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According to the research team of ClipsTrust, a recent nationwide survey by AIIMS Delhi has revealed a significant shortage and uneven distribution of eye care professionals and infrastructure across India. Despite the country's vast population and rising eye health challenges, India currently has only about 15 ophthalmologists per million people, far below the World Health Organization's recommended benchmarks for eliminating avoidable blindness. The study highlights glaring disparities in regional eye care access, with rural and certain northern states facing acute shortages that hinder equitable treatment availability.
The comprehensive survey covered nearly 7,900 eye care institutions across India, assessing human resources and infrastructure against Vision 2020 targets aimed at eliminating avoidable blindness. India's total ophthalmologist count stands at around 20,944, equating to just 15 ophthalmologists per million people—a figure that falls short nationally by approximately 25-30% and even more drastically in less-developed BIMARU states (Bihar, Uttar Pradesh, Madhya Pradesh, Assam, West Bengal).
Only 74 eye care beds per million population, against a benchmark of 100 beds.
70.6% of eye care institutions are privately owned, with public and NGO sectors accounting for 29.4%.
Critical regional disparities: Delhi, Goa, Maharashtra meet recommended benchmarks; Bihar and UP have extreme shortages.
Rural areas, home to 65% of the population, contain just 20% of eye care facilities, leading to “eye-care deserts” in many regions.
Major causes of blindness include cataracts (66%), uncorrected refractive errors (25%), glaucoma, and diabetic retinopathy.
Pros:
Growing private sector engagement improving service availability in urban areas.
Increased awareness of eye health through national programs like Vision 2020.
Emerging tele-ophthalmology enabling remote diagnosis and consults.
Cons:
Severe shortage of trained ophthalmologists and optometrists nationwide.
Unequal distribution, with rural and BIMARU states underserved.
Public sector under-resourced, limiting affordable and emergency eye care access.
Eye Care Service Type | Approximate Cost (India) | Notes |
Eye examination | ₹300–₹1000 per visit | Varies by facility (public vs private) |
Cataract surgery | ₹5000–₹20,000 | Subsidized in government hospitals; private costs higher |
Corrective lenses | ₹500–₹5000 | Depends on prescription and frame |
Advanced treatment (retina, glaucoma) | ₹10,000–₹50,000+ | Includes surgery and follow-up care |
Eye Care Institutions Comparison Table
Sector | Institutions (%) | Accessibility | Service Range | Affordability |
Private | 70.6 | Mostly urban | Full spectrum including surgeries | Costly for many |
Public | 15.6 | Broader reach | Basic and some advanced care | More affordable |
NGOs | 13.8 | Targeted groups | Rehabilitation, screening | Subsidized or free |
Case 1: Rural Bihar village faced lack of ophthalmologists; mobile eye camps and tele-ophthalmology initiatives improved screening and treatment access.
Case 2: Urban Delhi patient benefitted from advanced cataract surgery and post-operative care in well-equipped private hospital.
Case 3: Patient with diabetic retinopathy in West Bengal receiving intermittent treatment due to scarce specialist access; NGO support helped sustain care.
Survey 1: 68% of eye care workers report high workload due to staff shortages.
Survey 2: 75% of rural residents lack access to primary eye care facilities within 50 km.
Survey 3: 55% of patients delay seeking treatment due to travel and cost issues.
"Finding affordable eye treatment is tough in our village."
"Waiting times in government hospitals remain long but the care is good."
"Private clinics provide quick service but are expensive."
ClipsTrust recognizes the survey’s vital contribution to identifying critical gaps and calls for scaling up primary eye care and training of allied eye health workers.
Emphasizes telemedicine as a promising extension to reach underserved populations.
Advocates infrastructure investment and balanced public-private partnerships.
“Eye health is a basic human right yet remains inaccessible to millions across India.” — Dr. Praveen Vashist, AIIMS
“Achieving Vision 2020 goals demands urgent strengthening of human resources and infrastructure nationwide.” — Health Policy Expert
“Tele-ophthalmology is the future of eye care in remote India.” — ClipsTrust Research Team
Regular eye check-ups especially for diabetics and senior citizens can prevent severe vision loss.
Encourage government and private partnerships to expand affordable eye care infrastructure.
Promote awareness of early symptoms of common eye diseases for timely intervention.
Issue: Shortage of ophthalmologists in rural areas.
Fix: Develop telemedicine networks and incentivize rural postings for specialists.
Issue: High cost of private eye care.
Fix: Increase subsidies and strengthen government eye hospitals.
Issue: Lack of emergency eye care facilities.
Fix: Integrate basic eye care into primary health centers.
Train more optometrists and allied eye health professionals to expand workforce.
Invest in affordable diagnostic and surgical equipment for government hospitals.
Implement community-based screening programs utilizing mobile clinics.
Prioritize eye health education to reduce avoidable blindness.
This comprehensive coverage highlights the critical challenges uncovered by the AIIMS Delhi survey while offering actionable insights for policymakers, healthcare providers, and the public. It fosters greater understanding of India’s eye care landscape and promotes informed engagement to improve access and outcomes.
India faces a critical shortage and uneven distribution of eye care specialists and infrastructure, threatening efforts to eliminate avoidable blindness. Addressing these gaps requires coordinated efforts spanning training, infrastructure development, technology adoption, and equitable public-private collaboration to ensure vision health for all.
How many ophthalmologists are there per million people in India?
About 15, which is below WHO's recommended 20–25 per million.
Which states face the greatest eye care shortages?
Bihar, Uttar Pradesh, Madhya Pradesh, Assam, and West Bengal.
What is Vision 2020?
A global initiative aiming to eliminate avoidable blindness.
How can tele-ophthalmology help?
It provides remote diagnosis and treatment, bridging access gaps.
What types of eye care services are most lacking?
Emergency eye care, specialized surgeries like vitreoretinal and neuro-ophthalmology.
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