Table 1 Basic characteristics of included studies in the meta-analysis.

From: Axial length as a predictor of myopic macular degeneration: a meta-analysis and clinical study

Country

Study

Year

Sample size

Age (years)

Sex

AL (mm)

BCVA/VA

SE (D)

Quality assessment

China

Wang et al.

2012

57 eyes

29 patients

C1: 35.5 ± 10.20

C2: 41.21 ± 11.32

/

C1: 27.55 ± 0.94

C2: 29.54 ± 1.63

C1: 0.02 ± 0.03

C2: 0.42 ± 0.42

C1: −11.93 ± 2.24

C2: −15.44 ± 4.23

High

Yan et al.

2018

2695 patients

2001: 54.6 ± 9.8

/

C1: 26.26 ± 1.61

C2: 27.68 ± 2.26

C3: 29.90 ± 0.59

C4: 29.0

C1: 0.16 ± 0.25

C2: 0.50 ± 0.47

C3: 0.91 ± 0.79

C4: 2.0

C1: −8.48 ± 2.73

C2: −11.42 ± 4.12

C3: −14.65 ± 5.08

C4: −16.25

High

Zhou et al.

2018

115 eyes

67 patients

C0: 37.2 ± 9.9

C1: 34.3 ± 10.5

/

C0: 26.12 ± 0.74

C1: 27.04 ± 0.71

/

C0: −7.882 ± 1.017

C1: −8.813 ± 1.647

High

Xiao et al.

2018

884 eyes and patients

C0: 15.8 (13.2, 21.6)

C1: 23.5 (17.2, 33.9)

C2: 26.4 (16.9, 40.4)

C3: 34.0 (27.4, 47.7)

C4: 48.3, 54.7

C0: 237 men, 267 women

C1: 81 men, 96 women

C2: 85 men, 93 women

C3: 7 men, 16 women

C4: 0 men, 2 women

C0: 26.8 (26.1, 27.5)

C1: 27.5 (26.7, 28.4)

C2: 29.0 (28.0, 30.3)

C3: 30.4 (29.1, 31.3)

C4: 31.2, 27.7

/

C0: −8.13 (−9.25, −7.25)

C1: −9.25 (−12.19, −8.00)

C2: −13.13 (−16.50, −10.25)

C3: −18.25 (−20.50, −16.13)

C4: −20.88, −9.75

High

Liu et al.

2020

857 eyes

22.2 ± 12.1

402 men, 455 women

C0,C1: 27.0 ± 1.1

C2: 29.1 ± 1.8

C0,C1: 0.06 ± 0.15

C2: 0.26 ± 0.25

C0,C1: −8.9 ± 2.2

C2: −13.7 ± 4.3

High

Zhao et al.

2020

1841 eyes

1132 patients

C0: 32.60 ± 18.10

C1: 43.29 ± 14.86

C2: 47.60 ± 14.75

C3: 54.64 ± 12.14

C4: 60.49 ± 12.44

C0: 20 men, 38 women

C1: 273 men, 506 women

C2: 194 men, 330 women

C3: 94 men, 258 women

C4: 43 men, 85 women

C0: 27.78 ± 1.48

C1: 28.99 ± 1.73

C2: 30.12 ± 2.05

C3: 30.90 ± 2.24

C4: 30.90 ± 2.01

C0: 0.17 ± 0.33

C1: 0.33 ± 0.45

C2: 0.63 ± 0.52

C3: 0.87 ± 0.66

C4: 1.39 ± 0.76

C0: −9.38 ± 3.11

C1: −11.86 ± 4.89

C2: −16.20 ± 5.42

C3: −17.04 ± 6.20

C4: −17.00 ± 5.72

High

He et al.

2021

134 eyes

79 patients

12.32 ± 3.14

37 men, 42 women

C0: 26.48 ± 0.91

C1: 27.09 ± 0.97

C2: 28.02 ± 1.31

/

C0: −9.06 ± 1.58

C1: −9.50 ± 1.67

C2: −10.51 ± 2.76

High

Wang et al.

2023

8330 patients

51.6 ± 13.8

5477 men, 2853 women

C0,C1: 23.67 ± 1.15

C2,C3,C4: 27.41 ± 1.12

/

/

High

India

Jonas et al.

2017

8846 eyes

4561 patients

C0,C1: 48.5 ± 12.8

C2,C3,C4: 52.8 ± 10.7

2114 men, 2447 women

C0,C1: 22.6 ± 0.8

C2,C3,C4: 29.0 ± 2.4

C0,C1: 0.11 ± 0.27

C2,C3,C4: 1.38 ± 0.90

C0,C1: −0.05 ± 1.59

C2,C3,C4: −10.6 ± 8.2

High

Japan

Hashimoto et al.

