When a child first says they can't see clearly, the first thing is not to rush to get glasses! It may be "pseudomyopia"!

Especially for a child whose vision decline is detected for the first time, it is very likely due to excessive near work causing ciliary muscle spasm, which appears like myopia. If glasses are prescribed at this point, it may actually turn the "false" into "true"!

✅ So, what is the correct first step?

Go to ophthalmology for a cycloplegic refraction!

Only after cycloplegia can you distinguish whether the child has true myopia or pseudomyopia, and thereby establish the correct intervention plan.

What exactly needs to be examined?

Cycloplegic refraction: to obtain the child's true refractive error.

Measure intraocular pressure and examine the fundus: to rule out other ocular diseases.

Measure axial length: this is the "gold standard" for assessing the rate of myopia progression; recheck every six months to one year thereafter to directly observe the control effect.

After the test results are available, there are three scenarios:

If it is pseudomyopia: Fortunately! With measures such as increasing outdoor activities, reducing near work, and using eye drops that relax accommodation, recovery is highly possible.

If it is true myopia: Only then is intervention necessary. But intervention ≠ simply prescribing a pair of glasses. Depending on prescription, age, etc., we will discuss a plan together, for example:

Conventional framed spectacles

Orthokeratology (OK lenses): Worn at night, providing clear vision during the day and effectively slowing myopic progression.

Defocus glasses/contact lenses: Likewise a mainstream method for controlling myopia progression.

Hope every child can have a bright, clear "vision"! If you find this useful, remember to like and save it~