Purpose: In this study, the distribution and differences in refractive powers on trial case lenses were investigated. Methods: We measured refractive powers at optical center and periphery using 4 trial case lens sets. According to international standards, the distribution and uniformity in refractive powers were investigated. Results: The lens shapes were different in different kinds of trial case lenses and some of lenses were out of tolerance according international standards. In some cases, the power differences were found between front and back side as well as between optical center and peripheral regions and also the cylindrical power on spherical lens and spherical power on the cylindrical lens were measured. Conclusions: Trial case lens are used to assess the refractive error, therefore, more precise control of the manufacturing process for trial case lenses and more thorough quality control will be required to offer an accurate vision test. More careful attention in using trial case lens is also required.