I think it is a valid question, as our eyes are naturally designed to be strained the least when looking far away in a distance. The closer the object is to our eyes, the more we need to strain our eye muscles to focus and get a sharp picture.
I guess we will need to see how it goes when/if these devices go really mainstream and we start getting more user feedback.
When I get tired looking at my iPhone, iPad, laptop, TV, I can easily change the distance between my eyes and the device. This is obviously not the case with Vision Pro, unless Apple use a more advanced distance adaptive tech.
They could, for example, move perceived objects closer or further away from our eyes, similar to what happens during the optician’s tests when we stare at that colourful flying balloon, shifting closer and further away. I believe this is an actual test for myopia.
We shall see (no pun intended).