Issue 61

The long and short of axial length

Jeff Walline’s editorial discusses the merits of including axial length measures in the management of myopia, how to interpret the data and how best to communicate about eye growth to patients and their parents. Jeff’s feature article reviews a related piece by Chamberlain and colleagues, which endeavours to help clinicians better understand axial length targets in myopes, and how any change noted over time compares to normal eye growth in emmetropic children. Further work in this area is shared in the conference highlight with Alex Nixon’s recent abstract that examines physiologic growth in myopes and how that may confound interpretation of axial length measures. Finally, Shalu Pal shares three clinical cases from her practice which illustrate how axial length measures can be used to help inform evidence-based decisions in myopia management.