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Exams&Terms/Eye exams

Corneal Size & White-to-White (WTW) / Visible Iris Diameter (VID)

by eye_doc 2025. 4. 19.

๐Ÿ‘ Corneal Size & White-to-White (WTW) / Visible Iris Diameter (VID)

The cornea makes up the anterior 1/6 of the eye,
with a radius of approximately 8 mm, forming part of the eye's spherical structure.


๐Ÿ” How is corneal size measured?

From a front view, the horizontal distance from limbus to limbus (white sclera to white sclera)
is termed White-to-White (WTW) or Visible Iris Diameter (VID).

TermMeaning
WTW White-to-white distance
VID Visible iris diameter
HVID Horizontal visible iris diameter

๐Ÿ“Œ WTW and HVID are essentially the same and Horizontal measurement is most commonly used.


๐Ÿ“ Normal Range

MeasurementNormal Value
H-WTW / HVID ~12 mm
V-WTW / VVID ~11 mm

 

 


๐Ÿงฌ Clinical Applications

  • Congenital glaucoma diagnosis
  • Sizing of anterior chamber intraocular lenses (AC-IOLs)
    → Lens size = WTW + 0.5 to 1.0 mm

๐Ÿ”ฌ Study Examples

Study YearSubjectsResults
Korea 1988 314 adults Male: 11.47mm / Female: 11.17mm
Global 2013 Multi-ethnic review Average: ~11.5–12.0 mm

โœ… Summary

  • Corneal size is defined by WTW or HVID
  • ~12 mm (horizontal) is considered normal
  • Important for lens implantation and glaucoma evaluation

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