SUPREME COURT OF INDIA
Vikram Nath, Satish Chandra Sharma, JJ.
Najrul Seikh – Appellant
Versus
Dr. Sumit Banerjee & Anr. – Respondents
Civil Appeal No(S). 2877 of 2024 [Arising out of SLP (Civil) No(s). 17437 of 2018]
Decided On : 22-02-2024
Consumer Protection Act, 1986 – Section 23[Consumer Protection Act, 2019 – Section 67] – Medical negligence – Negligent cataract surgery – Loss of vision in one eye – Despite presence of evidence pointing towards negligence of Respondents, both SCDRC and NCDRC failed to consider it and relied only on report of Medical Council – Medical Council did not delve into nuances of pre-operative and post-operative care – Finding of contributory negligence attributed to Appellant is entirely unsubstantiated by expert opinion – Specific findings made by DCDRC regarding lapses in post-operative care by Respondents and resultant development of Retinal detachment remains unchallenged by other evidence on record – In cases of deficiency of medical services, duty of care does not end with surgery – While report of Medical Council can be relevant for determining deficiency of service before a consumer forum, it cannot be determinative, especially when it contradicts evidentiary findings made by a consumer forum – In these circumstances, appellate forum is tasked with duty of undertaking a more thorough examination of evidence on record – On this failing alone, orders of SCDRC and NCDRC deserve to be set aside – Order passed by DCDRC allowing complaint and awarding Rs. 9,00,000/- as compensation restored. (Paras 13, 14, 15 and 16)
Facts of the case:
Appellant, a BPL card holder, is father of a 13-year-old boy who lost complete vision in his right eye following an allegedly negligent cataract surgery undertaken by Respondents. Complaint preferred by Appellant under Section 12 of Consumer Protection Act, 1986 was allowed by District Consumer Disputes Redressal Commission (‘DCDRC’) However, order of the DCDRC was set aside by West Bengal State Consumer Disputes Redressal Commission (‘SCDRC’) and thereafter, revision petition Disputes Redressal Commission (‘NCDRC’) was also dismissed vide order dated 09.06.2016, which is impugned before this Court.
Findings of Court:
Present appeal succeeds and order of NCDRC and SCDRC are set aside. Accordingly, Respondents are directed to comply with the order of the DCDRC within one month from the date of this order.
Result : Appeal allowed.
ORDER :
1. Delay condoned.
2. Leave granted.
3. The Appellant before us, a BPL card holder, is the father of Master Irshad, a 13-year-old boy who lost complete vision in his right eye following an allegedly negligent cataract surgery undertaken by the Respondents. The complaint preferred by the Appellant under Section 12 of the Consumer Protection Act, 1986 was allowed by the District Consumer Disputes Redressal Commission (‘DCDRC’) However, the order of the DCDRC was set aside by the West Bengal State Consumer Disputes Redressal Commission (‘SCDRC’) and thereafter, the revision petition Disputes Redressal Commission (the ‘NCDRC’) was also dismissed vide order dated 09.06.2016, which is impugned before this Court.
Brief Facts:
4. The facts, to the extent relevant, are that on 14.11.2006, Master Irshad sustained an injury in his right eye. The next day, he was taken to Disha Eye Hospital and the examination report revealed that Irshad was suffering from traumatic cataract and required a minor surgery. Being unable to finance his son’s treatment at Disha Eye Hospital, the Appellant approached Respondent No.1, a doctor and partner at Megha Eye Centre i.e., Respondent No. 2 on 18.11.2006.
5. Thereafter, Respondent No. 1 affirmed the previous medical opinion and accordingly, conducted the surgery on 24.11.2006. After the surgery, Irshad began experiencing irritation, pain, and blood clotting and despite visiting Respondent No. 1 multiple times, there was no improvement in his condition. Eventually, Respondent No.1 referred them to the Regional Institute of Ophthalmology (‘RIO’) and a month later, on 19.04.2007, the Appellant and his son visited the RIO and were informed that it was a case of Retinal detachment leading to permanent loss of vision in the right eye, caused due to the faulty operation conducted by Respondent No. 1.
6. Vide order dated 16.05.2013, the DCDRC found that there was deficiency in the medical services provided by the Respondents herein and inter alia directed payment of INR 9,00,000 as compensation, in favour of the Appellant within a period of one month, failing which, the amount would be subject to an interest @ 10% until the date of realisation. The DCDRC relied on the uncontroverted expert evidence provided by Dr. Anindya Gupta, RMO-cum-Clinical tutor from the Burdwan Medical College to hold that Irshad lost his vision due to the negligent and careless attitude of Respondent No. 1 manifesting through lapses in pre-operative and post-operative care and rehabilitation.
7. On the other hand, the SCDRC vide order dated 11.09.2015 held that the Appellant herein failed to establish deficiency of service/negligence on part of the Respondents and dismissed the complaint of the Appellant. The SCDRC relied on the report of the West Bengal Medical Council (the ‘Medical Council’) dated 18.05.2015 which exonerated Respondent No. 1 of all charges of misconduct/negligence and instead found contributory negligence on part of the Appellant as he visited the RIO only after a delay of 1 month, contrary to the advice of Respondent No. 1.
8. Similarly, the NCDRC also held that there was no negligence on part of the Respondents and concluded that the Appellant’s delay of one month in approaching the RIO was fatal for his son.
Submissions & Analysis:
9. Learned Counsel for the Appellant vehemently contends that the NCDRC failed to consider that the SCDRC undertook a selective appreciation of evidence, completely disregarding the uncontroverted expert evidence provided by Dr. Gupta regarding the lapses in pre-operative and post-operative care provided by the Respondents.
10. Per Contra, Learned Counsel for the Respondents submits that both the NCDRC and the SCDRC have correctly placed reliance on the decision of the Medical Council to arrive at their conclusions regarding the absence of negligence on part of the Respondents.
11. This Court has heard the Learned Counsel for the parties and perused the record.
12. Upon perusal of the orders of
(1) In cases of deficiency of medical services, duty of care does not end with surgery.(2) While report of Medical Council can be relevant for determining deficiency of service before a consumer foru....
A medical practitioner cannot be held liable for negligence without substantial evidence proving standard of care was not met.
Medical Negligence – Doctors should carefully and honestly listen to complaints of patients and try to redress the same – No credible reliance can be put on respondent’s written version which was not....
Medical Negligence – Eye operation for cataract using IOL technique – Vision post operation was normal – No deficiency in service.
Medical negligence – Simply for reason that patient has not responded favourably to surgery or treatment administered by Doctor or that surgery has failed, Doctor cannot be held liable for medical ne....
Medical negligence – Loss of vision after botched eye surgery – Compensation has to be paid to victim of such negligence.
A medical practitioner's failure to obtain valid informed consent, by disclosing specific risks and complications to a patient, constitutes a deficiency in service under the Consumer Protection Act, ....
(1) Medical negligence – In proceedings arising out of claim for compensation on the basis of medical negligence, opinion and findings of MCI regarding professional conduct of Doctor have great relev....
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