{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:54:38Z","timestamp":1781848478103,"version":"3.54.5"},"reference-count":126,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Despite remarkable advances in ophthalmic diagnostics and therapeutics over the past decade, the global prevalence of avoidable visual impairment and blindness has remained unchanged. This paradox reflects a crisis of care delivery and the persistent failure to consistently, equitably, and effectively translate evidence-based interventions into routine practice for the millions who need them most. Dissemination and implementation (D&amp;amp;I) science offers ophthalmology rigorous, evidence-informed frameworks to close this last-mile translational gap. Drawing on the established body of D&amp;amp;I science theory, methods, and applications, this review argues that ophthalmology has been slow to harness these tools, and that doing so now is imperative. We examine the current evidence for D&amp;amp;I science applications across key domains of global eye care: equitable care delivery in the US, global eye health in low- and middle-SDI regions, gender equity, and the implementation of artificial intelligence-based diagnostic tools. Across each domain, we identify both promising examples of D&amp;amp;I science in action and critical gaps in evidence, equity, and sustainability. Achieving vision health equity worldwide will require ophthalmology to treat the dissemination, implementation, and sustainment of evidence-based eye care as central to its mission as the development of the innovations themselves.<\/jats:p>","DOI":"10.3389\/fpubh.2026.1863810","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:46:57Z","timestamp":1781848017000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dissemination and implementation science for global ophthalmology: closing the last-mile translational gap"],"prefix":"10.3389","volume":"14","author":[{"given":"Ana","family":"Bastos de Carvalho","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Kentucky College of Medicine, Lexington","place":["KY, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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