目的：对脑瘫患儿弱视的发生及相关因素进行探讨。方法：对１４５ 例脑瘫患儿进行视力、眼位、眼底、视觉诱发电位、视网膜电流图进行检查。结果：斜视２６ 例（１８％），为共同性斜视，内斜１４ 例，外斜１２ 例。弱视检出率为５０％ （７３／１４５），双眼弱视５４ 例，单眼弱视１９ 例，轻度弱视７３ 眼（５７％），中度弱视５５ 眼（４３％），重度弱视９眼（７％） 。１２７ 只弱视眼中屈光不正１２３ 眼（９７％）。ＶＥＰ异常７２ 眼，Ｐ１００ 潜伏期延长。Ｆ－ ＦＲＧ异常３５ 眼，ｂ 波幅降低。结论：及早验光、矫正屈光不正是小儿脑瘫弱视防治的关健 Objective: To investigate the incidence and related factors of amblyopia in children with cerebral palsy. Methods: The visual acuity, ocular position, ocular fundus, visual evoked potential and retinal current pattern in 145 children with cerebral palsy were examined. Results: Strabismus was seen in 26 cases (18%) with common strabismus, esotropia in 14 cases and outward oblique in 12 cases. Amblyopia detection rate was 50% (73/145), amblyopia in 54 cases, unilateral amblyopia in 19 cases, mild amblyopia in 73 eyes (57%), moderate amblyopia in 55 eyes (43%), severe amblyopia in 9 eyes (7% ). 127 eyes (97%) with ametropia in 127 amblyopic eyes. VEP abnormal 72 eyes, P100 latency. F-FRG abnormal 35 eyes, b amplitude decreased. Conclusion: Early optometry, correction of refractive errors is a key to prevention and treatment of cerebral palsy in children with cerebral palsy