Purpose: The purpose of this study was to find out the ocular health status, knowledge and barriers to uptake eye care services among tribal orphans and destitute children of ethnic community in Ramu, Cox’s Bazar. Methods: It was a community based descriptive study. The sampling method was purposive. This study was conducted among tribal orphanage center named "JOGOTJYOTI SHISHU SODON" consists of tribal orphan children and some tribal destitute children at Ramu, Cox’s Bazar. A total of 120 children were examined by Ophthalmologist and Optometrist to determine the ocular health status of the children. Nutritional health was also taken according to B.M.I method through recording height and weight of the respondents. Qualitative data were collected by a well design questionnaire from the children itself, caretaker or guide of the respondents.