Premi is one of three children. Her parents and older brother work as day labourers on nearby farms to support the family. Despite their efforts, money is often tight, and a visit to the optometrist would be a stretch for them. Fortunately for Premi, her school was visited by one of our eye screening teams as part of our Vision-centre Based Community Eye Health Project with our partner in the area, the Alakh Mayan Mandir Eye Hospital. Premi was quickly diagnosed with refractive error and received a pair of prescription eyeglasses, free of charge.

The whole family is grateful that this bright young girl can continue her studies, with hope for a brighter future.

Our approach to eye health ensures entire communities – including schoolkids like Premi – get screened for eye conditions and can access treatment at low or no cost. By offering multiple screening opportunities at schools, vision centres, screening camps and right on people’s doorsteps, we make sure nobody falls between the cracks.

Our unique “recipe” for community eye health

Our approach starts at the planning level – working with government and community partners to select a location with a high prevalence of vision loss and low socio-economic status – and a partner hospital with a compatible mission and vision.

Next, we collaborate with partners on an action plan, define the project area and decide on locations for vision centres. Once established, the vision centres act as links between communities and hospitals, providing comprehensive eye exams, dispensing glasses and making referrals to our partner hospital for surgeries.

Then, the training of community health workers begins. These frontline workers, mostly women, learn how to conduct visual acuity tests, identify various eye conditions, make referrals and provide eye health education. For many of our beneficiaries, the relationship with our programs begins and ends with the community health worker – who might visit the same household many times, offering kindness, compassion and counselling to nervous patients, as well as their eye health expertise.

After their training, the community health workers fan out to our various communities of work, doing a baseline door-to-door survey and referring patients to the vision centres and partner hospitals for further diagnosis and treatment.

As we continue our work in the area, our teams organize various screening camps and school screenings to give everyone multiple opportunities to have their eyes checked. Community health workers also continue their door-to-door work, checking in on patients, providing eye health education and troubleshooting any problems patients might face in getting treatment. Teams crunch numbers to monitor progress and evaluate each project, later bringing in external agencies to audit the work.

When the community health volunteers have done their final survey to make sure there are no backlog cases, villages and communities are declared as Avoidable Blindness-Free through public celebrations. At this point, the vision centres have become self-sustaining, so they can continue to deliver quality eye care services beyond the project’s duration.

Providing more than just eye care

The community health workers we employ for our door-to-door surveys can offer much more than just eye health expertise. Many have received additional training in primary health care and can provide advice and referrals for things like immunizations, vitamins, and maternal and newborn health care.

Shakuntala, an Accredited Social Health Activist (ASHA) with the Government of India, spent eight years providing advice to expectant mothers, and offering newborn care support, before she received additional training in primary eye care. With her experience, she can continue to offer referrals and education to mothers while she does her eye health screenings.

In 2024 alone, our community health workers linked more than 50,000 children aged five and under with crucial vitamin A injections, which reduces the severity of childhood illness and increases survival rates, while also helping them develop healthy vision. Also in 2024, we referred more than 16,000 expectant mothers and 12,000 nursing mothers with health facilities for check-ups.  

Moreover, a community health workers frequent visits to a household can help them monitor a patient’s progress not only with an eye condition but with other health problems as well.

Take Bulal in Nepal, for example, a 97-year-old man who has cataracts as well as diabetes. When Meena, an Operation Eyesight-trained community health worker, met Bulal during a door-to-door survey in 2021, she realized that he would need additional support to get the treatment he needed for his low vision. While he had been previously diagnosed with cataracts, the doctor told Bulal that his unstable blood sugar levels – and his high blood pressure – made cataract surgery too risky. Bulal thought he would live out his final days in darkness.

But when Meena heard his story, she set a plan in motion. Over the next few months, with Meena’s support and guidance, Bulal stabilized his sugar levels and brought down his blood pressure so he could safely undergo surgery. His family was grateful to see Bulal restored to his former dignity and independence once he could see clearly again.

From patient to ambassador – spreading the word about eye health

Ntiiti, a mother of five from a remote village in Kenya’s Kajiado County, started losing her vision in 2020. She didn’t know why she couldn’t see clearly and wondered if she was the victim of a curse. Soon, her vision was so poor that she could no longer perform essential day-to-day tasks like making meals, taking care of her children and looking after the family’s cattle.

