It is essential to diagnose and assess children's ametropia after cycloplegic refraction. The use of cyclopentolate 1% eyedrops in children is safe and effective for cycloplegic refraction. An accurate prescription should be based on the actual eye position and accommodation, as well as cycloplegic refraction in children. (Chin J Ophthalmol, 2019, 55: 86-88).近年来儿童青少年屈光不正的诊断及验光配镜在非睫状肌麻痹下进行的现象渐有扩大趋势。本文通过再次强调儿童青少年的生理特点、睫状肌麻痹下验光的机制等,指出对于儿童青少年,诊断屈光不正及判断其程度,必须施行睫状肌麻痹下验光。眼部滴用1%环戊通安全有效,可用于儿童青少年睫状肌麻痹。配镜必须根据双眼眼位和调节状况,在准确的睫状肌麻痹下验光结果基础上进行处方。(中华眼科杂志,2019,55:86-88).