Dhaka Lions Eye Hospital, Dhaka

Facility Identification

Division: Dhaka

District: Dhaka

District Code: 26

Facility Type: Non Government Hospital

Type of Hospital: Eye Hospital

Year of Establishment: 1976

Size of the Hospital: 1 acre

Detail Information of the facility - Patient Information

All types of patients come here to take treatment for their eye diseases. The hospital provides all types of eye care services

Average number of patients per day: 300 (App.)

Number of patients last year: 5,000-10,000 (App.)

Detail Information of the facility - Equipments and Instruments

They buy equipments and instruments by calling tender and sometimes they get help from .

Sl No

Equipments

Available

Functioning

Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
A OPD  
a Slit Lamp yes   yes     10
b Schiotz Tonometer   yes   yes     4
c Direct Opthalmoscope   yes   yes     15
d Indirect Opthalmoscope   yes   yes     3
e 90 D lens   yes   yes     8
f 20 D lens   yes   yes     3
g Gonioprism   yes   yes     1
h Bjerum’s screen yes yes     2
i Hess chart screen   yes   yes     2
j Material for diplopia chart   yes    
k Red green goggles   yes    
Refraction
m Snellen test type   yes   yes     20
n Near vision testing(Jaeger or Snellen)   yes   yes     20
o Streak Retinoscope yes   yes     3
p Trial Frame and trial case yes   yes     10
q Prism bar   yes         1
r Refractometer   yes   yes     3
s A-scan yes yes     1
t Keratometer yes yes     1
B Advancer secondary eye care  
a FFA including Fundus camera   yes   yes     1
b YAG Laser with slit lamp adapter     yes      
c Laser unit for retinal coagulation yes   yes     1
d Exophthalmometer     yes        
e B-Scan yes   yes     1
C OT  
a Operating Microscope with co-axial illumination & focus control yes   yes     5
b PHACO Machine yes     yes     3
c Automated Vitrectomy yes     yes     1
d Bipolar Cautery yes   yes     5
e Steam Autoclave yes   yes     1
f Flash/Speed Autoclave yes   yes     1
g Suction Machine yes     yes     2
h Oxygen Cylinder with nasal canula yes     yes     3
i Endotracheal intubation yes yes     3
j Ambu bag yes     yes     1
k Laryngoscope yes     yes     1
l BP Machine yes     yes     7
m Stethoscope yes     yes     7
Surgical Instruments
o Cataract surgical sets yes     yes     10
p DCR set yes     yes     3
q Chalazion I/C set yes     yes     3
r Enucleation and Evisceration set yes     yes     2
D Optical dispensing instruments  
a Manual Edging set yes         2
b Rimless & Supraframes grooving machine yes         1
c Lensometer yes           1
d Trial set (Manual power check) yes           1

Detail Information of the facility - Human Resources

Total Human Resources: 66

Senior Ophthalmologist: 10

Junior Ophthalmologist: 8

Refractionist: 3

Optometrist: 1

Ward Nurse: 10

Theatre Nurse: 7

Professional Degree: Diploma in Ophthalmology, Diploma of the College of Optics, MCPS, MS, FCPS

Professional Training: Pediatric Ophthalmology-12 months

Medical Retina- 15 months

Oculoplasty- 3 months

Training provided by: National Institute of Ophthalmology & Hospital

Administrative Human Resources:

Administrator: 2

Eye Camp Coordinator: 1

Administrative Support Staff: 5

House keeper: 1

Cleaner: 8

Driver: 2

Security Staff: 6

Biomedical/equipment Technician: 1

Counselor: 2

Record keeping System: both in papers and in computers.

Detail Information of the facility - Service Area

Provided Services:

  1. Refractive Error
  2. Cataract
  3. Glaucoma
  4. Trauma
  5. Lacrimal Surgery
  6. Medical Strabismus

Number of Cataract Operation in 2 weeks: 126

Detail Information of the facility - Workload Estimation

Number of Bed: 81

Effective Days for providing services: 365/24

Surgery per year: 5000 (App.)

