National Institute of Ophthalmology and Hospital, Dhaka, Bangladesh

Facility Identification

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Division: Dhaka

District: Dhaka

District Code: 26

Facility Type: Government Hospital

Type of Hospital: Eye Hospital

Year of Establishment: 1978

Category: Tertiary Level Hospital

Size of the Hospital: 3 Acre

Detail Information of the facility - Patient Information:

All types of patients come here to take treatment for their eye diseases.

Average number of patients per day: 2,000 (App.)

Detail Information of the facility - Equipments and Instruments:

They buy equipments and instruments by calling tender.

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 58
b Schiotz Tonometer yes yes 3
c Direct Opthalmoscope yes yes 10
d Indirect Opthalmoscope yes yes 6
e 90 D lens yes yes 10
f 20 D lens yes yes 6
g Gonioprism yes yes 30
h Bjerum’s screen yes
i Hess chart screen yes yes 1
j Material for diplopia chart yes
k Red green goggles yes
Refraction
m Snellen test type yes yes 15
n Near vision testingyesJaeger or Snellen) yes yes 30
o Streak Retinoscope yes yes 20
p Trial Frame and trial case yes yes 20
q Prism bar yes 1
r Refractometer yes yes 9
s A-scan yes yes 2
t Keratometer yes yes 4
B Advancer secondary eye care  
a FFA including Fundus camera yes yes 3
b YAG Laser with slit lamp adapter yes yes 1
c Laser unit for retinal coagulation yes
d Exophthalmometer yes yes 1
e B-Scan yes yes 2
C OT  
a Operating Microscope with co-axial illumination & focus control yes yes 22
b PHACO Machine yes yes 10
c Automated Vitrectomy yes yes 1
d Bipolar Cautery yes yes 4
e Steam Autoclave yes yes 3
f Flash/Speed Autoclave yes
g Suction Machine yes yes 8
h Oxygen Cylinder with nasal canula yes yes 30
i Endotracheal intubation yes
j Ambu bag yes yes 10
k Laryngoscope yes yes 8
l BP Machine yes yes 30
m Stethoscope yes yes 35
Surgical Instruments
o Cataract surgical sets yes yes 35
p DCR set yes yes 6
q Chalazion I/C set yes yes 2
r Enucleation and Evisceration set yes
D Optical dispensing instruments  
a Manual Edging set yes
b Rimless & Supraframes grooving machine yes
c Lensometer yes yes 1
d Trial set yesManual power check) yes yes 12

Detail Information of the facility - Human Resources

Total Human Resources: 523

Senior Ophthalmologist: 22

Junior Ophthalmologist: 20

Paediatric ophthalmologists: 7

Refractionist: 20

Optometrist: 12

Outpatient Nurse: 35

Ward Nurse: 40

Theatre Nurse: 40

Professional Degree: Diploma in Ophthalmology, Diploma of the college of optics, MCPS, MS, FCPS

Professional Training: Pediatric Ophthalmology, Medical Retina, Oculoplasty

Training provided by: National Institute of Ophthalmology Hospital

Administrative Human Resources:

Administrator:5

Eye Camp Coordinator: 1

Administrative Support Staff: 2

House keeper: 1

Cleaner: 6

Security Staff: 1

Record keeping System: both in papers and in computers.

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: 500

Detail Information of the facility - Workload Estimation

Number of Bed: 250

Effective Days for providing services: 365

Surgery per year: 20,000(App.)

Surgery per Day: 55(App.)

Patients in Outdoor per year: 2,19,000 (App.)

New patients per day: 500(App.)

Detail Information of the facility - Infrastructure

They have OT, OPD, IPP including medical records, optical shop and medical shop. In an average 4 operations take place everyday and the size of the theatre is 200 sq ft. The hospital has 5 wards consisting of 50 beds for eye department. Size of the ward is 2000 sq ft and office size is 700 sq ft. The hospital has water/gas/electricity supply and their cleanliness is good.

Clinical Service Area

  1. Retina
  2. Glaucoma
  3. Cornea
  4. Surgical Cataract
  5. General OPD
  6. Neuro
  7. Refrective error and General Ophthalmology

Other facilities provided by Hospital

  1. Research
  2. Eye Bank
  3. Biomedical Engineering Department
  4. Pathology and clinical biochemistry
  5. Radiology
  6. Opticals and Medicals

Patient type and registered patients

Ratio of patients (New and Review): 10:3

Patients come from: Within catchment area, neighboring area and from far area.

