Introduction: This study aims to investigate the knowledge, awareness, and perceived barriers among optometrists regarding low vision services in the Klang Valley. It also seeks to identify areas for improvement and evaluate differences in service provision based on type of practice, years of experience, and the number of low vision patients seen annually. Methods: A cross-sectional study used a Google Form questionnaire adapted from previous research. It covered participants’ demographics, the range of low vision services provided, their knowledge and awareness of these services, and perceived barriers and improvement areas. Results: The study involved 193 optometrists and highlighted inadequate low vision services in the Klang Valley. Many respondents lacked an understanding of “visual acuity criteria for low vision” (44.5%) and were unfamiliar with “available low vision devices” (39.8%). The primary challenge cited was “lack of public awareness” (84.4%), with respondents suggesting that services could improve by offering “low-cost low vision devices” (88.1%). Discussion: Optometrists in the Klang Valley identified the lack of public awareness as being the main hurdle for low vision services and suggested that services could be enhanced by providing affordable low vision devices. Addressing knowledge gaps, improving public awareness, and ensuring accessibility of low vision devices are crucial for enhancing service quality, warranting further research and collaboration. Implications for Practitioners: The study underscores the need for optometrists to improve their understanding of low vision criteria and devices, highlighting the necessity for targeted training and education. Additionally, optometrists should prioritize raising public awareness and advocate for affordable low vision devices to effectively meet the needs of individuals with low vision.