The major focus of Lions fund raising activities is sight conservation, although other projects are pursued such as drug awareness programs in high schools, diabetes awareness programs and other programs that are specific to individual Clubs and Districts. Lions took up sight conservation as their major goal after a speech given by Helen Keller at the Lions International Convention held at Cedar Point, Ohio, in 1925. Lions work in the area of sight conservation is carried out at many levels. Individual Clubs sponsor free eye screening programs using mobile eye clinics. In many countries, Clubs sponsor eye surgery camps where cataract surgeries are performed at no charge for those that can't afford this medical care.
Many clubs collect old eye glasses for distribution to the needy in other countries.