One thousand and fiftyfour patients were included in this descriptive analysis. A total of 8.4 per cent of patients were blind and 10.5 per cent visually impaired on presentation. Cataract was the leading cause of blindness and visual impairment. Thirty‐six per cent of cases were due to refractive errors. Myopia was more common than hypermetropia with most spectacle corrections in the +/‐ 0.50 DS to +/‐1.50 DS range. Astigmatic corrections greater than 1.50 DC were rare.More than half of all spectacle corrections dispensed were for presbyopia, with a large number in the 2140 ‐ year age group. Aphakia was encountered in 11 patients. The standard procedure of providing +10.00 DS aphakic spectacles was found to be inadequate and additional standard prescriptions of +12.00 DS and +14.00 DS are suggested.The implications of not addressing refractive problems in mobile eye clinics are discussed along with the present and future roles of optometrists and opticians in prevention of blindness programs. Mean aphakic refractive errors need to be properly investigated in developing co
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