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Paediatric ophthalmology

Myopia control in children: what parents can do

Short-sightedness in children is rising in Malaysia. Learn the signs, the role of outdoor time, and the treatments that can slow myopia progression.

Medically reviewed by Dr. Seow Shu Yee · 2 min read
A child reading the letter chart during an eye test

Myopia, or short-sightedness, makes distant objects look blurry. It is becoming more common in children, often starting in primary school and getting worse as they grow. Higher myopia in adulthood raises the risk of eye problems later in life, so slowing it in childhood is worthwhile.

Signs your child may be short-sighted

What to look for

Children rarely complain about blurry vision because they think it is normal. Look for squinting at the board or television, sitting very close to screens, holding books near the face, headaches, rubbing the eyes, or falling behind in class.

Why myopia gets worse

Genes and lifestyle

Children with one or both parents who are short-sighted are more likely to develop myopia. Lifestyle also plays a part: long hours of close work and little time outdoors are linked to myopia starting earlier and progressing faster.

Everyday habits that help

Time outdoors

Spending around two hours a day outdoors in daylight is associated with a lower chance of developing myopia. Outdoor play, walks and sport all count.

Breaks from close work

Encourage regular breaks during reading and screen use: every 20 to 30 minutes, look at something far away for 20 seconds. Keep books and devices at a comfortable distance and use good lighting.

Treatments to slow progression

Low-dose atropine drops

Low-dose atropine eye drops, used at bedtime, can slow the progression of myopia in many children. Your doctor will monitor your child for side effects such as light sensitivity.

Special lenses

Myopia control spectacle lenses, specially designed soft contact lenses and orthokeratology lenses worn overnight are other options. The right choice depends on your child’s age, prescription and daily routine.

Frequently asked questions

At what age should my child have an eye check?

A full eye examination before starting primary school is a good idea, then yearly, or sooner if you notice signs of poor vision.

Do glasses make myopia worse?

No. Wearing the correct glasses does not worsen myopia. Uncorrected blurry vision can affect learning and comfort.

Can myopia be reversed?

Myopia cannot be reversed, but treatment and healthy habits can slow how fast it progresses during childhood.

Medically reviewed by

Dr. Seow Shu Yee

Consultant Ophthalmologist · ISEC KL · reviewed 23 Oct 2026

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This article is general information and does not replace a consultation. Every eye is different: please see an eye doctor about your own symptoms and treatment.

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The articles on this site are general eye-health information, reviewed by ISEC KL ophthalmologists. They do not replace a consultation, a diagnosis or treatment. For an eye emergency, please go to the nearest emergency department.

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