Biratnagar Eye Hospital (BEH), Biratnagar

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Surgeons performing operation using microscope. Since its start in September 2006 Biratnagar Eye Hospital has progressed into an eye hospital widely recognized for delivering affordable high quality eye care services to the economically poor and under-privileged people of the community.

 

 

Services

Outpatient

Opening Hours

There is 24 hour emergency service provided at BEH.
Call: 00977 21-436360

Registration: daily including Saturday and holidays

  • Morning Shift: 7:30 am to 12:00 pm
  • Afternoon Shift: 1:30 pm to 6:30 pm
  • Advance Registration for next day: 6:30 pm to 7:30 pm

Registration Fee: NPR 35

  • All patients need to be registered
  • OPD registration is valid up to seven days

Examination: daily including Saturday and holidays

Examination hours:

  • Morning shift: 7:30 am to 1:00 pm
  • Afternoon shift: 2:30 pm to 7:30 pm

General Screening

  • Visual Acuity
  • Direct- and indirect ophthalmoscopy

An eye health worker examining patient's eye.

  • Slitlamp (gonioscopy, funduscopy, applanation tonometry, optic disc morphometry)

An ophthalmic assistant examining a patient in slitlamp.

  • Depending on the findings during examination patients may be sent for minor procedures, admitted or referred for subspecialty consultations to the respective clinics.

Refraction Services

for vision examination and prescription of spectacles

  • Computerised refractometer

Computerised refraction.

  • Lensometer
  • Optometry services

Vision examination.

Laboratory Facilities

  • For patients with severe chronic eye infections
  • to determine the most effective medicine

Other OPD Procedures Fee List

  • Nd YAG Laser capsulotomy to remove posterior capsule opacification (PCO) Artificial eyes (Prosthesis)

Dispensing of Medicines & Spectacles

  • Available within the premises

Spectacles service.

 

Counseling

  • on the use of medicines
  • on available services

Counseling service.

Paying Clinic

Registration: daily except Saturday and holidays

Registration hours: 6:30 am to 4:30 pm

Registration Fee: NPR 200

  • Patients need to be registered
  • OPD registration is valid up to seven days

Examination: daily except on Saturday and holidays

Examination hours: 7:00 am to 5:00 pm

Examination procedure:

  • Visual acuity
  • BP and IOP examination
  • Refraction
  • Slitlamp examination
  • Ophthalmic consultation
  • Counseling

Subspeciality

Retina

Special focus on Diabetes: High blood sugar damages blood vessels of the body. Retina vessels are particularly sensitive. Diabetic retinopathy can lead to severe visual impairment and retinal detachment. Therefore early treatment is the only way to preserve the sight.

Retinal Diagnostic and Treatment available:

  • Diagnostic A-SCAN & B- SCAN
    If media opacities hinder a proper fundus examination this assessment is done in order to evaluate the posterior segment of the eye
  • Fundus photography
  • Digital Fluorescein angiography (FFA)
    Photography of the retina with a dye to study details of retinal blood vessels
  • Retinal laser
    for treatment of diabetic retinopathy, retinal vein occlusion, retinal break and retinal detachment

  • Transscleral Cyclophotocoagulation
  • Laser procedure for Glaucoma treatment

Pediatric

  • Visual acuity testing for children (CAT, LH-Test)
  • Orthoptic services
  • Evaluation and provision of glasses in refractive error.
  • Evaluation and treatment of amblyopia.
  • Evaluation and provision of low vision devices
  • Free distribution of vitamin A capsules to children with xerophthalmia.
  • Post-operative follow-up on children after cataract surgery.

Post-operative follow-up on children after cataract surgery

Cornea

  • Detailed corneal ulcer work up and management.
  • Corneal ulcer scraping facility with Gram’s stain and KOH mount.
  • Culture and Sensitivity facility
  • Free admission of corneal ulcer patients in corneal ulcer ward.
  • Tissue adhesive and Bandage contact lens application.
  • Patients with severe cornea scarring are counseled on the possibility of cornea transplant.
  • Intensive regular follow-up of patients after cornea transplant.

