[Changes in axial length/corneal radius ratio (AL/CR) according to refractive state of the eye. Relationship with ocular components].
OBJECTIVE
Determination of the role of the axial length/corneal radius ratio (AL/CR) in the refractive state and investigation of its relationship with the ocular optical components: AL, CR, anterior chamber depth (ACD), crystalline lens thickness (CT) and vitreous chamber depth (VCD).


METHODS
The RE (right eye) of 193 University students 22.27 (SD 3.24) years, with different refractive errors (spherical equivalent range: +3.00 D to -11.00 D), being divided into: emmetropes, hyperopes and myopes (low, moderate and high). The ACE, the CT, the VCD and the AL were measured by ultrasonography (unidimensional echography); and the mean CR by videokeratoscopy.


RESULTS
The value of AL/CR obtained was 2.98 (SD 0.69) for emmetropes, 2.89 (SD 0.87) for hyperopes, 3.01 (SD 0.07) in low myopias, 3.10 (SD 0.11) in moderate myopias and 3.23 (SD 0.12) in high myopias. The AL/CR ratio showed a higher correlation with the refractive error. Besides, all the refractive groups were observed to have lower CE values as the AL/CR increased. This tendency is statistically significant in hyperopes, emmetropes and low myopes; and is not in moderate and high myopias. All the study groups could be observed to have a positive and statistically significant correlation between AL/CR and ACD.


CONCLUSIONS
The ratio AL/CR is the most important parameter and the best predictor of the refractive state of the human eye. It provides important information on how best to determine the degree of emmetropization given by the crystalline, decreasing its power and the ACD in concordance with the LA. A value for the ratio AL/CR above 3.00 could be considered as a risk factor for the development of myopia in emmetropic eyes.
Departamento de Física Aplicada (Optometría), Universidad de Santiago de Compostela, Spain. eyebra@usc.es
E
E
Yebra-Pimentel
M J
MJ
Giráldez
J M
JM
Glez -Méijome
A
A
Cerviño
C
C
García-Resúa
M A
MA
Parafita
D000328:Adult; D003315:Cornea / Q000473:pathology*; D006801:Humans; D008433:Mathematics; D009216:Myopia / Q000150:complications / Q000473:pathology; D012030:Refractive Errors / Q000150:complications / Q000473:pathology*