Background: Evidence suggests that poor utilization of available eye care services by potential beneficiaries is a major barrier to attaining universal access to eye care services that are essential to reduce the burden of visual impairment and blindness. Aim: To determine the barriers to utilization of eye care services among adults with visual impairment in Jos North Local Government Area of Plateau state. Method: This was a cross-sectional, non-interventional community based study with quantitative and qualitative components among adults aged 50 years and above in Jos North Local Government Area of Plateau state. Multi-staged sampling technique was used to select clusters. A total of 22 clusters were selected: from each cluster, 39 persons were recruited for participation. Recruited persons were interviewed to obtain demographic data and then examined to determine the visual acuity. All individuals with visual acuity of worse than 6/18 underwent detailed ocular examination and dilated funduscopy where necessary. The barriers to uptake of eye care services were determined. The data from individual subjects were collated and analyzed using Statistical Package for Social Sciences version 20. The qualitative study was done using focused group discussion and data was analyzed using the thematic framework analytical approach.