Step 1: Vision 2020: The Right to Sight is the WHO initiative to eliminate avoidable blindness, adopted in India under the National Programme for Control of Blindness.
Step 2: The infrastructure is a pyramid. Primary Vision Centres each cover a population of 50,000. Secondary Service Centres each cover a population of 5 lakh and are staffed by two ophthalmologists, eight paramedics and an eye care manager.
Step 3: Going up the pyramid, Training Centres cover 50 lakh and Centres of Excellence cover 5 crore. So the 50,000 figure belongs to the Vision Centre, not the Service Centre.
The Secondary Service Centre covers 5 lakh population. Ref: Vision 2020 framework, National Programme for Control of Blindness.