This is a cross-sectional survey aimed at determining the prevalence and pattern of distribution of blindness and visual impairment in Igbariam Farm Settlement, Anambra State. The study was modeled on a census and examination of the whole population of Igbariam Farm Settlement. The study protocol consisted of the World Health Organization/Prevention of Blindness Eye Examination Record and a structured questionnaire administered by oral interview. Ocular examination consisted of test of visual acuity, pen-torch examination, direct ophthalmoscopy, intraocular pressure measurement and refraction. A total of 992 residents were examined (86.6% coverage rate). The prevalence of blindness was 2.8% and visual impairment 8.7%. Blindness and visual impairment increased significantly with increasing age. Males had a higher prevalence of visual impairment (P = 0.01), while gender difference in blindness was not statistically significant (P = 0.07). The major causes of blindness were cataract (42.9%), glaucoma (21.4%), non-glaucomatous optic atrophy (10.7%), aphakia (7.1%) and age-related macular degeneration (7.1%). The major causes of visual impairment were cataract (37.2%), glaucoma (19.8%), refractive errors (18.6%), non-glaucomatous optic atrophy (7.0%) and pterygium(5.8%). While the prevalence of blindness was higher among farmers than non-farmers, this observed difference was not statistically significant (P=0.46). There was a statistically significant association between farming and the occurrence of pterygium in the community (P = 0.04). Farming-related trauma was a significant cause of unilateral blindness among the residents. The cataract surgical coverage was very low (3.2%). Majority (65.1%) of the residents engage in self-medication or visit traditional doctors when they have eye problems. An association was found between educational level and acceptance of eye surgery among the residents (P = 0.007). In conclusion, blindness is a major public health problem in Igbariam Farm Settlement and majority of the causes are avoidable. The survey indicates the need for the development and implementation of a plan for the delivery of a comprehensive eye care service in this settlement aimed principally at resolving the enormous burden of cataract, glaucoma and refractive errors.