Children with myopia and astigmatism do not necessarily need to add astigmatism, depending on the specific circumstances, if the low degree does not affect the child’s vision, can not be added for the time being, but should be followed up on a regular basis. Whether children with astigmatism need to correct astigmatism in spectacles should be based on the degree of astigmatism, the degree of astigmatism in both eyes and whether the axial symmetry and whether it affects the naked-eye vision, etc. For the lower degree of astigmatism and it does not affect the children’s eyesight and its development, the part of astigmatism can be left uncorrected for the time being, but we should insist on the regular follow up observation. When the degree of astigmatism is large and has already affected the child’s naked eye vision, especially for children in the sensitive period of visual development, this degree of astigmatism is enough to cause tilted head vision or amblyopia and other serious consequences, and it is necessary to correct this kind of astigmatism in a timely manner to avoid amblyopia and other difficult situations. It is recommended that children with refractive errors be seen promptly for evaluation and treatment as prescribed.