Objective To investigate the visual rehabilitation needs of low vision patients and the potential reasons for low vision rehabilitation refusals in order to develop practical policies for more successful delivery of low vision rehabilitation. Methods A retrospective study was conducted of the records of 361 patients who had visited the Center of Excellence in Low Vision & Vision Rehabilitation in Eye Hospital of Wenzhou Medical University, from July 2013 to July 2014. Reviewed parameters included age, gender, patients source, cause of visual impairment, the percentage of visual impairment, visual rehabilitation goals, rehabilitation service ratio, low vision aids (LVAs) acceptance ratio and the reasons for refusing low vision rehabilitation. Of all 361 subjects (193 males, 168 females), aged from 3 to 92 years, mean of 44.2±23.0 years, 68.5% were referred by other departments at this hospital. Results The two major causes of visual impairment were congenital cataract (30.7%) and nystagmus (28.0%) in 3-19 year olds and pathological myopia (25.5%) and other retinal diseases (25.2%) in the 20+ group. 88.2% of the patients had low vision rehabilitation needs. There were two dominant needs cited for improving vision. The most dominant need for distance vision was to improve visual acuity for entertainment. The most dominant need for near vision was also to improve visual acuity for entertainment, but the second most important need was to improve reading. LVA acceptance ratio was 59.4%. Patients refused treatment because they hoped to get help from other medical treatments (93.6%). Conclusion The most common visual rehabilitation need of patients in our low vision clinic is to improve visual acuity for entertainment. The development of low vision rehabilitation strategies for entertainment may be the most efficient and effective means of rehabilitation.