Additionally, we found that the DKK1 levels were positively correlated with HGF (β = 0.268, <i>P</i> = .032), and TIMP-3 (β = 0.209, <i>P</i> = .047) levels, as well as with axial length (β = 0.714, <i>P</i> < .0001) in the pathological myopia group.<b>Conclusions</b>: Elevated levels of DKK1 were found in the eyes with elongated axial length.