Morphometry of extraocular muscles and investigation of their relationship with axial length of eye
- 24 December 2025
- journal article
- research article
- Published by Springer Nature in International Ophthalmology
- Vol. 46 (1) , 51
Abstract
Purpose The extraocular muscles (EOM) within the orbit provide ocular motility. Knowing the morphometric properties of these muscles is of clinical importance because various pathologies can affect the orbit and its structures. This study aims to compare normative EOM thickness values across gender and age groups and to investigate the potential relationship between refractive errors caused by the eye's axial length (AL). Methods A retrospective study was conducted on 120 males and 125 females over 20 years of age who underwent orbital magnetic resonance imaging (MRI) in the Department of Radiology. Interzygomatic line length (IZL) in 245 individuals, axial length in 490 eyes, and long-short diameters of the EOM in coronal sections were measured, and variations were investigated. Results Three of the 11 EOM measurements were significantly larger on the left and one was significantly larger on the right (p < 0.05). AL was not significantly different between the sides (p˃0.05). AL, IZL, and 8 of the 11 EOM lengths were significantly larger in men (p < 0.05). Among the individuals divided into 20-year age groups, the EOM short diameters were smaller in individuals aged 20–39 compared to those in older age groups (p < 0.05). Conclusion While normative EOM lengths may vary depending on gender, side of eyelid, and age, they have been shown to be unchanged in axial myopia or hyperopia. The information obtained may contribute to the diagnosis and treatment of orbital pathologies.Keywords
This publication has 28 references indexed in Scilit:
- Normative measurements of orbital structures on magnetic resonance images; a cross-sectional study with mini review of the literatureSurgical and Radiologic Anatomy, 2024
- Normative measurements of orbital structures by magnetic resonance imagingInternational Ophthalmology, 2022
- Normative measurements of the superior oblique and inferior oblique muscles by magnetic resonance imagingSurgical and Radiologic Anatomy, 2022
- Age-related difference in extraocular muscles and its relation to clinical manifestations in an ethnically homogenous group of patients with Graves’ orbitopathyGraefe's Archive for Clinical and Experimental Ophthalmology, 2021
- Normative measurements of inferior oblique muscle thickness in Japanese by magnetic resonance imaging using a new techniqueGraefe's Archive for Clinical and Experimental Ophthalmology, 2018
- Anatomy of the Orbit and its Surgical Approach2006
- A new MRI method for the quantitative evaluation of extraocular muscle size in thyroid ophthalmopathyNeuroradiology, 2003
- Normative measurements of Korean orbital structures revealed by computerized tomographyActa Ophthalmologica Scandinavica, 2001
- Standardised echography in the differential diagnosis of extraocular muscle enlargementEye, 1992
- A power primer.Psychological Bulletin, 1992