【Objective】 To know the relationship between visual acuity and refractive status of the children 5~6 years old and to provide the basis for the prevention and treatment of children's vision. 【Method】 Outpatient 5~6 year-old optometry 100 cases with normal vision (≥1.0) children 119 cycloplegic refraction results were analyzed. 【Results】 The children 5~6 years old who checked visual examination was normal (≥1.0) 119 refractive status,mild astigmatism proportion was 44.54%,the right eye and left eye were 15.97% and 28.57%;followed by mild hyperopia proportion of 35.30%,the right eye and left eye were 19.33% and 15.97%;moderate hypermetropia and significant astigmatism was 13.44% and 4.20% the right eye and left eye were 1.68% and 2.52%,significantly astigmatism was 9.24%,the right eye and left eye were 5.04% and 4.20%;myopia was 4.20%,right eye and left eye were 0.84% and 3.36%,emmetropia (3/119) of eyes with refractive errors (116/119),Refractive error eye was significantly higher than emmetropia(χ² = 210.824,P=0.000). 【Conclusion】 The normal vision is not equal to the refractive in normal growth and development of children's distance vision.