Systems and Procedures

  1. Clinical Protocol and Guideline
  2. Clinical Audit
  3. Referral Network with other hospital
  4. HMIS
  5. Counseling section
  6. Procurement Policy

Space Management

Size of the Reception Room: 1000 sq ft

Size of the common waiting area: 1000 sq ft

Numbers of Fellows Cubicles: 07

Size of the fellow cubicles: 700 sq ft

Numbers of the MO Cubicle: 25

Size of the MO Cubicle: 700 sq ft

Size of the Specular Microscopy room: 800 sq ft

Size of the Counselling Room: 800 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 yes 1
C Aberrometry assessment unit yes
D Specular microscope yes yes 1
E Light microscope yes
F Basic microbiology instruments yes
G LASIK yesOptional) yes

Cornea - Human Resources

  1. Cornea Consultant-5
  2. Cornea Fellow-1
  3. Vision assessor -2
  4. Technician for topography/ specular microscope-10
  5. Counselor-1

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 2
B Goldmann Applanation tonometry yes yes 1
C Diagnostic lenses yes90 D, 20D, 78D) yes yes 4
D Gonioscope yes yes 6
E Perkins tonometer yes
F Pachymetry yes 1
G Humphrey Visual Field Analyzer yes yes 1
H Heidelberg retinal tomography yesHRT)- shared yes yes 1
I Optical coherence tomography yesOCT)-shared yes
J Anterior segment OCT yes
K Ultrasound biomicroscope-shared yes
L YAG Laser for glaucoma surgery-shared yes
M Fundus photography-shared yes

Glaucoma - Human Resources

  1. Ophthalmologist-5
  2. Paramedical staff-2
  3. Counselor-1
  4. Administrator-1
  5. Optometrist-1

Glaucoma - Space Requirement

Number of registration cubicles- 1

Size of registration cubicles-700 sq ft

Number of counseling room- 2

Size of counseling room-700 sq ft

Number of pachydermy room-1

Size of pachydermy room-500 sq ft

Humphrey Visual Field Analyzer-2

Size of Humphrey Visual Field Analyzer-400 sq ft

Number of GDx and (or) OCT-1

Size of GDx and (or) OCT-800 sq ft

Size of total waiting area-300 sq ft

Size of Corridor space-100 sq ft

Low Vision Clinic - Equipments

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
A Optical Aids for distance
a Telescopes 3x,4x,6x 1 1 2
B Optical Aids of near spectacle magnifiers
a Prismosphere +5.0D, +8.0D, +10.0D 3
b High spherical glasses +16.0D, +18.0D, +24.0D 3
c Hand Magnifiers: Illuminated 1 1 1
d Hand Magnifiers: Non Illuminated 3
e Stand Magnifiers: Illuminated 1 1 1
f Stand Magnifiers: Non Illuminated 1 1 1
C Non Optical Aids
a Typoscopes 3
b Bold Tip Black Pens 3
c Table Light 1 1 4
d CCTV 1 2
e Telescopes 3x,4x,6x 1 1 2

Low Vision Clinic - Human Resources

  1. Ophthalmologist-1
  2. Administrator-2

Low Vision Clinic - Space Requirement

Size of the Registration & Optical Dispensing room- 200sq ft

Size of the Refraction (Cyber chart) room-300sq ft

Size of the Low Vision Assessment room- 500sq ft

Size of the Counseling room -700 sq ft

Size of the Chief Medical Officer’s room -300sq ft

Size of the PG/ Fellows room -200sq ft

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 yes 1
b B-scan yesshared) yes
c Indirect ophthalmoscopy yes
d X-ray yes yes 1
e CT Scan yes yes 1
f MRI yes yes 1
g Color Vision chart yes yes 4

Oculoplasty - Human Resources

Sl No Equipments Available Functioning Total Number
Available and observed Available but not observed Not Available Yes No Don’t Know
a Hess Chart P P 1
b B-scan (shared) P
c Indirect ophthalmoscopy P
d X-ray P P 1
e CT Scan P P 1
f MRI P P 1
g Color Vision chart P P 4

Oculoplasty - Space Requirement

Size of the registration room- 200sq ft

Size of the Refraction room- 200sq ft

Size of the preliminary room- 300sq ft

Size of the Medical officer’s room- 200sq ft

Size of the Procedure room- 300sq ft

Size of the Counseling room-200sq ft

Size of the Administration room- 100sq ft

Size of the Prosthesis centre- 300sq ft

size of Common waiting area- 1000sq ft

Pediatric Ophthalmology - Equipments

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 yes 2
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 3
g Head-band loupe yes
h Slit lamp with table & applanation tonometer yes
i 90 D or 78 D lens yes
j Ishihara color vision book yes
k Indirect ophthalmoscope with +20D /+30D lens, pediatric indentor and teaching mirrors yes
l Fixation toy device yes yes 1
m Romanes Occluder yes
n Air Puff Tonometer yes yes 1
o Tonopen yes yes 1
p Worth 4 dot test set with Red and Green glasses – Near vision yes
q Worth 4 dot test set with Red and Green glasses – distance vision yes
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 2
u Prism bar – horizontal yes yes 2
v Prism bar – vertical yes yes 1
w RAF ruler yes yes 1
x Synoptophore yes yes 1
y B-Scan yes
z A-scan yes
Aa ILO Master Biometry
Operating Room
Bb Probing set yes
Cc Instruments for examination Under GA yes
Dd Ptosis surgical instrument set yes
Ee Enucleation surgical instrument set yes
Ff Chalazion surgical instrument set yes yes 1
Gg Strabismus surgical instrument set yes yes 1
Hh Cataract/Phaco surgical instrument Set yes yes 20
Ii Vertical/Horizontal autoclave with Time/Pressure/Temperature indicator yes yes 3
Jj Flash/Speed autoclave/Hot air woven yes yes 1
Kk Wet field cautery yes yes 1
Ll HEPA Filters/ Laminar Air Flow yes
Mm Operating Microscope with continuous zoom, observer scope/CCTV yes
Nn Phaco machine with in-built vitrectomy probe yes
Oo 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 yes 1
d Defibrillator yes yes 1
e Laryngeal Mask Airway yesLMA) yes yes 2
f Suction Machine yes yes 1
C Optical Workshop Equipment
a Automatic lensometer yes
b Edging machine yes
c Surfacing Machine yes

