目的了解儿童视力正常眼的屈光状态及其意义。方法儿童视光门诊中远近视力≥1.0的3～14岁儿童459名544只眼,均用1%阿托品眼膏散瞳,每晚涂眼一次,一周后由固定专职人员验光,记录结果。结果视力正常眼的屈光状态可见有远视、正视、近视和混合散光,其中远视420只眼,占77.2%;正视72只眼,占13.2%;近视30只眼,占5.5%;混合散光22只眼,占4.0%。表现有散光者309只眼,占56.8%。结论儿童视力正常眼不等于屈光正常,有必要进行静态屈光检查,了解基础屈光,发现潜在问题,预测视力与屈光的发展趋势,为早期干预提供依据。 Objective To understand the refractive status of children with normal vision and its significance. Methods 459 eyes of 544 children aged 3-14 years with visual acuity of 1.0 or above were enrolled in this study. Each pupil was doused with 1% atropine eye ointment and the eye was smeared once a night. The results were recorded by a fixed full-time staff one week later. Results There were hyperopia, orthopnea, myopia and mixed astigmatism in the refractive status of normal eyes. Among them, 420 eyes were hyperopia, accounting for 77.2%; 72 eyes were positive, accounting for 13.2%; 30 eyes were myopia, accounting for 5.5%; mixed astigmatism 22 Eye, accounting for 4.0%. 309 eyes showed astigmatism, accounting for 56.8%. Conclusion Children with normal visual acuity are not equal to normal refractive, there is a need for static refraction to understand the basis of refractive errors, to identify potential problems, prediction of visual acuity and refractive development trends, provide the basis for early intervention.