Background: This study on visual indices of eye clinic attendees in Owerri, Imo State, Nigeria is aimed at determining trends in Visual health in order to provide a data base for the state. Methods: A total of 12,160 subjects comprising of 4230 males and 7930 females who met the inclusion criteria were seen between January, 2005 and December, 2019 from Eye clinic attendees in Owerri Imo State Nigeria. Of these, 2106 were visually impaired (VA <6/18). All the subjects underwent a complete ophthalmic examination. Standard procedures were used to determine visual indices of subjects. Results: There were more females (65.2%) than males (34.8%). Majority of the subjects were aged ≥ 50 years (69.4%). The visual acuity (VA) in 2106 subjects (17.3%) was <6/8. There were more females (54.7%) than males (45.3%) among subjects with low vision. Majority of the subjects with VA <6/18 were aged ≥ 50 years (66.2%). Subjects with low vison aged ≥ 50 years (65.3%) were in the majority with more females (54.8%) than males (45.2%). There were more males (58.3%) than females (41.7%) among subjects who were blind. Subjects who were blind aged ≥ 50 years (73.1%) were in the majority with more males (58.8%) than females (41.2%). Eye conditions: lenticular opacities/cataract (28%) and glaucoma (16.5%); and non-ocular morbidities: cardiovascular disorders (26.3%) and metabolic abnormalities (13.3%) were in the majority. Conclusion: This review has shown that the prevalence of risk factors of visual impairment namely: gender, age, drugs, trauma, cardiovascular and metabolic disorders have continued to be prominent. It has further provided a data base for the management of these impairments and therefore underscores the need for early prevention measures.