VisionClearBlue Eye Clinic Business Plan — The Clinical Service Model

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The Clinical Service Model

Each flagship clinic delivers a full continuum of eye care across six integrated service groups. Together they capture the whole patient journey, from screening and consultation through diagnosis, surgery and optical dispensing, and they cross-refer, so that a screening detects disease, a consultation diagnoses it, surgery treats it, and the optical division corrects the residual refractive need. The profiles below set out each service group’s role and contribution.

Figure 6. Revenue build by service line across the projection period (ZAR millions)

SERVICE 1 Ophthalmic Surgery

Cataract, retina & glaucoma

The surgical division, cataract surgery, retinal disease management, glaucoma surgery and keratoconus management, is the clinical and commercial heart of each clinic. Cataract surgery in particular addresses the country’s single largest cause of avoidable blindness and its longest waiting lists. Delivered in on-site theatres with visiting anaesthetist and theatre support, surgery is the highest-value service line and the primary reason the clinics require full theatre and equipment infrastructure.

  • Procedures: cataract (phacoemulsification), retinal, glaucoma, keratoconus (cross-linking).
  • Infrastructure: on-site theatre, visiting anaesthetist and theatre staff, ophthalmic nursing team.

SERVICE 2 Laser Vision Correction

LASIK, PRK & SMILE

Refractive laser surgery, LASIK, PRK and SMILE, is a largely private-pay, high-margin service that leverages the same specialist and theatre base. It appeals to a younger, working, medically insured demographic and diversifies the surgical mix beyond medically necessary procedures into elective vision correction, smoothing demand and improving asset utilisation of the laser systems.

  • Procedures: LASIK, PRK, SMILE refractive correction.
  • Market: largely private-pay; younger, insured, elective demographic.

SERVICE 3 Consultations & Diagnostics

The clinical front door

Comprehensive eye examinations, ophthalmology and optometry consultations, diabetic eye screening, dry-eye treatment and children’s eye services form the diagnostic front door of each clinic. High-volume and referral-generating, this division feeds the surgical and optical lines and anchors the medical-aid and GP-referral relationships on which the network depends. Diabetic screening is a strategic priority given the country’s rising diabetes burden.

  • Services: eye exams, ophthalmology & optometry consults, diabetic screening, children’s clinic, dry-eye.

SERVICE 4 Optical Retail

Spectacles & contact lenses

An on-site optical shop and dispensing laboratory supply designer and budget spectacles and contact lenses. Optical retail converts the clinical footfall into recurring, cash-and-medical-aid revenue, completes the one-stop patient journey, and carries an attractive retail margin. With an on-site optical laboratory, the Group controls lens manufacturing and turnaround, a service advantage over standalone practices.

  • Products: designer & budget spectacles, contact lenses, on-site optical laboratory.

SERVICE 5 Screening & Corporate Contracts

Volume beyond the clinic

Corporate vision screening, occupational eye examinations, school vision programmes and government contracts extend the Group’s reach and volume beyond walk-in patients. Mining companies, industrial employers and corporate wellness programmes require occupational eye testing; schools and government present large-scale screening opportunities. These contracts provide predictable, contracted revenue and a pipeline of diagnosed patients into the clinical and surgical lines.

  • Contracts: corporate & occupational screening, mining & industry, schools, government.

SERVICE 6 Telemedicine & AI Screening

Extending each specialist

Tele-ophthalmology consultations and AI-assisted retinal screening are the technological force-multipliers of the model. They extend each scarce ophthalmologist’s reach into under-served areas, triage patients efficiently, and enable early detection of diabetic retinopathy and other disease at scale. Small as a direct revenue line today, this division is strategically central: it is how the network delivers specialist-level care across nine provinces despite the national shortage of eye surgeons.

  • Capabilities: tele-ophthalmology, AI-assisted retinal screening, remote triage & early detection.

The service model in summary

Service line

Core offering

Revenue role

1 Ophthalmic surgery

Cataract, retina, glaucoma

Core value — part of ~48% surgical

2 Laser vision correction

LASIK, PRK, SMILE

High-margin, private-pay elective

3 Consultations & diagnostics

Exams, screening, children’s

Front door — ~22%; feeds surgery & optical

4 Optical retail

Spectacles, contact lenses

Recurring retail — ~21%

5 Screening & corporate

Occupational, schools, government

Contracted volume & referral pipeline

6 Telemedicine & AI

Tele-ophthalmology, AI screening

Force-multiplier for scarce specialists