The invention discloses a myopia prevention and control method based on a wearable device, the wearable device and a storage medium, and relates to the technical field of wearable device.The method comprises the steps that a first image representing user eye information is collected, and a second image representing a user
cornea area in the first image is extracted; performing spherical
distortion removal
processing on the second image to obtain a target
cornea reflection image; multi-dimensional dynamic analysis is carried out on the target
cornea reflection image to obtain multi-dimensional evaluation information, and the multi-dimensional dynamic analysis comprises target object recognition, distance speculation and illumination detection; in response to the situation that the multi-dimensional evaluation information does not meet preset myopia prevention and control conditions, it is determined that the myopia risk exists, preset prompt information for prompting the user that the myopia risk exists is output, and the preset myopia prevention and control conditions comprise at least one of the
fixation time condition, the fixation distance condition and the illumination intensity condition. According to the method, the hardware cost of the wearable equipment is not increased, and meanwhile, accurate myopia prevention and control are realized.