Aim: The aim this study to describe the demography and clinical profile of keratoconus in central India. Methods: This is single centre, cross sectional hospital based study conducted on68 patients presenting between April 2023 to September 2023. All Patients of Keratoconus without any previous interventions were included in this study. Results: 129 eyes of 68 patients diagnosed with Keratoconusare used for the analysis. The mean age of patients was 19.01 +/- 6.64years.The majority of patients were male (58.82%) Out of 68patients 61 had bilateral keratoconus (89.7%) and 7 patients had unilateral presentation (10.29%). Common signs noted were prominent corneal nerves (58.13%), Fleischer ring (50.38%), corneal thinning(45.73%), Vogt’s striae (24.80%), and corneal hydrops (2.32%). Allergic eye disease like Vernal kerato conjunctivitis(VKC) was most common association noted. Conclusion: Study concludes that bilateral nature of disease was more preponderant. Gender dominance was seen in males with commonest presentation in second and third decades. Common Mode treatment included corneal collagen cross linking, Scleral contact lenses and keratoplasty.