Accommodation micropsia is examined in the general context of ocular a
ccommodation as a cue for object size. The nature and limits of accomm
odation micropsia and arguments dealing with the possible contribution
of accommodation to the perception of size are reviewed. Literature o
n the anomalous myopias, the intermediate-resting hypothesis, and theo
ries of ciliary muscle innervation is examined critically in so far as
it bears on the accommodation-micropsia hypothesis. The anomalous myo
pias and evidence for the intermediate-resting hypothesis are well doc
umented, but without a mechanism for proprioceptive feedback from the
ciliary complex about the state of accommodation it can only be conclu
ded that such feedback would have to be indirect, either via the refle
x link with vergence, or possibly through the agency of efference-copy
neurones.