Ocular outcome was assessed in a 2 year cohort of all children born before 32 weeks gestation within a geographically defined population of approximately 3 million. Five hundred and sixty-five children were born within the study period; 558 children (98.8% of the study group) were assessed at approximately 2 years old. There was a high incidence of abnormalities, particularly strabismus (70, 12.5%), cortical visual loss (7, 1.3%), sequelae of retinopathy of prematurity (16, 2.9%) and other significant refractive errors (69, 12.7%). These data provide a recent estimate of gestational age-specific prognosis and suggest that follow-up yields a significant proportion of children with visual abnormalities who could benefit from treatment.