The aim of this study was to determine the relationship between anthropometric measures and steep cornea.Participants from the 1999 to 2008 US National Health and Nutrition Examination Survey visual examination were included (20,165 subjects). Cases had a mean dioptric power, averaged across the meridians, ≥ 48.0 diopters (n = 171). Separate multivariable models assessed body mass index, height, and weight in relation to steep cornea. Analyses included both overall and sex-stratified populations.A relationship between BMI and steep cornea in the overall population was not detected ( P for trend = 0.78). There was a strong inverse relationship between height (adjusted for weight) and steep cornea in the overall population ( P for trend <0.0001) and in women ( P for trend <0.0001). For every 1-inch increase in height, there was a 16% reduced odds of steep cornea in the overall population (OR, 0.84; 95% CI: 0.77-0.92). A relationship between weight and steep cornea was not detected in the overall population (P for trend = 0.79).Greater height was associated with a lower risk of steep cornea.