In a myopic eye, central vision may be well corrected, but relative peripheral hyperopic defocus continues to stimulate axial elongation. The retina interprets this as a cue to grow, and myopia progresses. Clinical pearls: • Correcting central refractive error alone does not address the peripheral growth signal. • Strategies that create peripheral myopic defocus can slow axial elongation during the most active growth years. Understanding where light focuses matters just as much as how clearly pa

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