Early in life, the two eyes of infant primates normally grow in a coordinat
ed manner toward the ideal refractive state. We investigated the extent to
which lens-induced changes in the effective focus of the eye affected refra
ctive development in infant rhesus monkeys. The main finding was that spect
acle lenses could predictably alter the growth of one or both eyes resultin
g in appropriate compensating refractive changes in both the hyperopic and
myopic directions. Although the effective operating range of the emmetropiz
ation process in young monkeys is somewhat limited, the results demonstrate
that emmetropization in this higher primate, as in a number of other speci
es, is an active process that is regulated by optical defocus associated wi
th the eye's effective refractive state. (C) 1999 Elsevier Science Ltd. All
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