Help arrived unexpectedly when a community health promoter, whom we’d trained in primary eye care, visited her home while conducting door-to-door screenings. He identified cataracts and sent her to a nearby eye screening camp for a formal diagnosis. At the camp, an ophthalmologist confirmed Ntiiti had bilateral cataracts and referred her for surgery. Ntiiti had never been to a hospital or clinic before, because of the distance to these facilities from her village, but our team helped arrange transportation so that she could get the treatment she needed. Thanks to our generous donors, she received surgeries on both eyes, free of charge.

Amazed by the difference the surgeries made to her life, Ntiiti told everyone in her community who complained of vision or eye problems about her miraculous recovery. Soon, she had her first recruit – a widowed mother of six who was living in total blindness. Ntiiti connected her to the community health promoter and even accompanied her to the hospital for her surgery.

We have many similar stories of patients like Ntiiti who become ambassadors for our programs. It speaks to the strength of our approach – by taking the time to build relationships in the community, patients with success stories become empowered to spread the word about the importance of getting treated for blindness and vision loss.

To create the biggest impact, we start at the community level. By training and empowering local health workers, we can help create lasting connections that bring eye care directly to people’s doorsteps. These trusted workers are the heart of our model – identifying problems early, guiding patients through treatment and spreading awareness that can transform entire villages.

With your support, we can train more health workers, open more vision centres and ensure that no one is left behind. Donate today to help us build a future where avoidable vision loss is eliminated for good.

The post Putting community at the heart of our work appeared first on Operation Eyesight.

Benjamin lives with his parents and six siblings in the village of Olookitareti in Kajiado County. The family struggles financially; Benjamin’s father Joshua has a chronic illness, while his mother, who lives with a disability, does her best to manage their livestock herds while also caring for the children.

In 2023, a local disability advocacy group referred Benjamin to a special needs boarding school, where he learned to read braille. His parents were grateful that he would receive an education, but they still worried about his future.

The following year, a community health worker identified cataracts in Joshua’s eyes during a door-to-door screening and referred him to our surgical camp. He took Benjamin along, hoping for a diagnosis for the child as well.

At the camp, Benjamin was also diagnosed with cataracts and referred to our pediatric cataract camp happening at another facility. But on the day of the camp, he didn’t show up. The outreach team made calls to the family to track him down, but their calls went unanswered. Finally, our community health promoter located Benjamin at his school. She later discovered that the family had lost their phone.

Recognizing the urgency of Benjamin’s condition, our outreach team contacted the family’s close friend, Pastor Titus, who accompanied Benjamin to the surgical camp with the family’s blessing.

Thanks to the support of our partners and donors like you, Benjamin successfully underwent surgery and had his vision restored. Joshua also underwent surgery and can now see clearly.

Now, Benjamin attends a regular primary school, confidently tackling Grade I. He reads and writes with ease and loves to join soccer games with the other children in the village.

His parents are grateful that Benjamin can now live up to his full potential.

Written with files from Patrick Wainaina Muthii.

This holiday season, consider giving the Gift of Sight to transform lives for more children like Benjamin!

The post Gift of Sight: Cataract surgery spares Benjamin from a life of avoidable blindness appeared first on Operation Eyesight.

What nobody realized was that some of Zara’s actions – the eye-rolling, the strange movements – are typical self-stimulatory behaviours seen in some children with severe vision impairment. As a result of these behaviours, children like Zara are sometimes misdiagnosed with autism or developmental disabilities if their low vision continues to go unrecognized.

Fortunately for Zara, her school was included in a school eye screening project we had implemented in collaboration with our partner, Nepal Eye Hospital. During the screening, community health workers discovered that Zara had cataracts in both of her eyes, a condition she’d been born with and that had severely clouded her vision throughout her young life.

The outreach team met with Zara and her mother, explained the condition to them, and told them that treatment was available. They referred the family to the nearby Simara Vision Centre for a thorough examination, where doctors confirmed the diagnosis of congenital cataracts. From there, Zara received a further referral to Nepal Eye Hospital in Kathmandu for surgery.

The Operation Eyesight project team provided crucial support, guiding Zara and her parents through the treatment process and helping them access surgery at a reduced cost, making it affordable for the family, who had limited financial resources.

Zara’s first eye surgery was a success, and a month later she returned to the hospital for surgery on the second eye. On her second visit, when she spotted Operation Eyesight’s Project Coordinator from across the hospital, she waved enthusiastically – something that would not have been possible before her first surgery.

