 This study found that crystalline lens de-centration and tilt are affected by axial length in eyes. Specifically, longer axial lens resulted in greater de-centration and tilt of the crystalline lenses. Additionally, the study showed that crystalline lens de-centration was positively correlated with axial length while crystalline lens tilt was negatively correlated with axial length. This article was authored by Lin Shen, Wen Li Yang, Dong Jin Li and others.