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NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
Dinesh Singh, Presiding Member
Taken up through video conferencing
Amit Kumar Ruhela – Petitioner
versus
Sun Eye Hospital & Lasik Surgery Center and Anr. – Respondents
Revision Petition No.861 of 2020
(Against the Order dated 25/11/2019 in Appeal No.935/2017 of the State Commission Uttar Pradesh)
Decided on 1.4.2021
Consumer Protection Act, 1986 – Sections 21 and 2(1)(g) : [Consumer Protection Act, 2019 – Sections 58 and 2(11)] – Medical Negligence – Permanent damage to an eye – Claim for – Due to myopia in the eyes, complainant consulted the doctor, who advised lasik surgery – On account of medical negligence in conducting the lasik surgery; retinal detachment took place – Trialing with gas and silicon oil procedures was under taken, thereafter, again, professional referral in writing a with the complete case history, to a higher medical facility was not made – Medical Negligence conclusively established on part of the doctor and Hospital – Rs. 10,00,000/- towards compensation for damage to eye, with Rs. 77,000/- towards treatment and Rs. 20,000/- for mental agony also awarded by District Forum and the same was upheld by State Commission – Interference with declined.
Held: The material on file and the examination by the two Fora below show that due to high myopia in his eyes, the Complainant consulted the Doctor, in the Hospital. The Doctor advised lasik surgery. The procedure was undertaken by the Doctor, in the Hospital, on 19.06.2010. Retinal displacement in the left eye occurred due to the surgery. The Discharge Summary dated 19.06.2010 was signed by the Doctor.
After the injury caused to the eye due to the lasik procedure, another operation was conducted in the Hospital on 14.11.2010 using gas procedure. The patient (the Complainant) was discharged the next day. The Discharge Summary in this instance also was signed by the Doctor. The injury to / the problems with the Complainant’s left eye could not be corrected.
The Complainant again met the Doctor, who told him that the gas procedure was not successful and that he will now have to undertake silicon oil procedure. The silicon oil procedure was conducted on 29.08.2012. Thereafter also the problems in the left eye persisted.
The Doctor, saying that he can do nothing more, advised the Complainant to consult a higher medical facility in Delhi, Chennai or Mumbai.
The Complainant then consulted one Dr. S. Natarajan at Aditya Jyoti Hospital, Badala City, Mumbai in the first week of November 2012, who informed him that due to multiple operations his eye has now been irreparably damaged and the possibility of improvement is negligible.
The State Commission has passed a well-appraised reasoned Order. It has concurred with the findings of the District Forum. No palpable error in appreciating the evidence is visible. The Award made by the District Forum, as upheld by the State Commission, appears just and equitable in the facts of the case. No jurisdictional error, or legal principle ignored, or miscarriage of justice, is visible.
It is well evinced that the lasik procedure was not performed with reasonable care and skill, it caused retinal displacement. Rather than most immediately referring the patient (the Complainant) to a higher medical facility, trialing by way of gas and then silicon oil procedures was undertaken. When these too were not successful, rather than a detailed professional referral, giving the complete case history, to a higher medical facility, callous general oral advise to get treated at Delhi, Chennai or Mumbai was offered.
Medical negligence in conducting the lasik surgery caused retinal detachment. Thereafter, timely referral to a higher medical facility was not made. Trialing with gas and silicon oil procedures was undertaken. Thereafter, again, professional referral, in writing, with the complete case history, to a higher medical facility, was not made.
Medical negligence / deficiency is conclusively established on the Doctor and the Hospital. The Complainant has to live with the disability caused.
Permanent damage to an eye cannot be quantified in monetary terms. However, as observed by the State Commission, the Award made by the District Forum appears just and equitable in the facts of the case. Based on the discussion above, nothing warrants interference by this Commission with the impugned Order of the State Commission.
The R.P. No. 350 of 2020, filed by the Doctor and the Hospital, for setting aside the Order of the State Commission, being totally ill-conceived and completely bereft of merit, is dismissed with cost of Rs. 50,000/- to be paid by the Doctor and the Hospital to the Complainant within four weeks of the pronouncement of this Order.
