目的　观察复方托品酰胺与阿托品在儿童远视眼中扩瞳验光后屈光度的差异。方法　( 1)将同一患儿首先用复方托品酰胺常规扩瞳 ,2 0min后开始验光 ,每小时一次 ,共 7次 ,隔日每晚睡前结膜囊内涂阿托品眼膏 ,次日开始验光 ,共 7次。 ( 2 )观察每一时间段的屈光变化 ,进行统计学处理。结果　复方托品酰胺眼水 2 0min ,阿托品眼膏第 3天散瞳验光差异无显著性。结论　部分远视眼儿童可用复方托品酰胺散瞳验光 Objective To observe the differences of refraction between compound tropicamide and atropine in children with hyperopia. Methods (1) The same children first compound dianamide amide pupil dilation, 20 min after the start of refraction, once every hour, a total of 7 times every other night before going to bed conjunctival coated with atropine ointment, the next day began to optometry, A total of 7 times. (2) observe the refractive changes of each time period, statistical analysis. Results Compound tropicamide eye water 20min, atropine eye ointment on day 3 mydriasis optometry no significant difference. Conclusion Some children with hyperopia available compound momodamide mydriasis optometry