Objective:To determine the prevalence of ocular trauma and proportion of blindness and visual impairment due to ocular trauma in a rural population of southern India.Design:Population-based cross-sectional epidemiological study.Participants:A total of 7771 subjects of all ages,representative of the rural population of Andhra Pradesh.Methods:The subjects underwent a detailed interview and comprehensive ocular evaluation as part of the population-based Andhra Pradesh Eye Disease Study.Main Outcome:An eye was considered to be blind due to trauma if best-corrected distance visual acuity was worse than 6/60 and the cause was attributed to ocular trauma.Results:A total of 824(10.6%) subjects gave a history of ocular trauma in either eye,including 76(1.0%) persons reporting trauma in both eyes.The overall age-and gender-adjusted prevalence of history of eye injury in this rural population was 7.5%(95% confidence interval [CI],7.0%-8.1%) .Men were more likely to have an eye injury than women(odds ratio [OR],2.1 [95% CI,1.8-2.5]) .After adjusting for gender and other demographic factors,ocular trauma was significantly more frequent among laborers(OR,1.5 [95% CI,1.2-1.7]) when compared with other occupational groups.After adjusting for gender,injury with vegetable matter such as a thorn,branch of a tree,plant secretion,etc.(n=373 [45.3% ]) was the major cause of trauma reported in this population.The majority of the eye injuries occurred at the workplace(n=461 [55.9% ]) ,followed by home(n=179 [21.7% ]) .The majority of those affected(n=806 [97.8% ]) did not wear any eye protection at the time of trauma.A significant proportion(n=307 [43.1% ]) of subjects who sought treatment for an eye injury went to an ophthalmologist.Trauma was responsible for unilateral blindness in 39 subjects,an age-and gender-adjusted prevalence of 0.6%(95% CI,0.4%-0.8%) .Conclusions:Most ocular injuries in this rural population occurred at the workplace,suggesting the need to explore workplace strategies to minimize ocular trauma as a priority.Eye care programs targeting high-risk ocular trauma groups may need to consider ocular trauma as a priority in eye health awareness strategies to reduce blindness due to trauma. Objective: To determine the prevalence of ocular trauma and proportion of blindness and visual impairment due to ocular trauma in a rural population of southern India. Design: Population-based cross-sectional epidemiological study. Participants: A total of 7771 subjects of all ages, representative of the rural population of Andhra Pradesh. Methods: The subjects underwent a detailed interview and comprehensive ocular evaluation as part of the population-based Andhra Pradesh Eye Disease Study. Main Outcome: An eye was blind to blind due to trauma if best- Results distance visual acuity was worse than 6/60 and the cause was attributed to ocular trauma. Results: A total of 824 (10.6%) subjects gave a history of ocular trauma in either eye, including 76 (1.0%) persons reporting trauma in both eyes. overall overall-and gender-adjusted prevalence of history of eye injury in this rural population was 7.5% (95% confidence interval [CI], 7.0% -8.1%) .Men were more likely to have an eye injury than women (o After adjusting for gender and other demographic factors, ocular trauma was significantly more frequent among laborers (OR, 1.5 [95% CI, 1.2-1.7]) when compared with other occupational groups. After adjusting for gender, injury with vegetable matter such as a thorn, branch of a tree, plant secretion, etc. (n = 373 [45.3%]) was the major cause of trauma reported in this population. The majority of the the host causes occurred at the workplace (n = 461 [55.9%]), followed by home (n = 179 [21.7%]) .the majority of those affected (n = 806 [97.8%]) did not wear any eye protection at the time of trauma. A significant proportion (n = 307 [43.1%]) of subjects who sought treatment for an eye injury went to an ophthalmologist. Track was responsible for unilateral blindness in 39 subjects, an age-and gender -adjusted prevalence of 0.6% (95% CI, 0.4% -0.8%) .Conclusions: Most ocular injuries in this rural population occurred at the workplace, suggesting the need to explore workplace strategies to minimize ocular trauma as a priority. Eye care programs targeting high-risk ocular trauma groups may need to consider ocular trauma as a priority in eye health awareness strategies to reduce blindness due to trauma.