本文对有明显视疲劳主诉的１００例老年人进行了眼科专科系统检查，认为老年人视疲劳是多因素的，主要的相关因素是老视及其治疗上的问题，以戴不合适的老视眼镜为主要成因的占５２．０％，肌性视疲劳３６．０％，单纯调节性视疲劳２．０％，其他眼病７．０％。我们为１００例老人重新验光配镜，部分患者调整了眼镜的光学中心距离、配戴三棱镜及手术治疗，并进行康复指导．认为老年人视疲劳的治疗康复是提高老年人生活质量的重要课题． In this paper, 100 elderly patients with obvious visual fatigue complaints were examined by ophthalmology. The author thinks that the visual fatigue of the elderly is multifactorial. The main related factors are presbyopia and its treatment problems. Glasses accounted for 52.0% of the main causes, muscle visual fatigue 36.0%, simple accommodative visual fatigue 2.0%, other eye disease 7.0%. We re-optometry glasses for 100 elderly people, some patients adjusted optical center distance glasses, wearing a prism and surgical treatment, and rehabilitation guidance. It is considered that the treatment and rehabilitation of the elderly as the fatigue of the eye is an important issue to improve the quality of life of the elderly.