Whilst the Health Board has been able to reduce its longest ophthalmology waits, it has not met the Welsh Government’s planned care recovery targets. Performance against the ‘eye care measure’ is poor and, as a result, some patients are likely to be coming to avoidable harm. In the context of these challenges, there is a need to strengthen local planning of eye care services, broaden the scope of regional working, secure further productivity and efficiency gains, and strengthen board and committee oversight of ophthalmology services.