Das AV, et al. - This hospital-based cross-sectional study was sought to present the indications and prognosis for keratoplasty in eyes with severe visual impairment and blindness due to corneal diseases in India. This research recruited a total of 1,057,215 new individuals presenting to a multitier ophthalmology network between 2016 and 2018. Researchers distinguished a sum of 28,824 (2.73%) individuals with severe visual impairment or blindness due to corneal diseases; of which, 22,582 (78.3%) had unilateral and 6242 (21.7%) had bilateral affliction.  The results of this study revealed that the signs and prognosis for keratoplasty varied greatly based on whether the affliction was unilateral or bilateral. Corneal visual impairment or blindness influenced most of the eyes , nevertheless, carried an unfavourable prognosis for keratoplasty.