Aim: The purpose of this study is to evaluate the role of ultrasonography in the diagnosis and management of various ocular pathologies where direct visualization is hindered by hazy media, such as cataracts, corneal opacities, vitreous hemorrhage, and other ocular media disturbances. Methods: A prospective, descriptive study was conducted on 50 patients presenting with hazy media at a tertiary care hospital. B-scan ultrasonography was performed on all patients to assess ocular pathology that could not be visualized due to media opacity. Results: Of the 50 patients, the most common ultrasonographic finding was posterior vitreous detachment (28%), followed by retinal detachment (22%), vitreous hemorrhage (16%), asteroid hyalosis (12%, and other findings such as posterior staphyloma (8%) and optic disc drusen (6%). In 8%, no significant abnormality was found. Conclusions: Ultrasonography is a valuable diagnostic tool in assessing ocular structures in patients with hazy media. It provides critical information for proper diagnosis and management.