Background: Ocular pathologies significantly impact quality of life. Understanding the spectrum of conditions and their prevalence is crucial for effective prevention and management.The aim of the study is to determine the various types of congenital or acquired disorders causing permanent visual disability and their association with age, sex and visual acuity in patients attending Disability Clinic of Department of Ophthalmology, Jorhat Medical College and Hospital, Assam, from January 2024 to July 2024. Methods: A hospital-based cross-sectional study of patient records with visual impairment seeking visual disability certificate was conducted. Data collected included demographics, visual acuity, ocular diagnoses and associated comorbidities. Results: Out of 80 cases analyzed, 54 were males and 26 were females (Male: Female = 2.07:1) The most common age group at presentation was 11-20 years (25%) belonging to rural population (66.25%) and 20% of cases were congenital. The most common ocular anomaly noted was microphthalmos (23.75%) followed by uveal coloboma (18.75%) and pthisis bulbi (11.25%). Conclusion: This study provides valuable insights into the burden of visual impairment in the region served by the hospital. The findings can contribute to public health initiatives, resource allocation and clinical management strategies to improve the quality of life of individuals with visual impairment and certified visual disabilities.