If a child with 120+ degrees of myopia is pseudomyopic, he or she does not need glasses and can be treated with medication. If a child with 120+ diopters of myopia is truly nearsighted, glasses are required. The need for glasses depends on the type of myopia, but if a child with myopia of more than 120 degrees is mildly nearsighted, the need for glasses depends on the type of myopia. If a child’s myopia of more than 120 degrees is pseudomyopia, glasses are usually not needed, and strong ciliary muscle paralyzers, such as 1% atropine and tropicamide eye drops, can be used under the guidance of a doctor, and such patients do not need to wear glasses and their vision can be restored to normal. If a child with myopia of more than 120 degrees belongs to true myopia, he or she needs to wear eyeglasses, for example, patients can wear corneal contact lenses, frames, keratoplasty lenses, etc. It is recommended that children with myopia of more than 120 degrees, parents need to bring their children to the doctor in time for examination, the doctor will determine whether the need to wear glasses according to the child’s myopia. Also pay attention to eye habits, participate in outdoor activities, and eat a balanced diet.