"There have been relatively limited studies directly investigating the influence of EOM forces on corneal shape or ocular biometric parameters"

C38244

“The forces generated by the eye’s EOMs can be substantial, and as the global portion of the EOMs inserts into the sclera, with the rectus muscles typically inserting within relatively close proximity to the limbus, alterations in EOM forces have the potential to lead to changes in axial length and/or corneal shape. There have been relatively limited studies directly investigating the influence of EOM forces on corneal shape or ocular biometric parameters. Early investigations into the influence of convergence on the cornea, utilizing keratometry or photokeratoscopy were not conclusive, with some studies reporting small changes in corneal curvature with convergence and others finding no corneal change. More recently, there have been reports of significant changes in corneal topography following EOM surgical procedures that imply changes in EOM forces may significantly influence corneal shape.”

https://eprints.qut.edu.au/38244/1/c38244.pdf

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