Myopia management is best performed as early as possible. The first step for every parent is to book their child for an eye examination at least by the age of 6. Myopia usually starts between the ages of 8-12 years. But research shows that if your child is slightly farsighted at age 6 then he or she could become myopic. The current optical prescription and any family history of myopia, may lead your practitioner to term your child as having pre-myopia. If your child is pre-myopic, then at least one to two hours a day of outdoor activity is recommended, and you should limit non-school related close work to less than 2 hrs a day. Children should also be encouraged to perform near activities at least 30cm away. Once your child is found to be myopic, even if it is a small amount, you should consider specially designed myopia management spectacles or contact lenses. It is important to recognize that the aim of treatment is not to stop myopia but to slow it down so that risk of your child developing medical conditions related to myopia, is reduced. In summary, the best time to perform myopia management treatment is as soon as your child is myopic, however, if your child is already myopic and less than 16, then myopia management is still recommended. The reason being that for every 1 unit reduction in myopia there is a 40% reduction in the risk of developing myopic macular degeneration.