Introduction: the low vision services seek to rehabilitate people with these visual disabilities. This research is the first that addresses the characteristics of the health system in terms of management and organization of care network in Colombia, from the perspective of service providers. Method: a descriptive qualitative, under the theoretical model of Andersen et al, which used to analyze the methodological design of Taylor & Bogdan. Results: the service institutions are forced to seek managerial actions to survive in a health system based on managed care and regulated competition. Conclusions: no clear route due to lack of care professionals as well as the absence of rules ensuring reference and counter is identified.