Objectives : To estimate clinical effect of acupuncture treatment for astigmatism and visual impairment. Methods : Acupuncture treatment was performed on a young child, diagnosed as astigmatism and visual impairment from 23th May 2008 through 23th July 2008. Visual acuity and astigmatism were measured before and after treatment. Results : Visual acuity and astigmatism were improved after acupuncture treatment. Conclusions : This case demonstrates that acupuncture treatment has clinical possibilities for improving astigmatism and visual impairment and future studies will be required.