diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java
index 05f9a11..810595b 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BabyEyeCheckServiceImpl.java
@@ -500,7 +500,15 @@ public class BabyEyeCheckServiceImpl extends BaseServiceImpl implements BabyEyeC
 
         StringBuilder refraction = new StringBuilder();
         if (StringUtils.isNotEmpty(babyEyeCheck.getRefractionR1())) {
-            refraction.append("R:S( ").append(babyEyeCheck.getRefractionR1()).append(" )");
+            if ("197".equals(babyEyeCheck.getHospitalId()))
+            {
+                refraction.append("R( ").append(babyEyeCheck.getRefractionR1()).append(" )");
+            }
+            else
+            {
+                refraction.append("R:S( ").append(babyEyeCheck.getRefractionR1()).append(" )");
+            }
+
         }
         if (StringUtils.isNotEmpty(babyEyeCheck.getRefractionR2())) {
             if (refraction.length() != 0) {
@@ -514,7 +522,15 @@ public class BabyEyeCheckServiceImpl extends BaseServiceImpl implements BabyEyeC
                 refraction.append(", ");
                 flag2 = true;
             }
-            refraction.append("L:S( ").append(babyEyeCheck.getRefractionL1()).append(" ) ");
+            if ("197".equals(babyEyeCheck.getHospitalId()))
+            {
+                refraction.append("L( ").append(babyEyeCheck.getRefractionL1()).append(" ) ");
+            }
+            else
+            {
+                refraction.append("L:S( ").append(babyEyeCheck.getRefractionL1()).append(" ) ");
+            }
+
         }
         if (StringUtils.isNotEmpty(babyEyeCheck.getRefractionL2())) {
             if (!flag2) {