In recent years, pediatric vision loss has become a prominent problem in today’s children’s eye disease, is also one of the focus of family and social concern. Then, the problem of pediatric optometry is particularly important, now summarize the following issues must be noted: 1, should not be computerized optometry: computerized optometry is a computerized optometry according to the model eye design according to the principles of optometry refractive eye examination. Usually in the eye in its natural state. Children’s ciliary muscle adjustment force is strong, due to the interference of the adjustment force simple computerized optometry will cause myopia high, farsightedness low, astigmatism axis difference position and other errors, therefore, children under 12 years of age if refractive error to be fitted with lenses should be 1% atropine eye ointment fully dilated 3 to 7 days after the optometry, 13-15 years old children can choose after the horse tropine dilated pupil 3 days after the optometry. 2, fully dilated pupil: the use of ciliary muscle paralyzing agent during optometry can paralyze the ciliary muscle, dilate the pupil and temporarily lose the adjustment power, so as to reduce the error when examining the shadow and get a correct result when trying to correct the lens. For children with strabismus or obvious strabismus, especially those with internal strabismus and obvious hyperopia or hyperopic astigmatism, pupil dilatation is necessary. For children with unstable visual acuity and refractive error, whose vision improves after a few moments of rest with eyes closed, and for children with mental retardation, who are unable to use subjective methods for lens correction tests, all pupils should be dilated. For children with hyperopia and amblyopia at a young age, it is appropriate to use 1% atropine to determine the actual refractive abnormality after eye examination. When using eye drops, special attention should be paid to compressing the tear sac area for at least 10 minutes after dispensing, in order to prevent toxic reactions caused by the inflow of the drug from the tear duct into the pharynx in young children, clinically manifested as: red face, dry throat, rapid pulse, reduced secretions, etc. 3. Adequate prescription (full corrective glasses): Children with hyperopia combined with amblyopia should be adequately corrected with convex lenses after objective pupil dilatation; if children with moderate or high hyperopia cannot adapt to all hyperopic degrees, it is appropriate to follow the principle of taking 2/3 of the degree of hyperopic spherical lenses and 1/2 of the degree of hyperopic astigmatic column lenses to give prescriptions for lenses. Intermittent internal strabismus is mostly hyperopia, once found, atropine eye ointment should be used to dilate the pupil, with full corrective glasses correction. If there is dizziness and discomfort when first wearing, in order to achieve the purpose of treatment, the child should be forced to insist on wearing, still can not adapt, you can use atropine eye ointment to make the ciliary muscle relax again under the large pupil state insist on wearing glasses, after a period of time the child will also adapt. Children with amblyopia are often accompanied by refractive errors, and the examination of amblyopia must be dilated to accurately detect the actual refractive error in an adequate amount of glasses, and then combined with other amblyopia treatment methods. 4, myopic children should be prevented from overcorrection: when children appear myopic antecedent syndrome (a eye fatigue symptoms b perceptual allergy symptoms c systemic neurological disorders symptoms) should promptly seek medical treatment, after full pupil dilatation to exclude the loss of vision due to regulatory tension or regulatory spasm with concave lenses for correction, in the acquisition of normal vision (1.0) or the relative best corrected vision lenses to choose the weakest degree as The number of corrective lenses, strictly prevent overcorrection. 5, check the right time to adjust the lens degree: children’s eyes refractive changes are relatively fast, children under 3 years old every six months astigmatism, children over 4 years old every year review, strabismus, amblyopic children should adhere to regular hospital review, generally every 1 to 2 months review, each time according to the changes in refractive error and amblyopia strabismus correction to decide whether to readjust the mirror degree. 6, scientific selection of glasses: according to the size of the child’s face and pupil distance, select the appropriate glasses; children’s glasses should have enough field of vision; glasses should be worn in the face is about 10-20 degrees tilt angle, easy to read and see distant objects; choose children’s glasses must pay attention to the weight, generally between 13-19 grams for suitable. To sum up: as long as we can notice the above aspects in the pediatric ophthalmology clinical optometry and deal with them carefully, we will fit the children with the right glasses.