Objective To analyze the vision screening and influencing factors of visual abnormalities in preschool children in a certain district of Jinan City.Methods A retrospective analysis was conducted on the clinical data of 306 preschool children who underwent vision screening in Jinan Shizhong Maternal and Child Health and Family Planning Service Center from September 2020 to September 2023.The incidence of visual abnormalities was counted,and the influencing factors of visual abnormalities in preschool children were analyzed.Results There were 82 preschool children with abnormal vision(26.80%,abnormal vision group)and 224 children without abnormal vision(73.20%,normal vision group).Univariate analysis showed that there were no statistically significant differences in gender and family lighting between the two groups(P>0.05).There were statistically significant differences in age,daily outdoor activity time,daily TV watching time,daily contact time with mobile phones and computers,and daily sleep time between the two groups(P<0.05).The logistic regression analysis showed that age>4 years old,daily outdoor activity time<1 hour,daily TV watching time≥0.5 hours,daily contact time with mobile phones and computers≥1 hour,and daily sleep time<8 hours were risk factors for visual abnormalities in preschool children(P<0.05).Conclusion The risk of visual abnormalities in preschool children in a certain district of Jinan City is high,which is related to age,daily outdoor activity time,daily TV watching time,daily contact with mobile phones and computers,and daily sleep time.Clinical attention should be paid to this issue.