PURPOSE: To determine the use of medical services for eye problems in Fiji, and barriers to seeking that care.

METHODS: An interview-based questionnaire was administered as part of a population-based cross-sectional survey of adults selected by multistage random sampling from those aged =40 years living on Fiji's main island.

RESULTS: Participation rate was 73.0% (n?=?1381). A current vision or eye problem was reported by 931 participants, and a further 235 recalled a previous difficulty. Urban dwellers (P?=?0.002) and those aged =50 years (P?=?0.017) were more likely to report a problem. Gender was not predictive (P?=?0.215). "Blurred/poor vision" was the most common complaint (78.5%). Over half (53.3%) had not sought care for the problem most important to them. For current problems, being younger (P?
CONCLUSION: With expanding service delivery, increased eye health promotion, and attention to the financing of treatments, improved service use ought to be possible in Fiji.