In collaboration with The International Pediatric Ophthalmology & Strabismus Council, The Illinois Eye and Ear Infirmary hosted the IPOSC ROP Africa Symposium 2018. This international symposium on retinopathy of prematurity was held September 3rd and 4th at the Red Cross War Memorial Children’s Hospital in Cape Town, South Africa. Participants attended presentations from renowned international faculty, with topics including epidemiology, neonatology, and diagnosis of ROP. Focused workshops – including a leadership development course and hand’s on skills transfer labs – provided practical tools for continuing ROP advocacy and clinical care in Sub-Saharan Africa.