Not as issue for me at the moment, but might be for people considering high resolution monitors - e.g. 4K
Unless I am mistaken, Access works on the basis of 96 DPI, so for images to be shown actual size, the monitor would also need to be 96 DPI.
So, if you have a large form (say 20 inches in height) on which you want to place images in actual size using positioning in VBA, that is OK on a smaller resolution monitor (with suitable scaling to get the images to show actual size based on the real DPI of the monitor).
Now, let us say you move to a high resolution monitor (for convenience say 192 DPI), the images will be half actual size. To get them to show real size again, you need to apply a scaling factor of 2 to all measurements (whether TWIPS or inches).
So the form is now 40 inches in height, which will cause the program to crash as it exceeds the 22 inch limit for forms.
It seems to me that on a 4k monitor (without any Windows scaling applied), the height of any form in real terms will be limited to about 11 inches, so the idea of scrolling down a page would be meaningless.
Surely this is going to be a real problem when 4k monitors become the norm, unless Access is changed to allow a much larger form size, or Access is modified to work at a default higher DPI.
I know people will say you should use tabbed forms and not scroll long pages, but sometimes having a large form that you can scroll down is exactly what you want. I have that on one of my applications for personal use that has a large number of items shown actual size on a long form. Scrolling up and down is much simpler than having the complication of splitting the items in several tabs.
If any of the information I have included here is incorrect, no doubt someone will correct me. May be there are options in access that I don't know about yet.