Objective To analyze the consistency between subjective refraction and mydriasis optometry with 1% atropine eye gel in 10-15 year old teenagers with normal， super-normal and lag behind accommodation. So as to provide a reference in optometry work. Methods In this prospective study， 224 teenagers （448 eyes） whom interviewed Tangshan Ophthalmologic Hospital between July 2013 and August 2013， according to accommodative abilities divided into 3 groups， normal accommodation group （107 eyes）， super-normal accommodation group （152 eyes） and accommodation lag-behind group （189 eyes）. The difference of subjective refraction， mydriasis optometry with 1% atropine eye gel and again subjective refraction were compared. An ANOVA was used. Results In the normal accommodation and accommodation lag group， the 3 mentioned test with no statistically significant （F=0.87， 0.76， P>0.05）； but it was statistically significant for the super-normal accommodation group （F=1.31， P<0.05）. Conclusion For 10-15 years old teenagers， those with normal and accommodation lag-behind， subjective refraction results is the suggested prescription， those with super normal accommodation， mydriasis result is suggested.