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We thank Sherwin et al for highlighting the importance of nonrefractive error as a cause of blindness and visual impairment in older Africans and the possibility that reporting refractive error as the leading cause of correctible vision loss could result in unintended policy decisions by public health officials in the region. The concluding sentence of our article recommends that “ministries of health should be encouraged to direct resources to prevent or cure visual impairment and blindness with increased rates of general ophthalmic care and cataract surgery, including earlier diagnosis and appropriate management of glaucoma.” This concluding sentence could not be clearer on what we are recommending. (Source: Ophthalmology)