We compared the best-corrected Snellen acuity (SA) and the pattern reversal visual-evoked response (PVER) acuity in normal subjects and patients. Forty-two eyes of 42 normal subjects were controls; 457 eyes of 329 patients comprised the patient group. A steady-state stimulus with five check sizes ranging from 160 to 10 min in 1.0-octave steps was used. The PVER acuity was derived from the best-fit linear function relating the amplitude to the log-adjusted check size. Three intercepts of 0, 1 and 2 μV were used in both groups, and the PVER acuities were called P°, P1 and P2. The SAs in normal subjects ranged from 20/15 to 20/20 (mean, 20/18.3) and in patients from 20/15 to 20/1,600 (mean, 20/56.9). In normals, the P° showed the best agreement with the SA (mean acuity difference, +0.34 octave). The SA and P° agreed within ± 2.0 octaves in 33/42 (78.6%) eyes. In patients, the P° also showed the best agreement with the SA; 306/457 (67.0%) eyes showed an acuity difference within ± 2.0 octaves. Unlike normals, 83/ 457 (18.2%) eyes showed an acuity difference > -3.0 octaves. These eyes mostly had optic nerve disease with a flattened PVER amplitude-check size function curve. The P° seems to correlate better with SA than P1 and P2, but this analytical method may be less effective in the presence of certain pathologic conditions.