In the framework of process optimization, the use of measurements to compensate the effect of uncertainty has re-emerged as an active area of research. One of the ideas therein is to adapt the inputs in order to track the active constraints and push certain sensitivities to zero. In perturbation- based optimization, the sensitivities are evaluated by perturbation of the inputs and measurement of the cost function, which can be experimentally time consuming. However, since more measurements (typically the outputs) than just the cost function are available, the idea developed in this paper is to incorporate the outputs in a measurement-based optimization framework. This is done using an extension to the neighboring-extremal scheme for the case of output measurements. If measurement noise can be neglected, the approach is shown to converge to the optimum in at most two input updates. The effect of measurement noise is also investigated. The strength of neighboring-extremal output feedback for optimization is illustrated on a continuous chemical reactor example.