Myopia, or nearsightedness, manifests and progresses through different stages in children, often influenced by a combination of genetic, environmental, and behavioral factors. In the early stages, myopia may be mild, with children experiencing slightly blurred vision when looking at distant objects. This stage typically emerges in school-aged children, who may begin squinting or showing difficulty in seeing the blackboard clearly. Research indicates that early detection and intervention are crucial in managing myopia and potentially slowing its progression. As children grow, the progression of myopia can accelerate, particularly during the rapid growth phases of adolescence. The elongation of the eyeball characterises this progression, leading to increased myopia. Studies, such as the one conducted by Jones-Jordan et al. (2010) in the “Journal of Ophthalmology,” highlight the significance of outdoor activity in reducing myopia progression. The exposure to natural light and a break from close-up tasks are believed to be beneficial. In severe stages, myopia can lead to high myopia, which significantly increases the risk of ocular health issues, including retinal detachment, glaucoma, and cataracts. Advanced myopia requires more aggressive wellness treatment programmes, including specialised corrective lenses. The impact of myopia at different stages in children underscores the importance of regular eye examinations and adopting preventive measures. Integrating findings from research, such as the protective effects of outdoor activities and the potential of orthokeratology and low-dose atropine treatments (Chen et al., 2015, “British Journal of Ophthalmology”), into clinical practice can help mitigate the progression of myopia in children. Smart Vision wellness strategies emphasise the need for a proactive approach to eye health, focusing on early detection, lifestyle adjustments, and appropriate interventions to prevent, manage and control myopia effectively from childhood through adolescence.