Inclusion Criteria:  Previously a successfully completed participant in the CYPRESS study (NCT03623074) and having not exited this study for more than 30 days; Agree to wear the assigned spectacles constantly except for sleeping, swimming, or other activities in which spectacle wear would be dangerous or otherwise not possible (minimum of 10 hours per day); Willingness to participate in the trial for up to 3 years without contact lens wear; The subject's parent(s) or legal guardian(s) must read, understand and sign the Statement of Informed Consent and receive a fully executed copy of the form.  Exclusion Criteria:  Known allergy to proparacaine, tetracaine, or tropicamide.