Introduction: Refractive errors in school children continue to receive less attention and priority in many developing countries. Refractive errors can be a source of poor vision and disinterest in school. The aim of this study was to describe the epidemiological and clinical characteristics of ametropia in school children. Materials and Methods: This was a descriptive cross-sectional study carried out at the International Ophthalmology Center of Mali covering the period from January 1 to June 30, 2024, involving all school children. Results: A total of 207 children out of 702 school children received during the study period presented refractive errors. The most affected age group was 16 - 20 years old, with an average age of 16.95 years. The female sex was the majority, with 77.2% compared to 22.2% for the male sex. The main reasons for consultation were visual fatigue (36.2%) and tearing (20.2%). Hyperopia astigmatism was the most common refractive error, with a frequency of 62.3%. Low ametropia (<3 diopters) was dominant. Discussions: The management of refractive errors in school children is a major factor in their educational success. Conclusion: Early detection and management of refractive needs in school children can be key elements allowing them to be more efficient in daily activities.
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