Low reserve hyperopia with astigmatism means that the patient has low physiologic hyperopia and astigmatism at the same time. The child’s eye is in the developmental stage, usually before the age of 12, there will be physiological hyperopia, if the physiological hyperopia does not reach the normal standard for the same age, it means that the reserve of hyperopia is insufficient, which indicates that myopia is likely to occur in the future. Astigmatism, on the other hand, if present, indicates a current combination of astigmatism. If the astigmatism is less than 100 diopters, the effect on vision is generally small. If the astigmatism is more than 100 diopters, the effect on vision is more obvious and needs to be corrected by wearing glasses. As for the case of insufficient reserve of farsightedness, it is necessary to let the child develop good eye habits, such as less playing with cell phones and other electronic products, more outdoor sports, etc., to avoid the formation of myopia as much as possible.