Abstract
<title>Abstract</title> <p>Visual impairment continues to represent a significant public health challenge, particularly in developing nations where disparities in healthcare access remain pronounced. In India, the burden of avoidable blindness persists despite considerable progress in ophthalmic care delivery and national health initiatives. This study is designed to address the gaps and report the effectiveness by systematically analyzing detection patterns over one year. It focuses on rural Vision Centres, examining the prevalence of refractive errors, frequency of cataract detection, and referral practices. A retrospective descriptive study design was adopted to analyze service delivery data from selected rural primary eye care facilities in Karnataka. The study was conducted across Vision Centres located in Bellatti, Amminbhavi, Nargund, Bankapur, and Annigeri. Over the 12-month study period (January–December 2024), a total of 8,413 patients attended the selected Vision Centres across rural Karnataka. A total of 2,471 patients were provided with spectacles following refraction, resulting in a spectacle conversion rate of 29%. During the study period, 1,720 cataract surgeries were performed following referral from the Vision Centres. An additional dimension of service delivery observed in this study was the integration of systemic disease screening within primary eye care. A total of 2,472 patients underwent blood pressure and blood glucose screening, representing a significant proportion of attendees.</p>