Introduction: Eye illness epidemiology is critical because it identifies the most dangerous diseases in the community and helps decision-makers make better management decisions. This study aims to explore the epidemiology of prevalent eye diseases in north Kordofan State. Methodology: This retrospective descriptive study was conducted at El-Obeid Teaching Hospital's Ophthalmology Department, North Kordofan State, Sudan, and Dr. Khalil's Ophthalmology Center. Out of almost 50000 patient files, we selected 1000 files for this study using a random systemic selection of 1 in 50. The data collection sheet was created, and all data were collected. Results: The corneal diseases made up 19.6% of the 1000 cases in this study, followed by conjunctival 17.7%, lens 15.3%, eye surface 9.8%, uveal tract 9.1%, refractive errors 6.4%, eye lids 5.4%, orbital 5.4%, glaucoma 4.3%, retinopathy 4.6%, anterior chamber diseases 2.1%, lacrimal drainage system disorders 1.8%, and nerve palsies 0.5%. Conclusion: The western Sudan is heavily affected by eye diseases, with corneal diseases being the most common, closely followed by conjunctival diseases. This report delves into the eye disease situation in western Sudan. With absence of such literature from Sudan, the findings of this study presenting baseline of future research in this context.