Patients in Outdoor per year: 90,000 (App.)

New patients per day: 200 (App.)

Outreach Camp per month: 8

SSTP Training per month: 12

Detail Information of the facility - Infrastructure

They have OT, OPD, IPP including medical records, optical shop and medical shop. In an average 15 operations take place in the operation theatre. The hospital has 6 wards and each of them has more or less 15 beds. Size of the operation theatre, ward and office are 2000, 1500 and 600 sq ft accordingly. They have uninterrupted power supplies and according to the hospital authority their cleanliness is very good.

Clinical Service Area

  1. Retina
  2. Glaucoma
  3. Cornea
  4. Adult Cataract
  5. Oculoplasty
  6. Pediatric Ophthalmology
  7. Uvea

Other facilities provided by Hospital

  1. Biomedical Engineering Department
  2. Pathology and Clinical Biochemistry
  3. Housekeeping Services and Dietary Services
  4. Radiology
  5. Opticals and Medicals

Patient type and registered patients

Ratio of patients (New and Review): 5:2

Patients comes from: Within catchment area, from neighboring area and far area

Systems and Procedures

  1. Clinical Protocol and Guidelines
  2. Clinical Audit
  3. Referral Network with other Hospital
  4. Counseling section
  5. Procurement Policy

Space Management

Size of the Reception Room: 300 sq ft

Number of Fellow’s Cubicle: 15

Size of the Fellow’s Cubicle: 100 sq ft

Number of the Medical Officer’s Cubicle: 5

Size of the Medical Officer’s Cubicle: 100 sq ft

Size of the Counseling Room: 200 sq ft

Size of the Common Waiting Area: 600 sq ft

Cornea - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
A Slit Lamp Yes Yes 4
B Corneal topography unit Yes
C Aberrometry assessment unit Yes
D Specular microscope Yes Yes 1
E Light microscope Yes Yes 1
F Basic microbiology instruments Yes Yes 1
G LASIK (Optional) Yes

Cornea - Human Resources

  1. Cornea Consultant-1
  2. Vision Assesor: 1
  3. MLOP: 1
  4. Counselor: 1

Glaucoma - Human Resources

  1. Ophthalmologist
  2. Paramedical Staff
  3. Counselor
  4. Administrator
  5. Optometrist

Glaucoma - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
A Slit Lamp Yes Yes 3
B Goldmann Applanation tonometry Yes Yes 1
C Diagnostic lenses (90 D, 20D, 78D) Yes Yes 3
D Gonioscope Yes Yes 1
E Perkins tonometer Yes Yes 1
F Pachymetry Yes
G Humphrey Visual Field Analyzer Yes Yes 1
H Heidelberg retinal tomography (HRT)- shared Yes
I Optical coherence tomography (OCT)-shared Yes
J Anterior segment OCT Yes Yes 1
K Ultrasound biomicroscope-shared Yes Yes 1
L YAG Laser for glaucoma surgery-shared Yes
M Fundus photography-shared Yes Yes 1

Glaucoma - Space Requirement

Registration Cubicle: 1

Size of the Registration Cubicle: 100 sq ft

Final Examination Room-2

Size of the Final Examination Room-200 sq ft

Size of the Corridor Space: 70 sq ft

Oculoplasty - Human Resources

  1. Ophthalmologist-2
  2. Counselor-1

Oculoplasty - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
a Hess Chart Yes
b B-scan (shared) Yes Yes 1
c Indirect ophthalmoscopy Yes Yes 1
d X-ray Yes Yes 1
e CT Scan Yes Yes 1
F MRI Yes Yes 1
G Color Vision chart Yes Yes 1