Zara’s transformation was profound. The eye rolling stopped, her unusual movements decreased, and she became more sociable with family and friends, even interacting withstrangers. For the first time in her life, she could recognize people from a distance, read the blackboard in class and fully participate in school activities.

Zara’s mother was overwhelmed with relief to see her daughter blossom. She had been extremely worried about her child’s future, and was amazed to see Zara playing, learning and interacting like other children her age. She and her family expressed deep gratitude to the hospital, the doctors and healthcare workers, and to Operation Eyesight’s generous donors, for making this life-changing transformation possible.

Make a donation to help us reach more children like Zara with life-changing eye surgery.

Written with files from Anisha Gurung, Operation Eyesight’s Project Coordinator at Nepal Eye Hospital.

The post How an eye screening changed everything for Zara appeared first on Operation Eyesight.

While joining the military seems achievable, that dream was nearly shattered for Erasmus a few years ago, when an accident threatened both his vision – and his future.

It all started one evening back in 2019. Erasmus’ mother, Joyce, was inside their home in the rural community of Essiam, in Ghana’s Central Region, when she suddenly heard shouts coming from outside, where Erasmus was playing with friends. She rushed outside and found her son clutching his eye in pain. His friends told her that something had flown through the air and hit him hard in the eye.

Initially, Joyce treated Erasmus at home with some over-the-counter eye drops, but after going to school the next day, he said he was still feeling a lot of pain. His teacher recommended Joyce take him to the hospital to get it checked out.

Joyce took him to the nearest hospital, and the doctor there referred them to the Korle Bu Teaching Hospital in the capital city, Accra. He also advised her to make sure that nothing happens to Erasmus’ other eye, as he worried that the boy might lose sight entirely on the injured side – advice that shook Joyce to the core. She imagined her son’s future melting away, along with his eyesight.

As a single mother running a small hair-braiding salon, Joyce was overwhelmed by the cost and logistics of travelling to Accra. Eventually, she got some money together and they went to the hospital. A doctor examined Erasmus and told Joyce the damage to his eye was very serious and that he would need surgery.

But Joyce couldn’t afford the surgery. She tried everything – asking family for help, borrowing what she could – but it was never enough.

In the meantime, Erasmus continued to have pain and irritation and couldn’t see much out of the affected eye. Joyce, tears spilling from her own eyes as she remembers that bleak period, says she was terrified for her son and felt completely alone in dealing with the problem.

Then, in 2023, she learned that a charity had visited Erasmus’ school and had checked on the students’ eyes. She rushed down to the school and learned that Erasmus had been identified as a student in need of a referral for a more thorough diagnosis.

That eye charity was, of course, Operation Eyesight, working in tandem with the ministries of health and education, and our partner hospital, Watborg Eye Services, in Awutu Breku. Erasmus got a referral to Watborg, where he received a thorough eye exam.

Joyce learned that her son’s injury had developed into a cataract. A traumatic cataract happens when an eye injury disrupts the lens fibers – leading to a clouding of the lens. Up to 1.6 million people lose sight to eye injuries each year.

Erasmus was scheduled for surgery in two weeks’ time. And although Joyce was told that the surgery would be provided free of charge, she couldn’t quite believe it and continued to worry about the costs.

Two weeks later, Joyce and Erasmus returned to Watborg for the cataract surgery. Doctors told her the operation went well, and they kept Erasmus in hospital for another couple days to allow the eye to heal.

To Joyce’s relief, she learned that the surgery was in fact done free of charge, made possible through our School Eye Health Project supported by the Church of Jesus Christ of Latter-day Saints Charities. The project covered all other expenses, including transportation, meals, the hospital stay and post-surgical appointments.

Due to the complexity of Erasmus’ injury, it would take him additional time to recover than most cataract patients. For weeks after the operation, Joyce anxiously asked, “Can you see yet?” The answer was always no — until one day, Erasmus burst into her salon shouting, “Ma, I can see! I can see!”

Erasmus now wears prescription glasses to school, his future once again in focus. Joyce, deeply moved, says she’s forever grateful to Operation Eyesight and our partners for restoring her son’s sight, and her hope.

The post “Ma, I Can See!”: A Ghanaian boy’s journey from injury to clear vision appeared first on Operation Eyesight.