目的 :了解屈光不正儿童屈光发育变化的规律。方法 :眼科初诊病例 ,经常规检查 ,无眼部器质性病变或显斜者 ,用 1%阿托品眼膏进行睫状肌麻痹视网膜检影验光后 ,选择 3～ 10岁屈光不正儿童进行 3年追踪观察。每年验光一次。结果 :3年来的主要表现为远视等效球镜值增加 ,球镜度减少 ,远视散光明显增多P <0 0 1。结论 :屈光不正的儿童 ,其屈光度及屈光状态不是一成不变的 ,为了确保儿童斜视弱视的治疗 ,在对屈光不正儿童处方配镜时 ,要重视追踪管理 ,散光和屈光参差的不稳定性必须给以考虑 ,不能像成人那样多年使用一付眼镜 Objective: To understand the law of refractive development in children with refractive errors. Methods: The first cases of ophthalmology, routine examination, no ocular organic lesions or significant Oblique, with 1% atropine eye ointment for cycloplegic retinal retinal optometry, choose 3 to 10 years old children with refractive errors 3 Year follow-up observation. Optometry once a year. Results: The main manifestations in the past three years were hyperopia equivalent spherical magnification, decreased spherical magnification, and hyperopia astigmatism significantly increased (P <0.01). Conclusion: The refractive and refractive status of children with refractive errors are not static. To ensure the treatment of children with strabismus and amblyopia, attention should be paid to the management of tracking, unstable astigmatism and anisometropia when prescribing glasses to children with refractive errors Sex must be given consideration, not to use a pair of glasses for years as adults do