The fight against childhood blindness is being given top priority by the World Health Organization especially in regions of the world, like Nigeria where the gross income per capita is relatively low with up to 60.9% of them living in absolute poverty as at 2010. Avoidable causes of blindness in children needs to be eliminated through the development of sustainable and equitably distributed high quality children eye care services as part of our national health care system. However enough attention has not been given to achieve this yet. The purpose of this editorial is to highlight the challenges in childhood eye care in this country as well as discuss ways the current negative trend can be reversed. KEYWORDS: Paediatric; Nigerian child; Ophthalmology; Subspecialty