方法：对我院进行验光的500例1 000眼屈光不正儿童相关资料进行分析，患儿首先进行电脑验光，然后使用10g/L硫酸阿托品眼用凝胶滴眼，3d后分别进行电脑验光和检影验光，比较两种验光效果。

结果：近视性屈光不正电脑验光组球镜度数为2.70±2.75DS、柱镜度数为1.54±1.10DC，均低于检影验光组(P<0.05)； 两组轴位差异不显著(P<0.05)； 远视性屈光不正电脑验光组球镜度数为-2.35±2.18DS、柱镜度数为-1.50±1.15DC，低于检影验光组(P<0.05)； 两组轴位差异不显著(P>0.05)； 散瞳前散光度为1.54±1.10D、散光轴为14.38±11.11度； 散瞳后电脑验光散光度为1.45±1.21D、散光轴为12.78±10.31度，显著高于检影验光(P<0.05)； 两种验光方法所测球镜绝对值的差值≤0.50D，占75%(350/500)，≤1.00D的占77.4%(387/500)，409例柱镜绝对值的差值≤0.50D，占81.8%。

结论：儿童验光配镜关乎儿童视觉发育，电脑验光和检影验光均有利弊，且电脑验光不能取代检影验光可将其作为快速验光的辅助工具。

METHODS: Therelated data of 500 children cases(1 000 eyes)with ametropia in our hospital were analyzed. The children firstly received computer optometry, and then use the 10g/L atropine sulfate eye gel drops, respectively. After 3d, they were performed computer optometry and retinoscopy, and compared the effect of two refraction.

RESULTS: Spherical reading of computer optometry group was 2.70±2.75DS, cylinder degree was 1.54±1.10DC, were lower than those of retinoscopy group(P<0.05). The two groups has no significantly different axis position(P<0.05). spherical reading of computer optometry group was -2.35±2.18DS, cylinder degree was -1.50±1.15DC, less than those of retinoscopy group(P<0.05). The two groups under axial difference was not significant(P>0.05). Before mydriasis, astigmatism was 1.54±1.10D, astigmatic axis was(14.38±11.11)°. After mydriasis, astigmatism was 1.45±1.21D and astigmatic axis was(12.78±10.31)°, significantly higher than those of retinoscopy(P<0.05). The absolute value of the difference measured by two spherical refraction method was between ≤0.50D, accounting for 75%(350/500), ≤1.00D accounting for 77.4%(387/500), and 409 cases ≤0.50D, accounting for 81.8%.

CONCLUSION: Children optometry concerns the visual development of children. Computer optometry and retinoscopy are the pros and cons. As for computer optometry can not replace retinoscopy optometry, it can be used as an auxiliary tool for fast optometry.