This symposium report outlines strategies to prevent blindness in people affected by leprosy in Africa. It highlights the high burden of ocular disease among leprosy patients, especially cataract and lagophthalmos, and emphasizes the need to integrate leprosy care into general eye health services under VISION 2020. It recommends improved screening, surgical interventions (like lateral tarsal strip and cataract surgery), revised disability grading, and national-level planning to ensure equitable access and reduce stigma.