Near work The first suspicion that near work contributes to myopia was raised by Kepler in 1611, confirmed by Tscherning in 1882, and later has been consistently demonstrated (Curtin,1985: Owens, 1991). Several epidemiological studies, examined the association between myopia and near work and have shown positive finding with some studies (Ip JM et al.2008: Jones-Jordan LA et al.2011: French AN et al. 2013: Gong Y et al. 2014) and others studies, reported no relationship (Jones-Jordan LA et al.
2012: Lin Z et al. 2014). Near work appears to be associated with myopia among children in Australia and Caucasia (Mutti DO et al. 2002: Ip JM et al.
2008) but were not significantly associated with the prevalence of myopia in Singaporean children(Saw SM et al. 2006). The Sydney Myopia Study (SMS) which had a stratified random sample for two group of children aged 6 and 12 respectively, , they found that children who spent time in reading more than half an hour continuously were more likely to have rapid progression of myopia compared to those who read for less than half an hour continuously. Furthermore, children who performed near-tasks at distance less than 30 cm were 2.5 times more likely to have myopia than those who worked at a longer distance. Similarly, children who enjoy reading for a long time and those who read at a distance > 30 cm were more likely have a higher degree of myopia (Ip JM, Saw SM et al.
2008). The Singapore coherent of risk factor of myopia (SCORM) shown that children who read more than two books per week were around three times more likely to have higher myopic refraction compared with those who read less than two books per week.( Saw SM et al.
2002: Saw SM et al. 2006). In contrast, several studies have reported that correlations between near work and myopia are not significant and consistent as those between education and myopia(Mutti DO et al.2009).However, associations with near work are frequently reported, and a recent meta-analysis has provided evidence that there is a strong association between near work and myopia(Huang HM et al. 2015).Public health organization measures are necessary such as that teachers and parents take attention of the potential for urging students to develop good near work related behaviors to inhibit the onset and progression of myopia.