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To examine the long-term changes of the axial length in adults with high myopia.Open-label, consecutive, retrospective case series.The medical records of 101 patients (184 eyes) with high myopia (myopia ≥−6 diopters or axial length ≥26.5 mm) were studied. The axial length of the eye was measured by A-scan ultrasonography. The significance of the changes in the axial length during follow-up was determined...