The purpose of this study was to determine the relationship between the spherical equivalent visual acuity (VA) and uncorrected astigmatism. On 108 emmetropic eyes, the spherical equivalent VA was measured for cross cylindrical lens (CC lens)-induced astigmatic eyes and the VA-astigmatism relation determined. On 158 astigmatic eyes, the spherical equivalent VA and corrected astigmatism were measured and the measured values were compared with the calculated values from the VA-astigmatism relation by correlation coefficient analysis. Subsequent to that, the relationship between spherical equivalent VA and uncorrected astigmatism was made In conclusion, the relationship table devised from this study is a useful reference for predicting uncorrected astigmatism by measurement of decimal VA in spherical equivalent.