Glaucoma Research and Eye Hospital

WELCOME

GLAUCOMA RESEARCH AND GLAUCOMA RESEARCH AND EYE HOSPITAL – AT A GLANCEEYE HOSPITAL – AT A GLANCE

A PROJECT OFA PROJECT OF

BANGLADESH EYE CARE SOCIETY BANGLADESH EYE CARE SOCIETY

Bangladesh is a developing countryin South-East Asia. Geographicallyit is located between the Himalayasand the Bay of Bengal bounded byIndia on the north, west andnortheast, by Myanmar on thesoutheast and by the Bay of Bengalon the south.

BACKGROUND OF BANGLADESH

Total Area : 147,570 sq km

Population : 148.13 million

Literacy rate : 43.1%

Rural population : 75%

Ophthalmologists : 750 (approx)

Population per Ophthalmologist

: About 185,162

Total No. of Hospital providing eye care services

: 132

Govt. Hospital : 65

Private Hospital : 13

NGO : 54

• Large effort made over the past years to deliver primary healthcare including eye care but we are lacking behind because of paucity of qualified physician and ophthalmologist.

• Finding of studies conducted by different organizations:• One million people are totally blind• Two million people are partially blind who are

unable to support themselves and to contribute to the national development.

• 75% of those could either by prevented or cured by early detection and treatment.

BACKGROUND OF BANGLADESH

• Population 2005 (extrapolated) : 130.8 million• No. of hospitals providing Eye Care Services: 132

(Govt-65, NGO-54, Private-13)• Total qualified ophthalmologist: 750• Total Non-Ophthalmologists but working in eye

care: 268• Total number of cataract surgeons: 450• Total MLEP: 708• Total number of Cataract Surgery: 131475• Cataract Surgical Rate: 1006• Paediatric Cataract Surgery: 4243• Total number of Eye Beds: 3179• Total number of teaching hospital: 26

NATIONAL SUMMARY

• Over 750,000 blind• 650,000 due to cataract (80% of total blindness)• Over 6 million need vision correction by

spectacles and other means• Approx. 150,000 irreversible blind which need

rehabilitation• Approx. 40,000 children are blind of which 12,000

are due to cataract and can be cured by surgery• 80% of the above live in rural areas• 90% of the doctors and their helpers live in towns

Source: The summary Report of The Bangladesh National Blindness & Low Vision Survey (30 & above age group), May 2003

BANGLADESH BLINDNESS PROFILE

• Between 2,400 and 3,000 cataract operations are required/million population/year in Bangladesh to control cataract blindness

• This translates to a total of 314,000-392,000 cataract operations annually

• Currently about 131,000 cataract operations are being done which represents 42% of the estimated need

Source: The summary Report of The Bangladesh National Blindness & Low VisionSurvey (30 & above age group), May 2003

CATARACT SURGERY

Minimum CSR required = 1,200-1,500/mill/yearto deal with the current backlog.

This rate needs to be doubled as

• Demand is increasing and surgery being done earlier

• The population is ageing• Second eyes are being operated upon

CSR to control cataract blindness = 2,400-3,000/mill/year

CATARACT SURGICAL RATE REQUIRED

Bangladesh Eye Care Society (BECS) was establishedin 1988 by a group of volunteers and professionals,namely -

• Late Prof M A Jalil • Late Prof AQM Harun • Late Prof Mubarak Ali • Late Engr Quamrul Islam Siddique • Mr Syed A K Mahmudul Haque • Dr Syed Reza Hussain • Dr Rashed Nizam• Mrs Mira Mitra• Dr Niaz Rahman

under the leadership of Prof M Mustafizur Rahman,Founder President and Dr Rashed Nizam, FounderSecretary General of BECS

ABOUT BECS

• To organize nationwide primary eye care activities

• To train professionals on community eye care

• To conduct research and studies on eye diseases

• To establish primary and secondary eye care centers

• To organize seminars, symposiums and workshops on eye care at national, district and upazila level

• To provide financial and technical support to post graduate students for higher studies in ophthalmology

• To disseminate information on glaucoma amongst public by public awareness program

• To establish a modern Glaucoma Research and Eye Hospital at Dhaka and outside Dhaka

BECS OBJECTIVES

• National Glaucoma Prevalence Survey in Bangladesh in 1993 and Glaucoma Prevalence Survey of Dhaka Division with the technical and financial support of IGA (London) in 1997

• An International Workshop on “Eye Banking” in 1992 organized in collaboration with Sandhani and ORBIS International participated by USA, Sri Lanka, India and Bangladesh