The R.P. No. 861 of 2020, filed by the Complainant, for enhancement in compensation, is dismissed. The District Forum’s Order, as upheld by the State Commission, is sustained. (Paras 10 to 17)
Result: Petition Dismissed.
ORDER
Dinesh Singh, Presiding Member.—These Revision Petitions have been filed in challenge to the Order dated 25.11.2019 of The State Consumer Disputes Redressal Commission, Uttar Pradesh (the ‘State Commission’) in First Appeal No. 927 of 2017 and First Appeal No. 935 of 2017 arising out of the Order dated 21.04.2017 in C.C. No. 175 of 2013 passed by The District Consumer Disputes Redressal Forum, II-Lucknow (the ‘District Forum’).
The Petitioners No. 1 and No. 2 in R.P. No. 350 of 2020, Dr. Sudhir Srivastava and Sun Eye Hospital & Lasik Laser Center, were the Opposite Parties before the District Forum.
The Petitioner in R.P. No. 861 of 2020, Mr. Amit Kumar Ruhela, was the Complainant before the District Forum.
Dr. Sudhir Srivastava is hereinafter being referred to as the ‘Doctor’, Sun Eye Hospital & Lasik Laser Center as the ‘Hospital’ and Mr. Amit Kumar Ruhela as the ‘Complainant’.
R.P. No. 350 of 2020 has been filed by the Doctor and the Hospital for setting aside the Order dated 25.11.2019 of the State Commission.
R.P. No. 861 of 2020 has been filed by the Complainant for enhancement in compensation.
2. Heard arguments from Mr. Pawan Kumar Ray, learned Counsel for the Doctor and the Hospital and from Mr. Nikhil Jain, learned Counsel for the Complainant.
Perused the material on record, including inter alia the Order dated 21.04.2017 of the District Forum, the impugned Order dated 25.11.2019 of the State Commission and the two Petitions.
3. In the interest of justice, to provide fair equal opportunity to the rival parties, to settle the matter on merit, the respective delay in filing the two Petitions is condoned.
4. The matter relates to medical negligence / deficiency on the part of the Doctor and the Hospital resulting in irreparable damage to the left eye of the Complainant.
5. The District Forum vide its Order dated 21.04.2017 arrived at the findings that the left eye of the Complainant was damaged due to the negligence of the Doctor / in the Hospital.
The District Forum partially allowed the Complaint and made the following Award:
Complaint of the complainant is allowed partially. Defendant are ordered jointly and severally to pay Rs. 77,000/- (seventy seven thousand) to the complainant within four weeks of the date of this judgment, which is the amount spent on his retirement, alongwith simple interest at the rate of 9 (nine) percent from the date of filing of case and upto the date of actual payment. Besides this, defendant will severally and jointly pay the amount of Rs. 20,000/- (Twenty thousand) to the complainant for mental agony suffered and Rs. 10,00,000/- (Rupees ten lakh) as compensation for damage to his eye alongwith Rs.5,000/- (Rupees five thousand) as costs of complaint. In case defendants do not pay this amount to the complainant within the above specified period then defendants will be liable to pay simple interest at the rate of 12 percent per annum on the above-said total amount from the above-said date and upto the date of payment. (as per the translated version)
6. The Doctor and the Hospital preferred appeal before the State Commission, challenging the said Order of the District Forum. The Complainant also preferred appeal before the State Commission, for enhancement in compensation.
7. The State Commission vide its common Order of 25.11.2019 made its appraisal of the case and determined that the District Forum was correct in concluding that the left eye of the Complainant was damaged due to the negligence of the Doctor / in the Hospital:
Complainant has relied upon the judgment and order dated 05 April, 2019 passed by the State Commission in the First Appeal No. 170/2013 Ms. Prasanna Lakshmi Versus Maxivision Laser Center Pvt. Ltd., in which on the basis of Medical Literature and Medical Prescription Hon’ble National Commission after the Lasik Surgery Decentred ablation occurs due to improper Lasik treatment on the pupil of eye. Relevant part of the judgment of Hon’ble National Commission is as
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