The major blinding conditions in the Midwestern State of Nigeria are cataract (33.2%), uveitis (20.4%), chronic simple glaucoma (17.1%), trauma(7.9%). The primary causes of uniocular blindness are uveitis (28.3%), cataract (23.9%), chronic simple glaucoma (13.2%), trauma (9.9%). Comparisons of the main causes of blindness in Midwestern, Northern, Western and Eastern Nigeria and Great Britain are made.