[3] As head of the agency she oversaw rehabilitation, vocational and instructional services, vision screening for children, annual eye clinics, and other community projects.

[4][5][6] In 1945 she was invited to join the Illuminating Engineering Society of North America's national committee on school lighting.

[7] In 1953, she took an extended leave to research blindness in Micronesia, working with Marshallese eye surgeon Isaac Lanwi.

[2] Helen Keller gave a speech at the presentation ceremony, in New York[12] concluding that "It must indeed be a source of pleasure and gratification to you that you have enabled the Hawaiian blind to form part of the universal brotherhood that shall bring inner light and cheer to every continent and island of darkness.

[14] She died in 1983, in La Jolla, California, aged 84 years; her grave is in Oahu Cemetery.