Pediatric Ophthalmology - Human Resources

  1. Pediatric Opthalmologist-3
  2. Fellow-1
  3. Orthoptist-1
  4. Refractionist-3
  5. OPD nurse-3
  6. Counselor-1
  7. Ward nurse-3
  8. Co-ordinator-1
  9. Consultant Peditricians on call-1
  10. Anesthetist-3
  11. Anesthetic assistant-2
  12. OT nurse-2
  13. Technician-1

Pediatric Ophthalmology - Space Requirement

Out Patient Area:

Size of the Registration & waiting area- 1000sq ft

Size of Diagnostic investigation (indirect) room- 400sq ft

Size of Refraction room- 100sq ft

Size of Final examination room- 400sq ft

Size of the Counseling room-200sq ft

Size of Private room- 300sq ft

Size of Opticals room- 800sq ft

 

Operating Theater:

Size of the Wash room-200sq ft

Size of the Theatre area-2000sq ft

Size of the Store room-1000 sq ft

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
b Indirect ophthalmoscopes yes yes 3
c Lens 90D yes yes 2
d Lens 20D yes yes 3
e Three mirror lens yes yes 1
f Applanation tonometer yes yes 2
G Noncontact tonometer yes
H Fundus camera yes yes 2
I OCT yes yes 2
J Ultrasonography yes
K Vitrectomy unit yes
L Operating microscope yes yes 2
m BIOM yes yes 2
N Boyle’s apparatus yes yes 1
O Suction apparatus yes yes 1
P ERG yesoptional) yes yes 1

Retina - Human Resources

  1. Retina consultant-2
  2. Fellows-1
  3. Refractionist-2
  4. FFA/OCT Technician-1
  5. Counselor-1
  6. Receptionist-1

Retina - Space Requirement

Size of the reception room-100 sq ft

Size of common waiting area (OPD/FFA/LASER)- 1000sq ft

Number of OCT room-2

Size of the OCT room-500sq ft

Number of Final examination room-2

Size of the Final examination room-300sq ft

Number of the Laser room-2

Size of the Laser room-200sq ft

Number of the Counseling room-1

Size of the Counseling room-300sq ft

Uvea - Human Resources

  1. Uvea Consultant-1
  2. General Ophthalmologist-1
  3. Fellows-1
  4. Vision assessor-2
  5. Counselor-1

Uvea - Space Requirement

Size of common waiting area- 500 sq ft

Size of the Corridor space-50 sq ft

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 1
b Slit lamp with camera yes
c Indirect ophthalmoscope with photographic camera yes
d +20D condensing lens yes
e +90D lens yes
f Gonio lens yes
g Goldman’s applanation tonometer yes
h Fundus camera for florescein angiography and ICG yesshared) yes yes 2
i Ultrasonography machine with B-scan yesShared) yes yes 2
j Frequency doubled YAG laser yesshared) yes yes 1
k Non-mydriatic fundus camera yesshared) yes
l OCT yesshared) yes yes 1
m Non contact tonometer yesshared) yes
n Laser flare photometer yesoptional) yes
o Boyle’s apparatus yesshared) yes yes 1
p Phaco-Vitrectomy console yesshared) yes
q Endo illuminator yesshared) yes
r Operating microscope, BIOM yesshared) yes yes 2
s Suction apparatus yesshared) yes yes 6

Adult Cataract - Human Resources

  1. Senior Ophthalmologist-8
  2. Junior Ophthalmologist-8
  3. Fellow-1
  4. Outpatient Nurse-3
  5. Ward Nurse-2
  6. Theatre Nurse-1

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
c Direct Ophthalmoscope yes yes 1
d Indirect Ophthalmoscope yes
e 90 D lens yes
f 20 D lens yes
g Gonioprism yes
h Applanation tonometer yes yes 2
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
n Refractometer yes yes 1
o A-Scan yes
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 3
b PHACO Machine yes yes 1
c Automated Vitrectomy yes yes 1
d Bipolar Cautery yes yes 1
e Steam Autoclave yes
f Flash/Speed Autoclave yes
g Suction Machine yes yes 1

Adult Cataract - Space Requirement

OPD Room-1

Size of the OPD Room-100 sq ft

Theatre Area-1

Size of the Theatre Area- 2000 sq ft

Operation in last 2 weeks-900

Ward Number-1

Size of the Ward- 2000 sq ft