In this study, a micro-led display, an eye chart player software, and image capture and processing module were used to construct a color refractive error exam for subject with speech disorder. This method can be used to test subjects with refractive errors, eye's color vision and other pathological problems. The micro-led display uses an eye chart player program to display the capital letters E and the other fonts, and the gaps of the E letters can be tumbled in any direction. When subjects with speech disorder were examined for vision, the E chart was displayed sequentially from big letters to small letters, and the image capture and processing module was synchronized with the eye chart player program. The subjects only need to point out the direction of the gap with gestures, and the image capture and processing module can simultaneously capture the gestures of the subjects to judge visual test status. In this study, twenty subjects were tested and all obtained the correct VA value and wore excellent eye glasses. The characteristic of this innovative method is that the subjects with a speech disorder can use simple hand gestures to complete the visual exam through the image capture and processing module during the inspection.