Core Viewpoint - The "Expert Consensus on Early Management of Myopia in China (2025)" emphasizes the need for systematic management of pre-myopic children, highlighting new strategies such as ensuring adequate sleep and using high-aspheric non-spherical lenses [1][2]. Group 1: Definition and Importance of Pre-Myopia - The consensus defines pre-myopia as a transitional stage where the refractive state is drifting towards myopia but does not meet the diagnostic criteria for myopia [2][3]. - Key indicators for diagnosing pre-myopia include a ciliary muscle paralysis refraction test showing a hyperopic reserve below age-specific thresholds and an equivalent spherical lens power between -0.50D and +0.75D [2][3]. Group 2: Management Strategies - The consensus advocates for a multi-dimensional management approach, focusing on behavioral interventions such as increasing outdoor activities (over 2 hours daily), maintaining proper reading posture, and limiting screen time [4]. - For high-risk pre-myopic children, the use of specially designed optical glasses is recommended, with studies indicating that wearing high-aspheric non-spherical lenses for over 30 hours a week can slow down axial elongation [4]. Group 3: Pharmacological Management - The consensus mentions that 0.01% to 0.05% atropine eye drops can reduce the incidence of myopia, with recent approvals for higher concentrations (0.02% and 0.04%) in China, marking a step towards personalized myopia management [5]. - These higher concentrations are suitable for children aged 6 to 12 with myopia progression between -1.00D and -4.00D, but usage should be under medical guidance due to potential side effects [5]. Group 4: Monitoring and Follow-Up - Regular monitoring is crucial, with low-risk groups recommended to have check-ups every six months and high-risk groups every three months, especially during periods of increased visual load or vision fluctuations [6].

Core Viewpoint - The "AI Mingmu - Eye Protection Action" for the prevention and control of myopia in children and adolescents has been launched in Shanghai, aiming to address the rising prevalence of myopia among youth in China [1][2]. Group 1: Action Overview - The initiative is led by the National Clinical Research Center for Eye Diseases and involves a large-scale, multi-center prospective cohort study across various medical institutions [2]. - The study will utilize new smart glasses to objectively monitor compliance with myopia prevention glasses, eye behavior, and environmental factors, providing comprehensive solutions and dynamic management for individuals [2]. - The project aims to enhance the effectiveness of myopia prevention strategies through quantitative data analysis and evidence-based research [2]. Group 2: Conference and Expert Collaboration - The third Bright China 2025 Myopia Prevention Conference was held in Shanghai, gathering over 150 experts from ophthalmology, optometry, public health, and education to share experiences and contribute to the high-quality development of myopia prevention [2]. - An expert group for visual health (myopia prevention) was officially established during the conference, led by the Chinese Preventive Medicine Association, with a diverse team of specialists from various fields [3][4]. Group 3: Project Implementation and Results - The Shanghai Eye Disease Prevention Center initiated a project as part of the city's public health system enhancement plan, focusing on a comprehensive management model for myopia [3]. - The project has covered 30 primary schools and 15,000 children aged 6-11, showing a relative decrease in the incidence of myopia and a delay in the progression of eye axis length over six months [3]. - The project has received national recognition and is preparing for the next phase of public health initiatives to promote intervention strategies [3]. Group 4: Expert Consensus and Future Directions - The conference released the "Expert Consensus on Early Management of Myopia in Children and Adolescents," emphasizing the need for further research into emerging techniques and collaboration among families, schools, and medical professionals [4][5]. - The consensus identifies high-risk groups for myopia and promotes early detection and intervention strategies [5]. - Eight exemplary units were awarded standardized myopia prevention spaces, which will serve as critical hubs for visual health initiatives for children and adolescents [5].