摘要： PURPOSE. To assess the feasibility of macular integrity assessment (MAIA) microperimetry (MP) in children. Also to establish representative outcome measures (differential light sensitivity, ?xation stability, test–retest reliability) for children without visual impairment. METHODS. Thirty-three adults and 33 children (9–12 years) were asked to perform three monocular MAIA examinations within a single session (dominant eye only). RESULTS. Children exhibited poorer test–retest reliability than adults for measures of both mean sensitivity (95% coef?cient of repeatability [CoR95] ? 2.7 vs. 2.3 dB, P ? 0.036) and pointwise sensitivity (CoR95 ? 6.2 vs. 5.7 dB, P < 0.001). Mean sensitivity was lower in children (27.6 vs. 29.5 dB, P < 0.001), and ?xation stability was poorer (95% bivariate contour ellipse area [BCEA95] ? 4.58 vs. 1.14, P < 0.001). Mean sensitivity was negatively correlated with ?xation stability (r ? (cid:2)0.44, P < 0.001). Both children and adults exhibited substantial practice effects, with mean sensitivity improving by 0.5 dB (adults) and 0.9 dB (children) between examinations 1 and 2 (P (cid:3) 0.017). There were no signi?cant differences between examinations 2 and 3 (P ? 0.374). CONCLUSIONS. Microperimetry is feasible in 9- to 12-year-old children. However, systematically lower sensitivities mean that the classi?cation boundary for "healthy" performance should be lowered in children, pending development of techniques to improve attentiveness/?xation that may reduce or remove this difference. High measurement variability suggests that the results of multiple tests should be averaged when possible. Learning effects are a potential confound, and it is recommended that the results of the ?rst examination be discarded.