Glaucoma

Glaucoma is a chronic disease leading to blindness if not treated in time and on a regular basis. Equipment to detect glaucoma:

  • Tonometry
  • Visual field testing with Humphrey Field Analyzer.
  • Nd YAG Laser iridotomy for glaucoma treatment

Contact Lense Services

Orthoptics Serivices

Low Vision

Patients with low vision are advised on the use of visual aids, like special spectacles and magnifiers.

Counseling to incurable blind persons

If patients are found to be incurable blind, they receive counselling on orientation and mobility and on possibilities to earn income, e.g. through handicraft.
Parents of blind children are counselled on integrated schooling for blind children.

Surgeries

Operation Theatre in action.

Being a community based hospital our aim is to provide good quality and high volume service at an affordable cost.
Patients requiring surgery can choose between different in-patient facilities with charges varying accordingly.

Eye operations are performed in the following facilities:

  • 5 well equipped operation theatres
  • 8 microscopes 4 with video facilities
  • 6 Phacoemulsification units
  • Vitrectomy unit with wide-angle viewing system (BIOM)
  • ECG, pulse oxymetry and Boyle’s anesthesia machine for pediatric patients.
  • Cryo and laser unit

Cataract Surgery Adult Fee list

Cataract Surgery (Adult).

  • Small Incision Cataract Surgery (SICS) Fishhook Technique - Click here to Video
    The cataract is removed manually through a small, self-sealing incision using a specially designed hook and an intraocular lens implanted. The small incision heals fast, allowing quick visual recovery.
  • Phacoemulsification - Click here to Video1 and click here to Video2
    The cataract is fragmented and emulsified using ultrasonic vibrations and aspirated. This requires only a very small incision, through which a foldable intraocular lens is inserted. This is the most advanced technique of cataract removal and allows faster and safer healing and visual recovery.
  • Biometry (Intraocular lens power measurement)
  • Surgery: On the same or the day after admission
  • Hospital stay: Overnight after surgery
  • Local patients or those who want to go home are allowed to go immediately after surgery (they need to come next morning)
  • Discharge: On the first post-operative day
  • Post-operative medicines are given
  • In bilateral cataracts, the other eye may be operated during the same hospital stay.
  • Patients are advised to return for follow-up: 6 weeks after surgery

Fee:

General ward: NPR 1,000
Private ward: NPR 3,000 / 5000
Phacoemulsification with posterior chamber intraocular lens (IOL): NPR 5,000
Phacoemulsification with foldable IOL: NPR 8,000
Phacoemulsification with Acrysof foldable IOL: NPR 20,000

Cataract Surgery in children (up to 15 yrs) Fee: NPR. 1000

An eye health worker majoring inraocular lens power of a child. An ophthalmologist performing cataract surgery of a child in a microscope.

Children with cataract should be operated as early as possible to enable normal visual development.
The standard surgical procedure is extra capsular cataract extraction with primary posterior capsulorhexis, anterior vitrectomy & posterior chamber lens Implantation

  • Biometry
  • Surgery: One day after admission
  • Bilateral cataract: Both eyes may be done during the same hospital stay
  • Discharge: 3-4 days after surgery
  • Required spectacles are provided
  • Post-operative medicines are given
  • Parents are advised to return with their children for Follow-up : 1, 3, 6, 12 months after surgery

Glaucoma Surgery Fee list

Surgery should be done as early as possible to prevent further deterioration of vision.

  • Surgery: On the same or one day after admission
  • Discharge: On the 2nd post operative day
  • Post-operative medicines are given
  • Patients are advised to return for follow-up : 3 weeks after surgery

Fee:

General ward: NPR 1,000
Private ward: NPR 3,000 / 5000

Lacrimal Surgery

  • Dacryocystorhinostomy (DCR)
    A passage is created between the lacrimal sac and the nose.
  • Dacryocystectomy (DCT)
    Removal of the lacrimal sac in toto.
  • Surgery: One day after admission
  • Discharge: On 2nd post-operative day
  • Patients are advised to return for follow-up: 1 week after surgery

Corneal surgical procedures

Penetrating Keratoplasty

  • On availability of donor cornea
  • Discharge: On 2nd post-operative day
  • Patients are advised to return for follow-up: 1 week or as advised

Autorotating Graft Fee: NPR 4,000

  • Surgery: Same day or one day after admission
  • Discharge: On 2nd post operative day
  • Patients are advised to return for follow-up: 1 week or as advised.

