方法：选取经主观验光法发现存在屈光参差儿童患者60例120眼为研究对象，根据年龄不同分为3～6岁组14例28眼、7～9岁组29例58眼、10～12岁组17例34眼，三组患者均给予复方托吡卡胺滴眼液滴眼散瞳，采用全自动电脑验光仪检测三组儿童睫状肌麻痹前后患者球镜度数、柱镜度数、散光轴向，并进行自身对照分析。

结果：睫状肌麻痹前后各年龄段儿童球镜度数、柱镜度数均有统计学差异(P<0.05)，散光轴位变化无统计学差异(P>0.05)。睫状肌麻痹后全自动电脑综合验光仪验光结果与检影验光结果符合率中，3～6岁组患者球镜、柱镜屈光度符合率低于7～9岁组和10～12岁组。

结论：全自动电脑验光仪在儿童睫状肌麻痹后可较为准确地获取屈光度，操作简便，与检影验光比较符合率较高，可作为3～12岁儿童配镜处方依据。

METHODS:Sixty cases(120 eyes)with anisometropia founded by subjective optometry were selected as the research object. According to age, they were divided into 3～6 years groups(14 cases, 28 eyes), 7～9 years group(29 cases, 58 eyes)and 10～12 years group(17 cases, 34 eyes). Three groups of patients were given compound tropicamide eye drops for mydriasis. Using automatic computer refractor detected spherical degree, cylinder diopters, astigmatism axis of all patients and made self-control analysis.

RESULTS: Spherical degree and cylinder diopters before and after cycloplegia had statistical difference in children of all ages(P<0.05). The change of astigmatism axis had no statistical significance(P>0.05). After cycloplegia, by camparing the result of automatic computer integrated refractometer and that of inspection shadow optometry, the coincidence rate of spherical, cylinder diopter in 3～6 years group was lower than that of 7～9 years group and 10～12 years group.

CONCLUSION: After cycloplegia, fully automatic computer refractometer can more accurately obtain diopter, easy to operate, has more coincidence rate with optometry. It can be use as prescription basis for children aged 3～12 years.