• Our understanding of the pathogenesis and etiology of myopia continues to evolve, and with it, various interventions that prevent or slow the progression of myopia. These include the use of bifocal spectacles, peripheral defocus spectacles and contact lenses, orthokeratology contact lenses, atropine and environmental interventions. • With various interventions available for myopia control, understanding the effectiveness, safety profile and cost of each intervention can aid the clinician in making collective decisions with patients and their families on the most appropriate intervention for each child. • An atropine-based protocol for the treatment of myopia developed based on evidence from studies collected thus far is discussed. This includes assessment of risk factors for myopia progression, factors to consider when starting atropine, monitoring response to atropine treatment and factors to consider before cessation of treatment. • It is important that there is continued assessment of the long-term effect and value of these treatments in preventing high myopia and its associated complications.