Oculoplasty - Space Requirement

Size of the Refraction Room: 100 sq ft

Preliminary Room: 100 sq ft

Size of the administrative Room: 150 sq ft

Pediatric Ophthalmology - Human Resources

  1. Pediatric Ophthalmologist-1
  2. Fellow-1
  3. Refractionist-2
  4. Anesthetist: 1
  5. Anesthetic Assistant: 1
  6. OT Nurse: 5
  7. Technician: 1

Pediatric Ophthalmology - Equipments and Instruments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
A Outpatient Area
a Sheridan Gardiner test/ Cambridge simple crowding test Yes
b Simple Snellen Visual acuity charts- drum Yes
c Cardiff Card Yes
d Set of trial lenses with trial frame Yes Yes 1
e Streak retinoscope Yes Yes 2
f Direct ophthalmoscope Yes Yes 1
g Head-band loupe Yes Yes 1
h Slit lamp with table & applanation tonometer Yes
i 90 D or 78 D lens Yes 2
j Ishihara color vision book Yes 2
k Indirect ophthalmoscope with +20D /+30D lens, pediatric indentor and teaching mirrors Yes
l Fixation toy device Yes
m Romanes Occluder Yes
n Air Puff Tonometer Yes
o Tonopen Yes
p Worth 4 dot test set with Red and Green glasses – Near vision Yes 3
q Worth 4 dot test set with Red and Green glasses – distance vision Yes 3
r TNO stereo test set with Red and Green glasses. Yes
s Electric Hess screen with fosters torches Yes
t Loose prism set Yes Yes 5
u Prism bar – horizontal Yes Yes 1
v Prism bar – vertical Yes Yes 1
w RAF ruler Yes
x Synoptophore Yes
y B-Scan Yes Yes 1
z A-scan Yes Yes 1
aa IOL Master Biometry Yes
Operating Room
bb Probing Set Yes Yes 2
ll Instruments for examination Under GA Yes Yes 2
mm Ptosis surgical instrument set Yes Yes 2
nn Enucleation surgical instrument set Yes Yes 2
oo Chalazion surgical instrument set Yes Yes 3
pp Strabismus surgical instrument set Yes Yes 2
qq Cataract/Phaco surgical instrument Set Yes Yes 2
rr Vertical/Horizontal autoclave with Time/Pressure/Temperature indicator Yes Yes 1
ss Flash/Speed autoclave/Hot air woven Yes Yes 1
tt Wet field cautery Yes Yes 1
uu HEPA Filters/ Laminar Air Flow Yes
vv Operating Microscope with continuous zoom, observer scope/CCTV Yes Yes 1
ww Phaco machine with in-built vitrectomy probe Yes Yes 2
xx Vitrectomy unit Yes Yes 1
B Anesthetic Equipments
a Anesthesia Unit Yes Yes 1
b Patient monitor with pulse oximetry, blood pressure measurements, ECG, Temperature, capnography suitable for age range of children Yes Yes 1
c Pediatric ventilator Yes
d Defibrillator Yes
e Laryngeal Mask Airway (LMA) Yes Yes 1
f Suction Machine Yes
C Optical Workshop Equipment
a Automatic lensometer Yes Yes 1
b Edging machine Yes Yes 1
c Surfacing Machine Yes Yes 3

Pediatric Ophthalmology - Space Requirement

Size of the Registration Room and Waiting Area: 100 sq ft

Size of the Refraction Room: 150 sq ft

Size of the optical room: 80 sq ft

Size of the Wash Room: 100 sq ft

Size of the Theatre Area: 300 sq ft

Size of the Store Room: 100 sq ft

Retina - Human Resources

  1. Retina Consultant-2
  2. Fellow-1
  3. MLOP-1
  4. FFA/OCT Technician-1

Retina - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
a Slit lamps Yes Yes 2
b Indirect ophthalmoscopes Yes Yes 3
c Lens 90D Yes Yes 1
d Lens 20D Yes Yes 2
e Three mirror lens Yes Yes 1
f Applanation tonometer Yes Yes 1
G Noncontact tonometer Yes
H Fundus camera Yes Yes 1
I OCT Yes
J Ultrasonography Yes Yes 1
K Vitrectomy unit Yes Yes 1
L Operating microscope Yes Yes 1
m BIOM Yes
N Boyle’s apparatus Yes Yes 1
O Suction apparatus Yes Yes 1
P ERG (optional) Yes

