方法：对265例确诊为脑瘫的患儿行眼科常规检查，包括眼位及眼球运动、眼球震颤、裂隙灯眼前节、散瞳后眼底情况检查。

结果：脑瘫儿童265例中，女95例，男170例； 痉挛型173例，不随意运动型28例，肌张力低下43例，混合型18例，共济失调3例。纳入本研究的脑瘫患儿视觉障碍包括斜视、先天性白内障、视神经萎缩或其他眼底病变。有视觉障碍的脑瘫患儿127例(47.9%)，男79例，女48例； 其中斜视110例(41.5%)：内斜46例(41.8%)，外斜54例(49.1%)，垂直斜视10例(9.1%)； 眼球震颤者18例； 先天性白内障患儿3例6眼； 视神经萎缩者42例76眼(15.8%)，单眼8例，男25例46眼，女17例30眼。

结论：脑瘫患儿常伴随着不同程度的视觉障碍，由于患儿的表达受限，造成不能及时发现和治疗眼部疾患，影响其视功能恢复和全身康复，重视脑瘫患儿早期眼部检查和治疗，可很大程度提高其生活质量和社会适应性。

METHODS: Totally 265 children with cerebral palsy underwent routine ophthalmologic examination, including the position of eye and eye movement, nystagmus, anterior segment by slit lamp and direct ophthalmoscope examination.

RESULTS: Two hundred and sixty-five children included 95 females and 170 males; 173 children with spasticity, 28 children with dyskinetic, 43 children with atonia, 18 children with mixed type and 3 children with ataxia. The visual impairments of the enrolled children were strabismus, congenital cataract, optic atrophy and others. There were 127 children(47.9%)with visual dysfunction, including 79 males and 48 females. There were 110 children with strabismus(41.5%),including 46 children(41.8%)with esotropia,54 children(49.1%)with exotropia, 10 children(9.1%)with vertical strabismus; 18 children with nystagmus; 3 children(6 eyes)with congenital cataract; 42 children(76 eyes, 15.8%)with optic atrophy, including 8 cases were monocular, 25 males with 46 eyes and 17 females with 30 eyes.

CONCLUSION: Different types of visual impairments often happen in children with cerebral palsy. Because child patients cannot express efficiently, they can't be found and treated in time. Vision dysfunction seriously affects systemic rehabilitation and the quality of life. Therefore early ocular examination and remedy are necessary for cerebral palsy children, which can improve their quality of life and social adaptability.