Despite the fact that options in refractive surgery continues to expand at breakneck speed, uncorrected refractive error (URE) is the leading cause of preventable blindness worldwide. In the United States, a review of population studies estimates that 8.4 million adults have visual impairment of 20/40 or worse, and globally, it affects 101 million adults. By 2050, these statistics are expected to double. Not surprisingly, the most vulnerable populations are those with economic hardships, limited healthcare access, health illiteracy, and older age. Perhaps overlooked in the past, Jeganathan et al. (pp. 299–304) report that URE is a major cause of global disability, reduced productivity, and strain on quality of life. The authors’ proposed solutions include better screening, more options for low-cost spectacles, integrated care delivery, and paraprofessionals to address the shortage of the workforce, and making refractive surgery more accessible.