目的了解不同类型斜视中屈光状态分布规律,及与各类斜视成因的相关性。方法对2001～2002年在我院行手术治疗的473例斜视患儿均在睫状肌麻痹下行屈光检查,采用Bagolini线状镜选取非注视眼作为研究对象。结果共同性内斜视中远视与远视散光最多(91.30%),与其他类型斜视差异有显著性。近视与近视散光在共同性外斜视中略多于其他两类斜视(44.16%),但特征不显著。弱视眼在共同性内斜视及非共同性斜视中明显多于共同性外斜视,依次为31.68%、43.21%和14.72%。结论因远视引起的调节因素应为共同性内斜视的主要发病因素之一,而屈光因素引起的调节与辐辏失调与共同性外斜视的产生关系不甚密切。斜视患者屈光状态的检查对有效改善眼位并最终建立正常视功能有重要意义。 Objective To understand the distribution of refractive status in different types of strabismus and the correlation with various causes of strabismus. Methods 473 cases of children with strabismus treated surgically in our hospital from 2001 to 2002 were examined by ciliary muscle paralysis and Bagolini line mirror was used to select non-eyes as research object. Results Common esotropia and farsighted hyperopia hyperopia astigmatism (91.30%), and other types of strabismus significant differences. Myopia and myopic astigmatism in the common exotropia slightly more than the other two types of strabismus (44.16%), but the characteristics are not significant. Amblyopic eyes in the common esotropia and non-common strabismus were significantly more than the common exotropia, followed by 31.68%, 43.21% and 14.72%. Conclusions The adjustment factors due to hyperopia should be one of the main risk factors for common esotropia, while the adjustment caused by refractive factors is not closely related to the occurrence of common exotropia. Refractive status of strabismus patients check to effectively improve the eye position and eventually establish the normal visual function is important.