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On 27 July 2022, Aotearoa New Zealand became the first high-income country to launch a report of its eyecare situation using the Eye Care Situation Analysis Tool (ECSAT) recently revised by the World Health Organization (WHO).1 This launch sees Aotearoa join other countries from the Western Pacific region that have long been leaders in efforts to improve eye health nationally and globally. Examples include Australia, Singapore, Tonga and China that led or co-sponsored initiatives that saw resolutions on eye health adopted by the World Health Assembly (WHA73.4, 2020) and the United Nations Resolution on Vision (A/RES/75/310). ....