Objective To investigate the refractive status,amblyopia and strabismus in children with cerebral palsy. Methods A total of 122 children (244 eyes) with cerebral palsy aged 4~14 years old were recruited with ocular routine inspection,ocular position inspection and retinoscopy optometry under ciliary muscles paralysis.The detailed medical history was recorded at the same time. Results 220 eyes in children with cerebral palsy had refractive errors,the incidence was 90.2%.Visual acuity increased over 2 rows in 80% (88 eyes) with the refractive correction.Mixed astigmatism,hyperopia and compound hyperopic astigmatism were the main refractive error states in children with cerebral palsy.No difference of refractive error state was found between spastic and other cerebral palsy (P>0.05).The incidence of strabismus and amblyopia was 13.1%,spastic cerebral palsy was accounted for 50% of the children with strabismus and amblyopia,and premature birth and low birth weight were the main causes. Conclusions Pay more attention to the correction of refractive error in cerebral palsy children,especially the compound hyperopic astigmatism and mixed astigmatism.Spastic cerebral palsy is the main type of cerebral palsy in children with amblyopia and strabismus.