目的：探讨单眼弱视儿童的治疗效果及影响疗效的主要因素。方法186例来我院就诊的单眼弱视患儿，年龄4~15岁，平均7.5岁，每半年至1年用1％阿托品凝胶散瞳验光1次，配镜后做弱视训练，综合治疗一年，分析影响其疗效的主要因素。结果基本治愈122例(65.60%)、进步53例(28.50%)、无效11例(5.91%)。结论单眼儿童弱视经过积极治疗是可以治愈的，其疗效与年龄、弱视程度、是否中心注视、弱视类型等主要因素密切相关。“,”Objective To investigate the therapeutic effect and its main influence factors of monocular ambly-opia in children. Methods 186 children with monocular amblyopia from 4 ~15 years old were scattered pupils with 1%atropine per 6 month to one year, had retinoscopy optometry and amblyopic training after glasses, and then were ob-served their treatment effects. Results 122 children were cured (65.60%) , progress in 53 cases (28.50%) , invalid in 11 cases ( 5.91) . Conclusions Monocular amblyopia in children after active treatment can be cured . The main factors connecting with the therapeutic effect is age of children, degree of amblyopia, fixation type and amblyopic type.