Eyeglasses are an essential medical device to maximize visual potential and learning in children. We surveyed parents and pediatric ophthalmologists regarding their perspectives on the cost of pediatric eyeglasses. Parents and ophthalmologists identified cost as a barrier to obtaining eyeglasses. Despite over 80% of patients having some insurance coverage for eyeglasses, less than 1 in 4 reported that insurance fully covered the cost, and parents most frequently spent $100-200 per pair. More than 1 in 4 parents deferred purchasing recommended eyeglasses due to cost. Although over 80% of parents felt comfortable discussing the price of eyeglasses with the ophthalmologist, less than half of ophthalmologists felt comfortable discussing cost.