What should be done for children with myopia?

For children with myopia, the first step is to determine whether it is true (axial) myopia or pseudo-myopia. This requires a cycloplegic refraction examination performed at a hospital. If refractive error is detected after cycloplegia, the diagnosis is true myopia; if no refractive error is found, it is pseudo-myopia. The decision to prescribe corrective lenses depends on both the child’s refractive error and visual acuity. If the refractive error is ≤50 diopters and visual acuity remains excellent, glasses may be deferred temporarily. However, if the refractive error is ≥75 or ≥100 diopters—and uncorrected vision is significantly reduced—corrective lenses are recommended. Regular vision assessments are essential: visual acuity should be checked each semester, and repeat cycloplegic refraction may be necessary when clinically indicated.