Purpose <p>To assess caregiver’s awareness, attitudes and practices related to childhood ocular morbidities among caregivers attending a tertiary care hospital in Puducherry.</p> Methods <p>The study adopted a cross-sectional design and enrolled 103 parents and caregivers of children (&lt; 18 years) attending the tertiary care teaching hospital in Puducherry during January–February 2025. A pretested and validated questionnaire was administered to assess participant’s knowledge, attitudes, and practices regarding frequently encountered paediatric eye diseases, childhood blindness, preventive measures, and care-seeking behaviour. Data were analysed using descriptive statistics.</p> Results <p>Among the respondents, 63.1% were mothers, and 48.5% had education up to primary school level. Awareness of childhood blindness was reported by 89.3% of caregivers. Nearly three-quarters of respondents (72.5%) were familiar with common paediatric eye diseases; however awareness of their potential to cause blindness was lower (58.6%). Awareness was highest for ocular trauma (93.2%) and refractive errors (76.7%), and lowest for cataract (43.7%) and glaucoma (45.6%). Preventive measures commonly identified included a balanced diet (92%), routine eye check-ups (84.5%), and Vitamin A intake (67%). A minority still believed in home remedies (7.8%) or alternative medicine (13.6%). Most caregivers (60.2%) sought eye care only after symptoms developed; 69.9% consulted an ophthalmologist first, while 22.3% visited a paediatrician.</p> Conclusion <p>Although caregivers demonstrated good general awareness of paediatric eye conditions, understanding of their potential to cause blindness was limited. Misconceptions and delayed care-seeking practices persist. Targeted caregiver education and strengthened involvement of paediatricians and school are essential to promote early detection and reduce preventable childhood blindness.</p>