The Gauteng Department of Health rejects allegations by the Democratic Alliance (DA) that a patient becomes permanently blind due to delays in retinal surgery at Steve Biko Academic Hospital. In its response, the department says the DA’s claim is misleading and that problems cited around equipment and infrastructure are not presented accurately as the cause of the patient’s outcome. Gauteng Health acknowledges that procurement delays have affected the availability and scheduling of retinal surgery services at the hospital. However, it argues that linking those service disruptions directly to permanent blindness is not supported by the information available and disputes the causal explanation put forward by the DA. The department’s position also points to the need to consider the broader clinical and service context rather than focusing only on alleged operational shortcomings. Overall, the dispute centres on whether administrative delays and procurement issues can be said to have caused the patient’s condition, with Gauteng Health emphasising that the DA’s framing overstates the connection between the delay and the outcome. The matter reflects ongoing political and public scrutiny of hospital service delivery and accountability for surgical access.