A myopia management consultation is not like a regular eye examination. Your eye care-professional will assess the optical prescription in the normal manner and then evaluate the way both eyes work together at distance and near. Your practitioner will also assess whether your child focusses accurately at near. This can be performed manually or using an open field auto-refractor. Children who over-converge or under-focus may be better managed with specific spectacle lens designs. In addition, the first consultation will involve putting drops into the eyes which will temporarily prevent the lens inside the eye from focussing. This helps to calculate an accurate optical prescription at base line so that prescription changes can be monitored. If available, your eye-care practitioner will measure the length of the eye using optical interferometry. This no-touch technology is at least 5 times more sensitive to detecting myopia progression than changes in the optical prescription. Measuring the length of the eye is invaluable in follow-up appointments to accurately measure the effect of treatment over time. Finally, your practitioner will show you how changes to the optical prescription and eye growth have changed over time before and after treatment. These charts also predict future changes by considering risk factors such as the age of your child, parental myopia, amount of near work, time outdoors as well as the current distance prescription and length of the eye. Your practitioner will closely monitor the effect of treatment options and it is not uncommon to switch from one treatment to another or even offer multiple treatments at the same time such as spectacle lenses, contact lenses and drops.