Oppressed peoples from war-torn Karen State, Burma suffer vision impairment as well as lack of access to medical care from the Burma government. Relief organizations like the Free Burma Rangers and Partners are bringing vision screening, local spectacle dispensing and training of Karen medics in eye care. In late 2011, cataract surgery was first brought to the Thai-Burma border. This included HOTV acuity and SPOT photo screening, refractions and eye exams, pre-operative A-scan and keratometry, and then local anesthesia and MSICS microscopic surgery with intraocular lens implantation. Special thanks to many donors including Alcon and FCC missions.