This study demonstrates significant differences between the area of complete spatial summation (Ricco's area, RA) in eyes with and without non-pathological, axial myopia. Contrast thresholds were measured for six stimuli (0.01-2.07 deg 2) presented at 10º eccentricity in 24 myopic subjects and 20 age-similar non-myopic controls, with RA estimated using iterative two-phase regression analysis. To explore the effects of axial length-induced variations in retinal image size (RIS) on the measurement of RA, refractive error was separately corrected with (i) trial lenses at the anterior focal point (near constant inter-participant RIS in mm), and (ii) contact lenses (RIS changed with axial length). For spectacle corrected measurements, RA was significantly larger in the myopic group, with a significant positive correlation also being observed between RA and measures of co-localised peripheral ocular length. With contact lens correction, there was no significant difference in RA between the groups and no relationship with peripheral ocular length. The results suggest RA changes with axial elongation in myopia to compensate for reduced retinal ganglion cell density. furthermore, as these changes are only observed when axial length induced variations in RIS are accounted for, they may reflect a functional adaptation of the axially-myopic visual system to an enlarged RIS. Myopia is a common refractive condition, whereby the axial length of the globe is too great for its optical power. Whilst the optical refractive error of myopia can be corrected using spectacles or contact lenses, the axial elongation of the myopic eye can markedly increase the risk of sight-threatening conditions such as retinal detachment 1 , glaucoma 2 , and myopic macular degeneration 3. In the absence of such pathological processes it has also been demonstrated that the globe elongation that occurs in myopia can lead to secondary peripheral retinal thinning 4-6 , in addition to a reduction in the density of both photoreceptors 7-9 and retinal ganglion cells (RGCs) 10,11. Deficits in visual function have also been reported in the myopic, but otherwise healthy, visual system. Numerous studies have objectively investigated retinal function in myopia through measurement of standard electroretinograms (ERG) 12,13 pattern ERG 14 and multifocal ERG 4,13,15. These studies have revealed altered responses in myopes, including reductions in amplitude 12-14 and longer implicit times 4,13,15. Other studies have reported reductions in function when examined using clinical tests of visual acuity 16,17 , peripheral resolution acuity 4,18,19 , and contrast sensitivity 20. It may be hypothesized that changes in visual function observed in non-pathological myopia may be accounted for by reductions in the local density of retinal neurons (e.g., RGCs) and corresponding alterations in the basic visual process of spatial summation. This refers to the ability of visual system to integrate light energy over area and serves to maximize the detection of a signal in the presenc...