title: Myopes show increased susceptibility to nearwork aftereffects.
abstract: OBJECTIVE
  Some aspects of accommodation may be slightly abnormal (or different) in myopes, compared with accommodation in emmetropes and hyperopes. For example, the initial magnitude of accommodative adaptation in the dark after nearwork is greatest in myopes. However, the critical test is to assess this initial accommodative aftereffect and its subsequent decay in the light under more natural viewing conditions with blur-related visual feedback present, if a possible link between this phenomenon and clinical myopia is to be considered.
  
  
  METHODS
  Subjects consisted of adult late- (n = 11) and early-onset (n = 13) myopes, emmetropes (n = 11), and hyperopes (n = 9). The distance-refractive state was assessed objectively using an autorefractor immediately before and after a 10-minute binocular near task at 20 cm (5 diopters [D]).
  
  
  RESULTS
  Group results showed that myopes were most susceptible to the nearwork aftereffect. It averaged 0.35 D in initial magnitude, with considerably faster posttask decay to baseline in the early-onset (35 seconds) versus late-onset (63 seconds) myopes. There was no myopic aftereffect in the remaining two refractive groups.
  
  
  CONCLUSIONS
  The myopes showed particularly striking accommodatively related nearwork aftereffect susceptibility. As has been speculated and found by many others, transient pseudomyopia may cause or be a precursor to permanent myopia or myopic progression. Time-integrated increased retinal defocus causing axial elongation is proposed as a possible mechanism.
authors.affiliation: Department of Vision Sciences, State College of Optometry, State University of New York, New York 10010, USA.
authors.forename: K J
authors.initials: KJ
authors.lastname: Ciuffreda
authors.forename: D M
authors.initials: DM
authors.lastname: Wallis
mesh_terms: D000065:Accommodation, Ocular; D000328:Adult; D000360:Afterimage / Q000502:physiology*; D005260:Female; D006801:Humans; D006956:Hyperopia / Q000503:physiopathology; D008297:Male; D009216:Myopia / Q000503:physiopathology*; D012029:Refraction, Ocular; D015348:Vision, Binocular; D014792:Visual Acuity