Purpose: To evaluate the patterns of vision impairment in patients seeking visual disability certificates. Methods: A retrospective analysis of applications received for blindness certificates done over a period of two and half years. The main causes of visual impairment and blindness were ascertained. Percentage of visual disability calculated as per the guidelines issued by the Department of Empowerment of Persons with disabilities, Ministry of Social Justice and Empowerment, Govt of India 2024. Results: 626 applications were reviewed. Male preponderance (388 Males, 238 Females) was seen. The age group range was from 2 months upto 87 years. The mean age at presentation was 32.91 years.Most of the applicants (56.7%) were in 11-40 years of age group. 19% of the study group had Refractive Errors & amblyopia, 14.43% had chorioretinal abnormalities, 13.37% had Phthysis Bulbi, 12.33% Cataract & Cataract Surgical Complications, 8.94% had Congenital malformations, 8.46% had glaucoma & optic atrophy, 7.18% Corneal Opacities and Scars whereas 15.81% had other non-specified causes. Majority of the causes were preventable. The study found that 76.6% of cases had significant visual disability (40% or more), while 23.4% had relatively less visual impairment (30% or less), highlighting the substantial impact of visual impairment in the majority of cases. Conclusion: This study gives an idea about the visual disability patterns and helps the authorities to plan the preventive measures as Majority of the causes were preventable.