Abstract:AIM: To investigate the accuracy of refraction and the quality of processing in myopic college freshmen spectacles. METHODS:Refractive error and spectacle power,axial were assessed for 251 college freshmen, the position of the spectacle lens optical center were determined, the optical center of horizontal deviations and vertical deviations were calculated. RESULTS:In 251 cases of myopic freshmen, undercorrection was 95 cases (37.85%), overcorrection was 54 cases (21.51%), the full correction was 102 cases (40.64%). No significant difference existed between the low and high myopia group, the spherical equivalent differences of the low myopia and high myopia group were all greater than the moderate myopia group, but no significant difference existed in axial among three groups. The overall pass rate of the horizontal deviations of the optical center was 87.25%, and the vertical deviations was 86.85%.With the increase of the vertex power, the pass rate decreased gradually. CONCLUSION:A serious problem exists in the accuracy and quality of myopic college freshmen spectacles.Regular optometry services and a variety of ways of health education are necessary.