Question A : Which treatment strategy would you consider most appropriate for this patient, taking into account the clinical profile and previous experience?

Myopia-control spectacle lenses

Dual-focus soft contact lenses

Orthokeratology

0.01% atropine monotherapy

Question B : Which finding would provide the strongest evidence that treatment is effectively controlling myopia progression?

Stable visual acuity

Minimal change in spherical equivalent

Axial elongation below the expected rate for an untreated myopic child of the same age and ethnicity

Axial length within the normal range for age)

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