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Answer: This is a dual blow of environment and lifestyle. Malaysia's high urbanization means children face intense academic pressure and excessive indoor near-work (reading, online classes, social media). Simultaneously, due to the heat or safety concerns, outdoor time is severely lacking. This "indoor-centric" life deprives the retina of sunlight, which is necessary to trigger dopamine—the eye’s natural "brake" for growth. Our goal is shifting from "just providing clear vision" to "medical intervention to protect long-term eye health."