Many low-and middle-income countries use national eye-care plans to guide efforts to strengthen eye-care services.The World Health Organization recognizes that evidence is essential to inform these plans.We assessed how evidence was incorporated in a sample of 28 national eye-care plans generated since the Universal eye health: a global action plan 2014-2019 was endorsed by the World Health Assembly in 2013.Most countries (26, 93%) cited estimates of the prevalence of blindness and 18 countries (64%) had set targets for the cataract surgical rate in their plan.Other evidence was rarely cited or used to set measurable targets.No country cited evidence from systematic reviews or solution-based research.This limited use of evidence reflects its low availability, but also highlights incomplete use of existing evidence.For example, despite sex-disaggregated data and cataract surgical coverage being available from surveys in 20 countries (71%), these data were reported in the eye health plans of only nine countries (32%).Only three countries established sex-disaggregated indicators and only one country had set a target for cataract surgical coverage for future monitoring.Countries almost universally recognized the need to strengthen health information systems and almost one-third planned to undertake operational or intervention research.Realistic strategies need to be identified and supported to translate these intentions into action.To gain insights into how a country can strengthen its evidence-informed approach to eye-care planning, we reflect on the process underway to develop Kenya's seventh national plan (2019-2023).