In a normal eye with relaxed regulation, light rays are refracted by the refractive system of the eye, and the focal point falls on the retina so that near targets at different distances can be seen. Because of the short anterior posterior diameter of the eye in children, a false focus is formed behind the retina, resulting in farsightedness. Physiological hyperopia does not cause vision loss, but children with moderate to high hyperopia not only have poor near vision, but also have varying degrees of decreased distance vision, i.e., they cannot see clearly both near and far, and may squint at things. However, unlike adults with hyperopia, this is not accompanied by visual fatigue and painful swelling of the eyeballs, orbits and brow arches. Hazards: Pediatric hyperopia can cause strabismus. According to statistics, about 75% of children’s internal strabismus is caused by hyperopia. When the normal eye looks at a near target, in addition to using the refractive system of the eye to enhance the refractive power of the eye, the eyes also need to turn inward to ensure that the eyes are aligned with the target, called the collection. In order to obtain a clear image of the object, farsighted patients need to use accommodation, no matter how far or close they look. Excessive accommodation is inevitably accompanied by excessive pooling and induces internal strabismus, commonly known as “cross-eyedness”. Internal strabismus not only further affects visual acuity, but also affects the child’s self-confidence and psychological problems because it destroys the monocular function of both eyes and affects their appearance. Pediatric hyperopia is also one of the causes of amblyopia. Refractive amblyopia is due to the blurring of the light entering the eye at the macula during the critical period of visual development, which affects visual development. In normal ophthalmology, there is no organic pathology and the corrected visual acuity is less than 0.8, while in uncorrected hyperopia, the retinal macula cannot form a clear image when looking near or far, thus leading to the formation of amblyopia. If hyperopia occurs during the developmental period of a child’s vision, it can lead to different degrees of amblyopia. This is when not only vision loss occurs, but also abnormalities in eye position or some visual functions. Pediatric hyperopia can have a significant impact on children and should not be ignored by parents.