Astigmatism in children does not usually resolve spontaneously. Physiological hyperopia will gradually convert to orthopia with age, while higher degrees of hyperopia that are not physiological are difficult to resolve spontaneously and may cause amblyopia if not intervened. Astigmatism is related to irregularities in the shape of the lens or cornea. Most people have a small amount of astigmatism, which has little effect on their vision and usually does not resolve spontaneously. Physiological hyperopia in children is usually caused by the eye axis not yet fully developed. As the eye axis grows with age, hyperopia will gradually turn into orthopia. If the degree of hyperopia is relatively high and not caused by physiological reasons, it needs to be corrected in time to avoid causing other problems such as amblyopia. Children with astigmatism and hyperopia are advised to go to the hospital for an optometry and dilated pupil examination in a timely manner, and then choose the best treatment plan according to the situation, so as not to cause amblyopia and other problems.