The aim of this study is   determine the main causes of visual impairment in children with low vision, to assess the need of spectacles and low vision devices (LVDs) in children,and to evaluate visual outcome after using their LVDs for far and near distance. The study Design was Observational. : Retinal diseases nystagmus and macular conditions were mainly responsible for low vision in children. Visually impaired children especially with hereditary /congenital ocular anomalies benefit from refraction and low vision services which facilitate vision enhancement and inclusive education.