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modern variation and evolutionary change in the hominin eye orbit

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models fall short of expla<strong>in</strong><strong>in</strong>g why myopia is so common, <strong>and</strong> consistently found tocorrelate with variables like ancestry, sex, <strong>in</strong>telligence, <strong>and</strong> socioeconomic status. Twocommonly cited explanations for this type of refractive error are <strong>the</strong> biological <strong>the</strong>ory <strong>and</strong><strong>the</strong> use-abuse or near-work model (Angle & Wissman, 1980; Corda<strong>in</strong> et al. 2002; Miller,2000; Qu<strong>in</strong>n et al. 1999; Saw et al. 2002).The near-work hypo<strong>the</strong>sis ascribes myopia progression to <strong>the</strong> permanentmalformation of <strong>the</strong> <strong>eye</strong>ball caused by muscles tens<strong>in</strong>g dur<strong>in</strong>g regular use throughout an<strong>in</strong>dividual’s lifetime. Evidence to support this hypo<strong>the</strong>sis generally comes from <strong>the</strong>higher rate of myopia among more <strong>in</strong>telligent people <strong>and</strong> those <strong>in</strong> higher socioeconomicclasses. In this model it is presumed that <strong>in</strong>telligence is <strong>the</strong> result of read<strong>in</strong>g throughoutlife, <strong>and</strong> that this act causes <strong>the</strong> muscles to tighten <strong>and</strong> distort <strong>the</strong> <strong>eye</strong>ball, however it hasyet to be shown how convergence <strong>and</strong> <strong>eye</strong> stra<strong>in</strong> can permanently alter <strong>the</strong> shape of ahuman <strong>eye</strong>ball (Angle & Wissmann, 1980).Ano<strong>the</strong>r problem with this model relates to <strong>the</strong> ambiguous relationship betweencorrelation <strong>and</strong> causality <strong>in</strong> observational studies, <strong>and</strong> with reference to <strong>the</strong> near-workhypo<strong>the</strong>sis it cannot be known whe<strong>the</strong>r read<strong>in</strong>g produces myopia over time as assumedby <strong>the</strong> near-work camp, or ra<strong>the</strong>r if myopes read more because of an overall greater thirstfor knowledge associated with a pre-exist<strong>in</strong>g higher level of <strong>in</strong>telligence (Mak et al.2005; Miller, 2000; Saw et al. 2004; WGMPP, 1989).A f<strong>in</strong>al objection to <strong>the</strong> use-abuse/near-work model is that it doesn’t account forwhy some <strong>in</strong>dividuals, who do as much or more read<strong>in</strong>g as o<strong>the</strong>r members of <strong>the</strong> samegroup, do not develop myopia. If near-work were a primary contributor to <strong>the</strong>development of near-sightedness, <strong>the</strong>n any highly literate population should be affected25

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