• One rural based 18-beded Charitable Eye Hospital DMCEH is run at Bhaluka Upazila of Mymensingh district, which is one of the pride projects

• Scholarships are awarded to postgraduate students studying in ophthalmology

• One Glaucoma Research and Eye Hospital is being run at Mirpur, Dhaka. Here all kinds of eye patients are treated and operated with special emphasis on glaucoma

PAST BECS ACTIVITIES

Glaucoma Prevalence Survey in 1993

Dr Rashed Nizam delivering speech in Scholarship Awarding Ceremony

Rural-based Charitable Eye Hospital at Bhaluka Upazila of Mymensingh district

PAST ACTIVITIES OF BECS

Seminar on Eye Banking and Eye Donation at Mymensingh Medical College with all religious leaders of the Country

Postoperative Patients are seen in the Eye Camp

Dr Abu Raihan, Country Representative Project ORBIS International is watching the School side testing program

Inauguration Ceremony of the Eye Camp

GLAUCOMA IN BANGLADESH

• Prevalence of glaucoma in Bangladesh above 35 yrs = 3.1%

• Prevalence of glaucoma suspect in Bangladesh above 35 yrs = 10%

• Awareness about glaucoma amongst population = 4%

Two national survey on glaucoma conducted by BECS in collaboration withInternational Glaucoma Association (IGA),London firstly in 1993 and secondly in 1997.Report published in British Journal ofOphthalmology in Dec 2004

Name of the Donors who volunteered for the development of the Society and Hospital

• International Glaucoma Association, London-For two National Glaucoma Surveys

• North American Bangladeshi Islamic Community (NABIC)- For Equipments & Eye Camps

• Ministry of Health and Family Planning, Govt. of the People’s Republic of Bangladesh- For construction of the present building for the Office & Hospital

• Patrons (10 Nos.) - For the development work• Life Members (51 Nos.) - For the development

work

BECS established a Glaucoma Research &

Eye Hospital in its own land measuring 0.24

acres in 2007. Rendering the following

services in one storied semi pucca building

(consisting 10 rooms):• Out patients consultation• Slit lamp biomicroscopy• Refraction by Automated refractometer• IOP measurement by applanation

Tonometer• Visual field analysis by Humphrey Field

Analyzer• Pachymetry for CCT measurement• Gonioscopic examination• 24 hours phasing of IOP for glaucoma

patients• Phaco surgery by latest and most

modern phaco-machine

RENDERING SERVICES

Chief Consultant of GREH performing IOL implant surgery under microscope donated by NABIC

Senior Consultant of GREH performing Glaucoma surgery under microscope donated by NABIC

SURVEY DONE

• Eye camps in rural areas where cataract and pterygium surgery done in the camp

• SICS with IOL implant• Phaco emulsification with IOL implant • Trabeculectomy and tenomectomy• DCR for Dacryocystitis• Squint surgery• Keratoplasty• Other operation like pterygium, orbital tumor and

other minor surgeryThe accommodation and service facilities need to beexpanded. Hence, plan to establish a 12-storied building for the hospital is taken

PROPOSED GLAUCOMA RESEARCH & EYE HOSPITAL

12-storied Hospital Building

In Patients DepartmentTotal Beds – 160

Total OT – 6

General Ward (Male & Female) – 100

Double Bed Cabin – 10

Single Bed Cabin – 5

Diagnostic Service

Training Service

Out Patients DepartmentConsultation Room including refraction

Emergency Department

Daycare service except intraocular

Hospital will provide all eye care services like:

• General ophthalmology, cataract, Cornea, Vitro-retina, Glaucoma, Oculoplasty, Contact lens

• Orbital surgery, Intraocular lens implant surgery, Daycare IOL surgery with phaco emulsification, scan facilities, fundus fluorescence angiography

• YAG laser, Argon laser, Neuro ophthalmology, Paediatric ophthalmology, Low vision rehabilitation centre

• 24 hours laboratory services

PROPOSED HOSPITAL BUILDING

PRELIMINARY ESTIMATED COST UPTO 12-STORIED GLAUCOMA RESEARCH & EYE HOSPITAL BUILDING AT MIRPUR, DHAKA

Estimated cost of the total project: Taka 32 crores (320 million)Total area of the building: 6630 sqm

Estimated Cost for 1st Phase (up to 1st Floor) Taka 4 crores (40 million) which includes :

1. Formation in plinth including store pile retaining wall etc.2. Basement3. Ground floor with drain, apron, gate etc4. First floor5. Internal sanitary & water supply6. Electrification7. Pump, Reservoir, water and sewerage connection etc