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Why Your Support Matters

The Eye Care Crisis in the Eastern Cape

Access to quality eye care in the Eastern Cape remains one of the most under-addressed public health issues in South Africa. Many rural communities suffer in silence as preventable blindness continues to rob individuals of independence, education, and dignity. 

 According to a 2020 study published in BMC Health Services Research, more than 60% of rural South Africans with vision impairment had never visited an eye care professional due to financial, geographic, and logistical barriers. These challenges disproportionately affect children, the elderly, and economically vulnerable individuals, creating lifelong consequences that could be prevented with access to proper treatment.  

The Cataract Surgery Backlog

Cataracts remain the leading cause of preventable blindness in South Africa, yet thousands of individuals in the Eastern Cape remain on surgical waiting lists for years, unable to receive a procedure that takes just 20 minutes to restore sight (South African Medical Journal, 2023). 

In 2024, the Department of Health acknowledged the severe backlog in cataract surgeries , stating that many patients had been waiting up to 5 years for treatment (Go! & Express, 2024). This delay forces individuals into dependence and unemployment, despite the existence of a safe and highly effective medical solution. 

Studies indicate that delays in cataract surgery not only affect vision but also contribute to depression, social isolation, and decreased quality of life (British Journal of Ophthalmology, 2022). Rural communities are particularly disadvantaged, with limited outreach programs and overburdened hospitals struggling to meet the demand. 

A Shortage of Eye Care Professionals

The Eastern Cape faces critical shortages in specialized medical care, particularly in ophthalmology. According to a Spotlight NSP report (2023), the province struggles to retain specialists due to staffing shortages, poor infrastructure, and inconsistent government funding. 

 A study published in the South African Health Review (2022) found that less than 10% of public sector hospitals in the province have access to dedicated ophthalmologists or full-time eye care professionals. This is well below the World Health Organization’s recommended ratio, meaning many patients wait months—or even years—for routine eye care. 

 Furthermore, rural areas are drastically underserved, with most ophthalmology services concentrated in urban hospitals, requiring long-distance travel for treatment. This barrier disproportionately affects elderly patients, low-income families, and children in need of specialized care.  

Children Left Behind

Children are among the most affected by poor access to eye care. Research has shown that vision impairment in childhood contributes to lower academic performance, reduced self-esteem, and increased dropout rates (African Journal of Disability, 2023). 

A study in Motherwell Township, Eastern Cape, found that uncorrected refractive errors significantly hinder children’s ability to read and learn, affecting comprehension, concentration, and participation in class (Child Vision & Development Journal, 2023). Despite these challenges, South Africa’s school health policy lacks a standardized approach to vision screening. Many schools lack trained personnel or equipment, leaving thousands of children undiagnosed and forced to navigate their education with a preventable disadvantage. 

Additionally, vision problems affect social development and psychological well-being. Studies indicate that children who struggle to see clearly are less likely to engage in sports, social activities, or classroom discussions, leading to isolation, frustration, and lower self-confidence (Paediatrics & Ophthalmology Review, 2022). 

Without early intervention and access to prescription glasses, children with conditions like myopia or astigmatism face lifelong consequences—even though a simple pair of spectacles could change everything. 

Our Response

The Eiohn Hayes Fund

The Eiohn Hayes Fund (EHF), in partnership with Dr. Davies Clinic, is bridging this gap by providing affordable, accessible, and free eye care services to underserved communities, through various Outreach programmes as well as the Clinic itself.

The clinic is based in the Eastern Cape, Makhana Municipality, and operates on Mondays, Wednesdays, and Fridays. In addition to specialized treatments, we also offer affordable eye tests and spectacle dispensing, ensuring that more people can access essential vision correction at a low cost. 

Our Key Initiatives:
1. Cataract Surgery Programme

We provide free, fully funded cataract surgeries to eligible patients

4–5 surgery dates per year

Up to 40 patients treated per session

Waiting lists are open and growing.

2. Outreach Initiative

We travel to rural communities and farms to provide screenings and prescription glasses.

In 2024, we screened over 500 dairy farm workers.

Services include vision assessments, treatments, and specialist referrals.

Our programmes also address:

Children’s vision care

Diabetic retinopathy treatments

Specialist interventions

“However, demand far exceeds our current capacity.”

This is why your support is vital.