Retina - Space Requirement

Size of the Reception Room: 80 sq ft

Size of the Common Waiting Area: 300 sq ft

Number of the Preliminary Examination Room: 2

Size of the Preliminary Examination Room: 200 sq ft

Size of the FFA room: 500 sq ft

Size of the Laser Room: 100 sq ft

Uvea - Human Resources

  1. Uvea Consultant-1
  2. General Ophthalmologist-4
  3. Counselor-1
  4. Vision Assesor-1
  5. Refractionist-1
  6. MLOP-1
  7. Technician (FFA/B Scan/OCT): Shared with camera: 1
  8. Counselor-1

Uvea - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
a Slit lamp Yes Yes 2
b Slit lamp with camera Yes Yes 1
c Indirect ophthalmoscope with photographic camera Yes Yes 2
d +20D condensing lens Yes Yes 1
e +90D lens Yes Yes 1
f Gonio lens Yes
g Goldman’s applanation tonometer Yes
h Fundus camera for florescein angiography and ICG (shared) Yes Yes 1
i Ultrasonography machine with B-scan (Shared) Yes
j Frequency doubled YAG laser (shared) Yes
k Non-mydriatic fundus camera (shared) Yes
l OCT (shared) Yes Yes 1
m Non contact tonometer (shared) Yes Yes 1
n Laser flare photometer (optional) Yes
o Boyle’s apparatus (shared) Yes
p Phaco-Vitrectomy console (shared) Yes
q Endo illuminator (shared) Yes Yes 1
r Operating microscope, BIOM (shared) Yes
s Suction apparatus (shared) Yes Yes 1

Uvea - Space Requirement

Size of the common waiting room: 200 sq ft

Size of the Fellow/Post Graduate Students Room-2: 100 sq ft

Size of the Corridor Space: 50 sq ft

Adult Cataract - Human Resources

  1. Senior Ophthalmologist-5
  2. Junior Ophthalmologist-4
  3. Fellow-5
  4. Ward Nurse-5
  5. Theatre Nurse-2

Adult Cataract - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
A OPD
a Slit Lamp Yes Yes 3
b Schiotz Tonometer Yes Yes 1
c Direct Ophthalmoscope Yes Yes 2
d Indirect Ophthalmoscope Yes Yes 2
e 90 D lens Yes Yes 1
f 20 D lens Yes Yes 1
g Gonioprism Yes Yes 1
h Applanation tonometer Yes Yes 1
Refraction
i Snellen test type Yes Yes 1
j Near vision testing Yes Yes 1
k Streak Retinoscope Yes Yes 1
l Trial frame and trial case Yes Yes 1
m Prism bar Yes Yes 1
n Refractometer Yes Yes 1
o A-Scan Yes Yes 1
P IOL-Master Biometry Yes Yes 1
q Keratometer Yes Yes 1
B OT
a Operating Microscope with co-axial illumination & focus control Yes Yes 1
b PHACO Machine Yes Yes 1
c Automated Vitrectomy Yes Yes 1
d Bipolar Cautery Yes Yes 1
e Steam Autoclave Yes Yes 2
f Flash/Speed Autoclave Yes Yes 1
g Suction Machine Yes Yes 1

Adult Cataract - Space Requirement

OPD Room-1

Size of the OPD Room-200 sq ft

Theatre Area-1

Size of the Theatre Area- 700 sq ft

Operation in last 2 weeks-126

Ward Number-6

Size of the Ward- 1000 sq ft

Size of the Office Area- 500 sq ft

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