2019

2790 patients

Men: 63 ± 12

Women: 63 ± 13

1217 men, 1573 women

C2: 26.1 (25.0 to 26.6) (men), 24.8 (24.2 to 25.7) (women)

C3: 27.2 (25.3 to 28.7) (men), 26.6 (24.9 to 27.8) (women)

C4: 27.5 (24.0 to 31.5) (men), 27.9 (26.5 to 29.3) (women)

/

C2: −3.75 (−6.13 to −2.38) (men), −3.69 (−9.00 to −1.69) (women)

C3: −6.25 (−8.94 to −2.69) (men), −6.38 (−8.75 to −5.13) (women)

C4: −7.56 (−16.88 to 1.75) (men), −8.8 (women)

High

Ueda et al.

2020

2164 patients

62.4 ± 10.9

920 men, 1244 women

C2: 25.6 ± 1.0

C3: 26.9 ± 1.5

C4: 26.0 ± 1.3

/

C2: −2.1 ± 0.9

C3: −8.0 ± 4.2

C4: −4.3 ± 3.8

High

Fang et al.

2017

521 eyes

47.7 ± 14.2

/

C2: 29.2 ± 1.7

C3: 30.2 ± 1.9

C4: 29.7 ± 1.8

C2: 0.31 ± 0.40

C3: 0.46 ± 0.42

C4: 0.99 ± 0.43

/

High

Du et al.

2021

3646 eyes

1877 patients

62.10 ± 12.92

520 men, 1357 women

C0, C1: 28.52 ± 1.72 (men), 28.05 ± 1.88 (women)

C2: 30.22 ± 1.85 (men), 29.39 ± 2.07 (women)

C3: 31.37 ± 1.96 (men), 30.73 ± 2.06 (women)

C4: 30.59 ± 2.05 (men), 29.91 ± 2.06 (women)

/

/

High

Fang et al.

2019

1487 eyes

884 patients

58.4 ± 16.3

241 men, 643 women

C0: 27.47 ± 0.89

C1: 28.51 ± 1.43

C2-PDCA: 29.33 ± 1.67

C2-MDCA: 30.55 ± 1.75

C3: 30.97 ± 2.04

C4-CNV-MA: 30.14 ± 1.91

C4-Patchy-MA: 31.73 ± 4.01

C0: −0.024 ± 0.195

C1: 0.015 ± 0.219

C2-PDCA: 0.061 ± 0.231

C2-MDCA: 0.128 ± 0.261

C3: 0.272 ± 0.403

C4-CNV-MA: 0.971 ± 0.42

C4-Patchy-MA: 0.557 ± 0.431

C0: −10.6 ± 2.8

C1: −11.4 ± 2.7

C2-PDCA: −12.9 ± 3.8

C2-MDCA: −15.2 ± 3.7

C3: −15.1 ± 4.8

C4-CNV-MA: −12.6 ± 4.4

C4-Patchy-MA: −11.1 ± 2.3

High

Hayashi et al.

2010

806 eyes

429 patients

41.1 ± 16.7

147 men, 282 women

C1: 27.4 ± 1.2

C2: 29.5 ± 1.7

C3: 30.1 ± 2.0

C4: 30.4 ± 2.3

C1: 0.00 ± 0.15

C2: 0.23 ± 0.38

C3: 0.30 ± 0.37

C4: 1.27 ± 0.43

C1: −10.3 ± 3.1

C2: −15.2 ± 4.7

C3: −16.4 ± 5.6

C4: −17.6 ± 7.1

High

Netherlands

Haarman et al.

2021

626 patients

51.4 ± 15.1

239 men, 387 women

C2: 28.7 (28.4 to 29.1)

C3: 29.6 (28.2 to 31.0)

C4: 30.5 (29.5 to 31.5)

C2: 0.70 (0.64 to 0.76)

C3: 0.55 (0.33 to 0.77)

C4: 0.23 (0.13 to 0.34)

−9.9 ± 3.2

High

Russia

Bikbov et al.

2020

5794 patients

58.9 ± 10.7

2517 men, 3277 women

C0,C1: 23.3 ± 1.0

C2: 26.3 ± 1.8

C3: 27.3 ± 2.1

C4: 27.9 ± 2.3

/

C0,C1: 0.37 ± 2.10

C2: −6.1 ± 5.0

C3: −14.9 ± 6.5

C4: −9.8 ± 5.7

High

Singapore

Wong et al.

2019

42 eyes

29 patients

59.2 ± 11.0

11 men, 31 women (eyes)

C1: 27.35 ± 1.06

C2: 29.49 ± 1.53

C3: 30.06 ± 2.07

C1: 0.17 ± 0.10

C2: 0.27 ± 0.19

C3: 0.34 ± 0.13

C1: −8.24 ± 1.62

C2: −13.38 ± 5.72

C3: −9.88 ± 3.71

High

Sim et al.

2020

16 patients

51.1 ± 3.0

4 men, 12 women

C1: 28.51 ± 1.73

C3,C4: 31.50 ± 1.87

C1: 0.36 ± 0.29

C3,C4: 0.39 ± 0.36

/

High

USA

Li et al.

2022

67 eyes

58 patients

C0: 55.6 ± 23.3

C2: 65.7 ± 12.8

22 men, 36 women

C0: 23.87 ± 1.04

C2: 29.67 ± 2.04

C0: 0.00 ± 0.03

C2: 0.08 ± 0.11

/

High