Article Text

Download PDFPDF
Original article
Axial elongation following prolonged near work in myopes and emmetropes
  1. Emily C Woodman,
  2. Scott A Read,
  3. Michael J Collins,
  4. Katherine J Hegarty,
  5. Scott B Priddle,
  6. Josephine M Smith,
  7. Judd V Perro
  1. Contact Lens and Visual Optics Laboratory, School of Optometry, Queensland University of Technology, Brisbane, Australia
  1. Correspondence to Miss Emily C Woodman, Queensland University of Technology, Contact Lens and Visual Optics Laboratory, School of Optometry, Victoria Park Road, Kelvin Grove 4059, Australia; e.woodman{at}


Background/aims To investigate the influence of a period of sustained near work upon axial length in groups of emmetropes (EMM) and myopes.

Methods Forty young adult subjects (20 myopes and 20 emmetropes) were recruited for the study. Myopes were further classified as early onset (EOM), late onset (LOM), stable (SM) or progressing (PM) subgroups. Axial length was measured with the IOLMaster instrument before, immediately after and then again 10 min after a continuous 30 min near task of 5 D accommodation demand. Measures of distance objective refraction were also collected.

Results Significant changes in axial length were observed immediately following the near task. EOM axial length elongated on average by 0.027±0.021 mm, LOM by 0.014±0.020 mm, EMM by 0.010±0.015 mm, PM by 0.031±0.022 mm and SM by 0.014±0.018 mm. At the conclusion of the 10 min regression period, axial length measures were not significantly different from baseline values.

Conclusion Axial elongation was observed following a prolonged near task. Both EOM and PM groups showed increases in axial length that were significantly greater than emmetropes.

  • Myopia
  • accommodation
  • near work
  • axial elongation
  • optics and refraction

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

  • Ethics approval Ethics approval was provided by the Queensland University of Technology Human Research Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.