Introduction: Strabismus is a state of abnormal alignment of the two eyes. Current research was aimed at studying the profile of strabismus at a tertiary care hospital in Kashmir valley. Material and methods: Strabismus patients attending squint clinic of a tertiary care referral centre in Kashmir, between December, 2015 and December, 2017, across all age groups were included in this study. Patients operated previously for strabismus were excluded. Visual acuity, cycloplegic retinoscopy, stereopsis assessment were done in all patients. Strabismus was objectively measured using Prism Cover Test / Modified Krimsky method. Results: During the defined period a total of 911 patients were evaluated and included in this study. Out of these, 516 (56.6%) were females and 395(43.3%) were males. 37.1% of the study cohort were products of consanguineous marriages. History of prematurity and turbulent perinatal period was elicited in 4% and 18% of the patients respectively.As regards the pattern of strabismus in our study population 59.93% had esotropia, 36.6% had exotropia. Inferior oblique overaction and Dissociated vertical deviation were seen in 22.61% and 23.38% respectively. Duanes Retraction syndrome (0.98%), Superior oblique palsy (1.2%)Browns syndrome (0.21%), Third nerve Palsy (0.32%), LR palsy (0.65%) were the lesser common deviations noted. Conclusion: Esotropia is the most common motility disorder among patients attending a tertiary care hospital in Kashmir, in contrast to rest of India. Statistics from majority of colder regions of the world show the same inclination, further reinforcing the theory of association between sunlight and exodrift.

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