AIM: To assess the pattern of ocular diseases and its effect on vision related quality of life among patients attending a geriatric centre in Ibadan for the purpose of making recommendations for improved eye care of elderly patients. METHOD: This was a descriptive cross-sectional hospital based study conducted between February to May 2016 among patients aged 60 years and above. Four hundred and twenty-seven patients with visual acuity worse than 6/12 attending the clinic were selected. Informed consent forms were signed by the respondents. An interviewer administered semi-structured questionnaire was used to obtain information on socio-demographic characteristics, ocular and medical history as well as their vision related quality of life using National Eye Institute Visual Functioning Questionnaire-25 (NEI-VFQ-25). Ocular examination and refraction was carried out on each respondent. Data was analysed using the IBM Statistical Package for Social Sciences (IBM SPSS) software version 20. RESULT: A total of 427 patients participated in the study. Mean age was 71.6 + 7.11 years. The commonest ocular abnormalities include cataract (91.6%), refractive error (90.2%) and glaucoma (61.6%). About one third of patients presented with mild visual impairment (37.9%) and blindness (37.7%) for distance vision, while more than three-quarter (88.5%) of respondents had near vision impairment. This impairment for distance and near vision was associated with reduction in vision related quality of life scores across all its domains.