Combined Milletary Hospital

Facility Identification

Division: Dhaka

District: Dhaka

District Code: 26

Facility Type: Government Hospital

Type of Hospital: Mixed Hospital

Year of Establishment: 1947

Category: Tertiary Level Hospital

Size of the Hospital: The hospital has its own land.

Funding: It runs by government funding.

Patient Information

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

Average number of patients per day: More than 200

Patient number in last year: More than 10000

Payment provided by: Patients and government subsidy.

Equipments and Instruments

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 8
B Corneal topography unit   yes 1
C Aberrometry assessment unit   yes
D Specular microscope   yes
E Light microscope   yes 4
F Basic microbiology instruments   yes 1
G LASIK (Optional)   yes

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       8
B Goldmann Applanation tonometry yes       7
C Diagnostic lenses (90 D, 20D, 78D) yes       1
D Gonioscope yes       1
E Perkins tonometer   yes      
F Pachymetry   yes       1
G Humphrey Visual Field Analyzer   yes         1
H Heidelberg retinal tomography (HRT)- shared   yes         1
I Optical coherence tomography (OCT)-shared   yes       1
J Anterior segment OCT   yes      
K Ultrasound biomicroscope-shared   yes      
L YAG Laser for glaucoma surgery-shared   yes       1
M Fundus photography-shared   yes         1

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         1
b Simple Snellen Visual acuity charts- drum   yes         1
c Cardiff Card     yes        
d Set of trial lenses with trial frame   yes         7
e Streak retinoscope   yes         1
f Direct ophthalmoscope   yes         14
g Head-band loupe   yes         2
h Slit lamp with table & applanation tonometer   yes         7
i 90 D or 78 D lens   yes         12
j Ishihara color vision book   yes         4
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         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      
u Prism bar – horizontal   yes         2
v Prism bar – vertical   yes         2
w RAF ruler     yes      
x Synoptophore   yes         1
y B-Scan   yes         2
z A-scan   yes         2
Aa ILO Master Biometry yes    
Operating Room        
Bb Probing set   yes         1
Cc Instruments for examination Under GA   yes         1
Dd Ptosis surgical instrument  set yes     1
Ee Enucleation surgical instrument set yes     1
Ff Chalazion surgical instrument set yes     1
Gg Strabismus surgical instrument set yes     1
Hh Cataract/Phaco surgical instrument Set   yes         1
Ii Vertical/Horizontal autoclave with Time/Pressure/Temperature indicator yes     1
Jj Flash/Speed autoclave/Hot air woven yes     1
Kk Wet field cautery yes     1
Ll HEPA Filters/ Laminar Air Flow yes    
Mm Operating Microscope with continuous zoom, observer scope/CCTV   yes         4
Nn Phaco machine with in-built vitrectomy probe yes     3
Oo Vitrectomy unit yes     1
B Anesthetic Equipments
a Anesthesia Unit   yes         1
b Patient monitor with pulse oximetry, blood pressure measurements, ECG, Temperature, capnography suitable for age range of children   yes         1
c Pediatric ventilator   yes         1
d Defibrillator   yes         1
e Laryngeal Mask Airway (LMA)   yes         1
f Suction Machine   yes         1
C Optical Workshop Equipment
a Automatic lensometer   yes         1
b Edging machine   yes         1
c Surfacing Machine   yes         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 1
b Indirect ophthalmoscopes yes   6
c Lens 90D yes   10
d Lens 20D yes   6
e Three mirror lens yes   1
f Applanation tonometer yes   1
G Noncontact tonometer   yes
H Fundus camera yes   1
I OCT yes   1
J Ultrasonography yes   1
K Vitrectomy unit yes   1
L Operating microscope yes   1
m BIOM yes   1
N  Boyle’s apparatus yes   1
O Suction apparatus yes   1
P ERG (optional) yes   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         1
b Slit lamp with camera   yes       1
c Indirect ophthalmoscope with photographic camera   yes        
d +20D condensing lens   yes       6
e +90D lens   yes        
f Gonio lens   yes       3
g Goldman’s applanation tonometer   yes       7
h Fundus camera for florescein angiography and ICG (shared)   yes       1
i Ultrasonography machine with B-scan (Shared)   yes       1
j Frequency doubled YAG laser (shared)   yes       1
k Non-mydriatic fundus camera (shared)   yes       1
l OCT (shared)   yes       1
m Non contact tonometer (shared)   yes      
n Laser flare photometer (optional)   yes      
o Boyle’s apparatus (shared)   yes       1
p Phaco-Vitrectomy console (shared)   yes       1
q Endo illuminator (shared)   yes      
r Operating microscope, BIOM (shared)   yes       1
s Suction apparatus (shared)   yes       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         4
b Schiotz Tonometer yes       4
c  Direct Ophthalmoscope yes       4
d  Indirect Ophthalmoscope yes       1
e 90 D lens yes       3
f 20 D lens yes       1
g Gonioprism yes         1
h Applanation tonometer yes         4
Refraction
i Snellen test type yes         4
j Near vision testing yes         4
k Streak Retinoscope yes      
l Trial frame and trial case yes         4
m Prism bar     yes      
n Refractometer   yes         4
o A-Scan     yes      
P IOL-Master Biometry yes      
q Keratometer yes      
B OT
a Operating Microscope with co-axial illumination & focus control yes       1
b PHACO Machine yes       3
c Automated Vitrectomy yes       1
d Bipolar Cautery yes       2
e Steam Autoclave yes       1
f Flash/Speed Autoclave   yes         1
g Suction Machine   yes         1

Human Resources

Total Human Resources:

Senior Ophthalmologist: 1

Junior Ophthalmologist: 10

Outpatient Nurse: 4

Theatre Nurse: 4

Professional Degree: FCPS

Administrative Human Resources:

House keeper: 3

Cleaner: 3

Driver: 1

Cornea

1. Cornea Consultant-1
2. Cornea Fellow-1

Glaucoma

1. Ophthalmologist-1
2. Optometrist-1

Retina

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

Adult Cataract

1. Senior Ophthalmologist-4
2. Junior Ophthalmologist-4
3. Outpatient Nurse-1
4. Theatre Nurse-1

Record keeping System: both in papers and in computers.

Service Area

1. Retina
2. Glaucoma
3. Cornea
4. Surgical Cataract
5. Pediatric
6. Uvea
7. Orbit
8. General OPD
9. Refractive error and General Ophthalmology

Other facilities provided by Hospital

1. Biomedical engineering dept
2. Microbiology
3. Pathology and clinical biochemistry
4. Housekeeping services and dietary services
5. Radiology

Patient type and registered patients

Ratio of patients (New and Review): 2:3

Patients comes from: Within catchment area and from neighboring area

Systems and Procedures

1. Clinical Protocols & guidelines
2. Clinical Audit
3. Referral network with other hospital
4. Procurement Policy
5. HR Policy
6. Color coded waste management