Amniotic Membrane Transplantation

  • Admission: On Thursdays
  • Surgery: On Fridays
  • Discharge: On first post-operative day
  • Follow-up: After 2 weeks

 

Vitreo-Retinal Surgeries

VR Surgeon peforming vitreo retinal surgery.

 

Retinal Detachment Surgery – Scleral buckle

This treatment involves placing a flexible band or silicone sponge (scleral buckle) around the eye to counteract the force pulling the retina out of place. It is often combined with draining the fluid under the detached retina, allowing the retina to settle back into its normal position against the back wall of the eye. Cryocoagulation is applied at the retinal tear.

Vitrectomy Surgery

Indications:
Diabetic retinopathy, retinal detachment, bleeding within the vitreous cavity, macular hole.

In a vitrectomy the vitreous gel, which is pulling on the retina and / or contains blood, is removed from the eye. Different forms of replacements are applied, like gas or silicone oil. The body’s own fluids will gradually replace a gas bubble. In case of oil a later surgical removal is needed.

  • Surgery: Patient has to get the date for surgery and get admitted one day before surgery.
  • Hospital stay: Most patients two days after surgery
  • Discharge: On the second post-operative day
  • Post-operative medicines are given
  • Patients need to return for 1st follow-up: 2 weeks after surgery
  • Further follow-ups are often needed over a longer time period

Surgery charges: NPR 4,000 Includes general ward bed charge.

Community Outreach

Services to reach Nepali patients in the community. These activities are advertised through public local media. They are performed by special teams in co-operation with local organizations.

School Screening camps

Outreach teams visit schools in Koshi Zone on a regular basis and refer children found with refractive errors or problems requiring treatment to BEH.

Paediatric Screening Camps

Pedriatric doctor examining a child in a paediatric screeing camp. An ophthalmic assistant examining a child in a paediatric screeing camp.

Outreach teams visit villages in Koshi Zone regularly to examine pre-school children and children not enrolled in schools. Children found with refractive errors or problems requiring treatment are referred to BEH.

Cataract Screening Camps

Outreach teams visit villages in Koshi Zone on a regular basis to perform cataract screening. People found with cataract or other operable diseases are taken to BEH for surgery free of cost.

Patients requiring special examination and treatment are referred to BEH.

Post operative cataract screening camp patients.

Surgical Camps

An ophthalmologist with microscope performing cataract surgery in a surgical eye camp. Post operative examination of patient by an ophthalmologist in a surgical eye camp

Cataract surgical camps are performed in the hill areas in co-operation with local organizations and local hospitals to reach those patients who are not able to come to the eye hospital.

Diabetic Retinopathy Screening Camps

BEH apart from daily OPD activity regularly organizes diabetic retinopathy screening camps in mass as people with diabetic retinopathy have 25 times more chances of becoming blind. In these screening camps highly trained staff with latest equipments screen general public and gives advice and treatment to needed one and thus helps people to save their sight.

BEH Team

The 213 member staff at BEH and all its Satellite Clinics include 12 ophthalmologist, 13 administrative staff, 5 ophthalmic assistants (OA), 14 health assistants, 1 optrometrists, 2 staff nurses, 1 pharmacy assistant, 1 eye bank technician, 15 eye health workers and different supporting staffs and trainees.

All staff members, aside from the doctors, are locals and have been trained at BEH, Biratnagar.

How to reach us

 

Biratnagar Eye Hospital is in Biratnagar, in South-East Nepal.
Biratnagar has its own airport and is close to the Indian border town Jogbani. Bihar is the neighbouring Indian state.

Travel to Biratnagar

By Air

Biratnagar – Kathmandu domestic flights
From several Indian airports to Bagdogra airport (West Bangal, India)

By Road

direct buses from Kathmandu, Pokhara, Birgunj, Nepalgunj, Kakadvitta etc. to Biratnagar.

By Train

Jogbani and New Jalpai Guri (NJP) are the nearest entry points for Nepal by train from India.

 

Last Updated on Thursday, 28 March 2013 11:15  

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