Every month, ophthalmologist Ahmad Alsyed Ali sees at least one child teetering on the edge of blindness. As much as he wants to treat them, by the time these children are referred to his office, it is often too late. Many of his patients face a lifetime of severely restricted vision—or, in some cases, complete blindness. Ali’s task is to explain this reality to devastated parents whose only remaining option is to seek costly specialty care in the private sector or outside the country.