Evidence map›Paper›PMID 41709454›Full record

ArticleCell reports2026

Human accommodative visuomotor function is driven by contrast through ON and OFF pathways and is enhanced in myopia.

Urusha Maharjan, Hamed Rahimi-Nasrabadi, Sabina Poudel, Farzaneh Olianezhad, Jianzhong Jin, Mitchell W Dul, Jose-Manuel Alonso

Abstract read
In one paragraph

Article in Cell reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Mesopic Illumination in Natural Environments: Implications for Myopia Research.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Urusha MaharjanDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA.
Hamed Rahimi-NasrabadiDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA; Laboratory of Neural Systems, The Rockefeller University, New York, NY 10065, USA.
Sabina PoudelDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA; Center for Visual Science, University of Rochester, Rochester, NY 14642, USA.
Farzaneh OlianezhadDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA.
Jianzhong JinDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA.
Mitchell W DulDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA.
Jose-Manuel AlonsoDepartment of Biological and Vision Sciences, SUNY Optometry, New York, NY 10036, USA. Electronic address: jalonso@sunyopt.edu.

Funding

STUDIES OF THE VISUAL SYSTEMR01EY005253 · NEI · UNIVERSITY OF CONNECTICUT STORRS · PI ALONSO, JOSE MANUEL · 1985 to 2025
$9.6M
NEI NIH HHS R01 EY005253
6 · The paper itself

Abstract

The human eyes are continuously adjusting refractive power, vergence angle, and pupil diameter when exploring the visual environment. Adjustment errors in these visuomotor functions reduce the stimulus contrast driving ON and OFF retinal pathways, and ON retinal pathways become weaker, slower, and less sensitive in refractive disorders such as myopia. Here, we demonstrate that, in addition to these sensory deficits, myopes also have deficits in visuomotor functions driven by ON and OFF pathways during lens accommodation. We show that humans with myopia have excessive accommodative eye vergence with reduced ON pathway dominance and excessive accommodative pupil constriction. The excessive accommodative pupil constriction that we demonstrate could potentially weaken ON pathway responses and cause ON pathway deficits. This mechanism could explain why myopia increases with activities that maximize accommodative pupil constriction, such as near work, and decreases with activities/treatments that reduce it, such as outdoor activity, atropine, positive defocus, and low contrast. VIDEO ABSTRACT.

Indexed as

Accommodation, OcularMyopiaVisual PathwaysAdultFemaleHumansMalePupilYoung AdultaccommodationCP: neuroscienceeye axial lengtheye growthilluminationnearsightednesspupilretinathalamocorticalthalamusvisual cortex

Identifiers

PMID41709454
PMCPMC13036644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.