B–scan ultrasonography (USG) of the eye is a simple, noninvasive diagnostic tool used for diagnosing lesions of posterior segment of the eyeball like cataract, vitreous degeneration, retinal detachment, ocular trauma, vitreous hemorrhage, posterior vitreous detachment and others including ocular tumors. It is cost–effective tool which is an important consideration in remotely located setup like ours situated in Garhwal mountain ranges. It is easily available and the results are easily reproducible. The present retrospective hospital based study shows effectiveness of ultrasound in form of B–scan in diagnosing various spectra of ocular pathologies in patients of the hilly regions, wherein 50 patients were studied in a period of 3 years from April 2016 to March 2019.