Bechmann M, Schaumberger M, Schönfeld C L, Ludwig K
Augenklinik der Ludwig-Maximilians-Universität München.
Ophthalmologe. 2002 Sep;99(9):709-12. doi: 10.1007/s00347-001-0566-9.
To achieve emmetropia, several components such as the cornea and lens power, and axial length have to be coordinated. Until now, not much is known about the influence of these factors on each other.
A total of 66 healthy subjects were enrolled in this study. Ocular dimensions including anterior chamber depth, lens thickness, vitreous chamber depth, and axial length were measured by A-scan ultrasonography. Corneal radius and corneal refractive power were determined by ophthalmometry. The equivalent lens power was calculated by a method based on the Gullstrand schematic eye.
As expected, a good correlation was found to exist between refraction and axial length. Lens power was independent of refraction, but in emmetropic eyes a good correlation between lens power and axial length could be found. Higher axial length was related to lower values of lens power and vice versa.
In emmetropic eyes, deviation of axial length seems to be compensated by lens power and if this mechanism does not function, ametropia results.
为实现正视化,角膜和晶状体屈光力以及眼轴长度等多个因素必须相互协调。到目前为止,对于这些因素之间的相互影响知之甚少。
本研究共纳入66名健康受试者。通过A超超声测量眼前房深度、晶状体厚度、玻璃体腔深度和眼轴长度等眼部参数。通过角膜曲率计测定角膜半径和角膜屈光力。等效晶状体屈光力采用基于Gullstrand模型眼的方法计算。
正如预期的那样,在屈光度与眼轴长度之间发现了良好的相关性。晶状体屈光力与屈光度无关,但在正视眼中,晶状体屈光力与眼轴长度之间存在良好的相关性。眼轴长度越长,晶状体屈光力值越低,反之亦然。
在正视眼中,眼轴长度的偏差似乎由晶状体屈光力代偿,若该机制失效,则会导致屈光不正。