be a larger relative change in power. There are other possible explanations for the observed dependence of MOR on OAL and power. For example, melatonin has been shown to regulate corneal hydration
52 and to affect corneal thickness
21 and diurnal fluctuations in ACD,
53 which in turn, would affect eye power. Melatonin, considered the most reliable marker of circadian clock timing, peaks at night in all species studied.
54,55 Dopamine, which has a reciprocal relationship with melatonin (retinal dopamine levels are lower at night than during the day in chicks
56 ), has been implicated in the control of eye growth
4,57,58 and is thought to influence diurnal variation of axial length.
4