Objective:To determine the prevalence of blinding trachoma among refugees in South Western Ethiopia.Methods:A cross-sectional outreach clinic based descriptive study was conducted on 1054 refugees in Southwest Ethiopia.A basic eyelid and cornea examination for signs of trachoma was done by using 2.5× binocular magnifying loupe.The findings were classified by using the World Health Digitization simplified trachoma grading system and data were analyzed by using SPSS version 16.0.Results:A total of 1054 refugee patients were examined for trachoma.179(16.98%) of them had clinical signs of trachoma.About 6(3.35%) patients had active trachoma with trachomatous trichiasis(TT),47(26.26%) patients had TT only and the rest 126(70.39%)patients had TT with trachomatous corneal opacity.All of the trachoma patients had blinding trachoma(TT with or without trachomatous corneal opacity),and about 60.89% of them had visual impairment.Blinding trachoma was significantly more common among females.patients in age group of 16-59 years,married patients,illiterates and Fugnido camp settlers(P<0.05).Conclusions:There is a very high burden of blinding trachoma among refugees.Urgent surgical intervention is needed to prevent blindness and low vision in the study subjects,and targeted regular outreach-based eye care service should be commenced. Objective: To determine the prevalence of blinding trachoma among refugees in South Western Ethiopia. Methods: A cross-sectional outreach clinic based descriptive study was conducted on 1054 refugees in Southwest Ethiopia. A basic eyelid and cornea examination for signs of trachoma was done by using 2.5 × binocular magnifying loupes. The findings were classified by using the World Health Digitization simplified trachoma grading system and data were analyzed by SPSS version 16.0. Results: A total of 1054 refugee patients were examined for trachoma. 179 (16.98%) of them had had clinical signs of trachoma. About 6 (3.35%) patients had active trachoma with trachomatous trichiasis (TT), 47 (26.26%) patients had TT only and the rest 126 (70.39%) patients had TT with trachomatous corneal opacity. the trachoma patients had blinding trachoma (TT with or without trachomatous corneal opacity), and about 60.89% of them had visual impairment.Blinding trachoma was significantly more common among females.patien ts in age group of 16-59 years, married patients, illiterates and Fugnido camp settlers (P <0.05) .Conclusions: There is a very high burden of blinding trachoma among refugees. Urgent surgical intervention needed to prevent blindness and low vision in the study subjects, and targeted regular outreach-based eye care service should be commenced.