国际眼科纵览 ›› 2026, Vol. 50 ›› Issue (2): 99-105.doi: 10.3760/cma.j.cnl15500-20250725-26204

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基于眼轴为核心的高度近视前后节生物学参数关联

庞泽宇1 严宏2 陈媛媛2   

  1. 1 西安医学院,西安 710021;2 西安市人民医院(西安市第四医院)陕西省眼科医院 西北大学附属人民医院眼科,西安 710004
  • 收稿日期:2025-07-25 出版日期:2026-04-22 发布日期:2026-04-22
  • 通讯作者: 严宏,Email:yan2128ts@hotmail.com
  • 基金资助:
    西安市科技计划(21YXYJ0005)

Association of biological parameters in anterior and posterior eye segments with axial length as core in high myopia

Pang Zeyu1, Yan Hong2, Chen Yuanyuan2   

  1. 1 Xi’an Medical University, Xi’an 710021; 2 Department of Ophthalmology, Xi’an Peoples Hospital (Xi’an Fourth Hospital), Shaanxi Eye Hospital, Affiliated People’s Hospital, Northwest University, Xi’an 710004, China
  • Received:2025-07-25 Online:2026-04-22 Published:2026-04-22
  • Contact: Yan Hong, Email: yan2128ts@hotmail.com
  • Supported by:
    Xi'an Science and Technology Plan(21YXYJ0005)

摘要: 高度近视中眼前后节生物学参数的变化均与眼轴存在紧密关联。证据显示,角膜厚度、巩膜厚度、脉络膜厚度及视网膜神经纤维层厚度等结构参数与眼轴呈负相关,而前房深度、角膜变形幅度、视盘周围萎缩面积等形态与生物力学参数则与眼轴呈正相关。多模态影像表明,这些参数通过生物力学传导与代谢调控网络相互耦联,其级联异常是高度近视眼底病变发生与进展的重要机制。未来需结合纵向队列与人工智能建模,以揭示该网络的动态规律,推动近视的精准防控。

关键词: 高度近视, 生物学参数, 相关性分析, 近视防控

Abstract: In high myopia, changes in anterior and posterior segment biometric parameters associated with axial elongation are strongly associated with the axial length itself. Evidence indicates that structural parameters such as corneal, scleral, choroidal, and retinal nerve fiber layer thickness are negatively correlated with axial length, while morphological and biomechanical parameters including anterior chamber depth, corneal deformation amplitude, and peripapillary atrophy area show positive correlations. Multimodal imaging reveals that these parameters are interconnected through a biomechanical and metabolic regulatory network, and their cascade abnormalities constitute a key mechanism underlying fundus pathology in high myopia. Future studies should integrate longitudinal cohorts and artificial intelligence modeling to elucidate the dynamics of this network and advance precise strategies for myopia control.


Key words: High myopia, Biological parameters, Correlation analysis, Myopia prevention and control