Abstract
BACKGROUND: Assessment of eye parameters such as the white-to-white (WTW) corneal diameter, anterior chamber depth (ACD), and anterior chamber angle (ACA) are essential for preoperative evaluation of refractive surgery and diagnosing and managing some ocular diseases. OBJECTIVE: To report the distribution and association between white-to-white corneal diameter and anterior chamber parameters in the Saudi adult population. METHODS: Cross-sectional prospective study consisting of 82 Saudi adults. White-to-white corneal diameter, anterior chamber angle, anterior chamber depth, and axial length were collected from healthy subjects using the Pentacam AXL Wave in a tertiary eye care setting. RESULTS: Mean white-to-white corneal diameter, anterior chamber angle, anterior chamber depth, and axial length were 11.95 ± 0.39 mm, 37.94 ± 5.01°, 2.97 ± 0.31 mm and 23.93 ± 0.97 mm, respectively. A significant moderate correlation was found between white-to-white corneal diameter and anterior chamber angle (r = 0.31, p ≤ 0.01), anterior chamber depth (r = 0.49, p ≤ 0.01), and axial length (r = 0.50, p ≤ 0.01) and between anterior chamber angle and anterior chamber depth (r = 0.71, p ≤ 0.01). Furthermore, age was moderately correlated with anterior chamber angle (r = 0.44, p 0.01) and anterior chamber depth (r = 0.39, p 0.01) and weakly correlated with white-to-white corneal diameter (r =0.17, p = 0.12). Males had a significantly (p < 0.01) higher white-to-white corneal diameter (12.12 ± 0.38 mm) than females (11.84 ± 0.36.mm). CONCLUSION: Reference values for white-to-white corneal diameter and anterior chamber parameters would help eye care professionals choose the right lenses for cataract and refractive surgeries as well as in diagnosing glaucoma and corneal disorders.