The claim that "aggressive prescriptions reduce eye strain or encourage atrophy" lacks direct evidence in the research provided. Studies on digital eye strain (e.g., *Digital eye strain and lens-based prescribing*) suggest anti-fatigue lenses may improve comfort, but no credible source links stronger prescriptions to ocular atrophy. The mention of "aggressive" prescriptions here may conflate medical urgency (e.g., treating NAION with corticosteroids) with routine vision correction, which is a different context.

Notably, the *Endmyopia* article references "aggressive" methods causing "more blur," but this relates to vision training, not standard prescriptions. There’s no peer-reviewed evidence here confirming that corrective lenses—aggressive or not—cause atrophy. However, the conflict of interest you note (optometrists selling glasses) is valid and worth scrutinizing.

Could you clarify if your concern is about overprescription leading to dependency, or if you’ve experienced specific symptoms? Are there studies linking routine vision correction to long-term ocular changes?

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