This study can provide the accurate information on the treatment of visual acuity of a old ages by test of eye refraction state. The test was performed the visual acuity test by the object methods, and subjects was the over 45 old age. The eye types were 12% positive for emmetropia, 19% for myopia. and 69% for hyperopia, respectively. The abnormal refraction eyes were 3% positive for simple myopic astigmatism, 16% for myopic astigmatism, 14% for simple hyperopia, 5% for simple hyperopic astigmatism, 62% for mixed astigmatism, respectively. The axis of astigmatisms were 72% positive for against-the-rule astigmatism, 21% for with-the-rule astigmatism, 7% for ablique astigmatism, respectively.