※ この情報はOffice 2010 Public Beta版を元にしています。製品版では変更になる可能性がありますのでご注意ください。
下記「CompactAndRepairDatabase」プロシージャを実行することで、現在開いているデータベース自身を最適化できます。
                    Option Explicit
                    Option Compare Database
                    
                    Private Declare Function AccessibleChildren Lib "oleacc" (ByVal paccContainer As IAccessible, ByVal iChildStart As Long, ByVal cChildren As Long, ByRef rgvarChildren As Any, ByRef pcObtained As Long) As Long
                    Private Declare Function AccessibleObjectFromWindow Lib "oleacc" (ByVal hWnd As Long, ByVal dwId As Long, riid As Any, ByRef ppvObject As IAccessible) As Long
                    Private Declare Function IIDFromString Lib "ole32" (ByVal lpsz As Long, lpiid As Any) As Long
                    
                    Private Const CHILDID_SELF = 0&
                    Private Const OBJID_CLIENT = &HFFFFFFFC
                    Private Const ROLE_SYSTEM_PANE = &H10
                    Private Const ROLE_SYSTEM_PUSHBUTTON = &H2B
                    
                    Public Sub CompactAndRepairDatabase()
                      Dim accApp As IAccessible
                      Dim accBackstage As IAccessible
                      Dim accBtnCompactAndRepair As IAccessible
                      Dim accBtnFile As IAccessible
                      Dim accRibbon As IAccessible
                      Dim IID(0 To 3) As Long
                      
                      Set accRibbon = Application.CommandBars("Ribbon")
                      Set accBtnFile = GetAcc(accRibbon, "ファイル タブ", ROLE_SYSTEM_PUSHBUTTON)
                      If accBtnFile Is Nothing Then Exit Sub
                      Call accBtnFile.accDoDefaultAction(CHILDID_SELF) 'ファイルタブボタンクリック
                      DoEvents
                      
                      Call IIDFromString(StrPtr("{618736E0-3C3D-11CF-810C-00AA00389B71}"), IID(0))
                      If AccessibleObjectFromWindow(Application.hWndAccessApp, OBJID_CLIENT, IID(0), accApp) <> 0& Then Exit Sub
                      Set accBackstage = GetAcc(accApp, "Backstage ビュー", ROLE_SYSTEM_PANE) 'Backstage
                      If accBackstage Is Nothing Then Exit Sub
                      Set accBtnCompactAndRepair = GetAcc(accBackstage, "データベースの最適化/修復", ROLE_SYSTEM_PUSHBUTTON)
                      If accBtnCompactAndRepair Is Nothing Then Exit Sub
                      Call accBtnCompactAndRepair.accDoDefaultAction(CHILDID_SELF) 'データベースの最適化/修復ボタンクリック
                    End Sub
                    
                    Private Function GetAcc(myAcc As IAccessible, myAccName As String, myAccRole As Long) As IAccessible
                      Dim ReturnAcc As IAccessible
                      Dim ChildAcc As IAccessible
                      Dim List() As Variant
                      Dim Count As Long
                      Dim i As Long
                      
                      If (myAcc.accState(CHILDID_SELF) <> 32769) And _
                         (myAcc.accName(CHILDID_SELF) = myAccName) And _
                         (myAcc.accRole(CHILDID_SELF) = myAccRole) Then
                        Set ReturnAcc = myAcc
                      Else
                        Count = myAcc.accChildCount
                        If Count > 0& Then
                          ReDim List(Count - 1&)
                          If AccessibleChildren(myAcc, 0&, ByVal Count, List(0), Count) = 0& Then
                            For i = LBound(List) To UBound(List)
                              If TypeOf List(i) Is IAccessible Then
                                Set ChildAcc = List(i)
                                Set ReturnAcc = GetAcc(ChildAcc, myAccName, myAccRole)
                                If Not ReturnAcc Is Nothing Then Exit For
                              End If
                            Next
                          End If
                        End If
                      End If
                      Set GetAcc = ReturnAcc
                    End Function
                
            
            ※ 上記コードを実行する前に「system32」フォルダ内の「oleacc.dll」ファイルを参照する必要があります。