Background: Transgender, is one whose gender identity, behaviour, and expressions are different from that assigned at birth. They are also called third gender or eunuch transversity as they don't conform to the traditional notion of male and female thus are not accepted by the mainstream society, so their rights for everything like health, education, culture, dignity are violated. Before dividing the world into two gender boxes, we are all human beings who deserve to enjoy every opportunity and benefits of living, including healthcare, and its important component Eye care.

Aim: the aim of this research work was to find the prevalence of eye problems in transgender and to explore factors and barriers for not reporting to eye care hospitals and clinics for seeking eye care.

Methods: the study design of this research work was descriptive cross-sectional study design and technique used for collecting data of sample size 73 was snowball non-random sampling technique from participants who represented themselves as a transgender in a setting of transgender communities.

Results: The prevalence of ocular findings in transgender was 68.5%  and the main barriers for not reporting to eye clinics was fear of discrimination, financial problems, lack of awareness, verbal abuse, misconceptions. And factors for not wearing spectacles are cosmetic issues occupational restrictions and discomfort. There is a significant effect of barriers, age and last eye examinations on ocular findings in Transgender with the p-value =0.006, 0.009 and 0.030 respectively.