The prevalence and causes of ocular anomalies found in this study suggest a need for more targeted eye health interventions such as school eye screening for early diagnosis and treatment of any presenting conditions among schoolchildren.

This study involves optometrists employed within public health facilities in KwaZulu-Natal. Methods:The research followed a qualitative design. Sampling was purposive, with the sample population including all public sector-employed optometrists within the KwaZulu-Natal Department of Health. Questionnaires were used to collect data, which were thematically analysed to gain insight into participants' perspectives relating to the decentralised clinical training (DCT) in optometry.Results: In KwaZulu-Natal, DCT in optometry as a revised clinical training strategy is generally supported by public sector optometrists. It presents opportunities for expanded access to eye care for public sector patients and a mutual learning opportunity between students and practitioners. However, resources required for comprehensive optometric assessments are significantly lacking within the public health sector. Training for public sector optometrists who would be expected to serve as clinical educators was also an identified need. Conclusion:While there are various challenges facing optometry practice within the public health sector in KwaZulu-Natal, decentralised clinical training holds promise for the improved eye care service capacity in KwaZulu-Natal.