Objective: The study was designed with an objective to understand quality in eye care by studying the relationships among__ampersandsignnbsp; process compliance and outcome in outpatient and inpatient ophthalmic processes. Methods: The exploratory study focuses on finding out the relationship between process performance and treatment outcomes. It was based on primary and secondary data. Frequency distribution, chi square analysis, correlation and regression analysis were used to analyse the data. Results: A strong association between the process conformance and outcome in terms of visual acuity was observed in cataract ((r = -.682, p__ampersandsignlt;.01) and refraction (r = -.680, p__ampersandsignlt;.001.) processes suggesting that process and outcome are related constructs. A regression analysis revealed that patient selection, biometry, uncomplicated surgery, follow-up, b-scan for mature cataract and residual correction were crucial in achieving better post-procedural outcome (p__ampersandsignlt;.05). Similarly in the refraction treatment process, pinhole examination, retinoscopy evaluation, subjective vision testing, near vision screening and correct prescription were significant causing an association (p__ampersandsignlt;.001). Through this analysis, it is possible to establish the critical elements in the eye care delivery system for improving quality. Recommendations: It is possible to develop a cataract/refraction care bundle by identifying critical elements in the treatment process and making it a measure of evaluation of the quality of respective eye care treatments. The application of process performance management to eye care is a yet to be developed area. The research offers a method of bundling different dimensions of eye care delivery so that providers could easily monitor the progress towards quality.