Department of Ophthalmology


Shree Birendra Hospital

 

Department of Ophthalmology

 

 

1. Introduction

 

The Department of Ophthalmology was established in the year 2032 BS in Tri-Chandra Military Hospital, Mahankalsthan, Kathmandu. This department was later relocated to the newly constructed hospital and renamed as Shree Birendra Hospital, Chhauni, Kathmandu in the year 2046 BS. When the department was established there was only one eye hospital in Nepal i.e., Nepal Eye Hospital (Tripureswor), Kathmandu. The other eye care providers were departments in Bir Hospital (Kathmandu) and General Hospitals of Biratnagar and Birgunj. However, in the last 45 years over 30 eye hospitals have been established. The aim now is to

  • Be an Army Institute of Ophthalmology with state-of-the-art technology
  • To establish full-fledged Optometry Department
  • Produce highly skilled eye care professionals to meet the need of Nepalese Army Medical Corps, as well as the country
  •  To be at par with other leading eye hospitals in the future

At present this Department provides tertiary level best possible eye care services which include various major and minor surgeries, diagnostics and outpatient procedures and efficient management of medical and surgical ocular emergencies.

In the academic field the department was actively involved in the Post Graduate Medical Education Programme of National Academy of Medical Sciences (NAMS) –Bir Hospital. The MD Ophthalmology Residency program initiated from 2003 AD. After the establishment of Nepalese Army Institute of Health Sciences (NAIHS) this programme was discontinued in 2013 AD. The Department is now associated with College of Medicine NAIHS to run the undergraduate Bachelor of Medicine and Bachelor of Surgery (MBBS) programme since 2011 AD. The post graduate level Doctor of Medicine (MD Ophthalmology) programme was started in 2019 AD. The Department is also involved with the various programs conducted by College of Nursing (NAIHS) and College of Medical Polytechnic (NAIHS).

The aim of this department is to provide comprehensive eye care services and various major and minor ocular Surgeries (most common being the cataract surgery). In the initial days of the establishment of the department, it has started with the aim of providing the basic eye care facility, which has evolved over the period of time and the addition of the facilities has begun in a phase wise manner. The department also conducts education and research works that establishes the academic division as a very strong component of the department. To make eye care service more accessible various short-term programs like in house training of “Eye Basic” and “Eye Advance” courses are being conducted to produce skilled manpower. The MD Ophthalmology program has started in the year 2075/76 and now we are having the third batch of the program with us.

Also, training our faculty members in various super specialties and updating latest diagnostic and therapeutic technologies in this department will definitely reduce rates of referral and ultimately lighten the financial burden. For example, Phacoemulsification Machinery set and Posterior segment Surgery Machinery set shall immensely upgrade the functionality of this department and drastically reduce the financial burden of the institution.

 

 

2. Services

 

S NO

NAME OF SERVICES PROVIDED

 

1

Vision assessment and comprehensive eye check with slit lamp, +90 D lens, direct and indirect ophthalmoscopy for both dilated and undilated posterior segment evaluation

2

Diagnosis and correction of refractive error

3

Retinal diseases evaluation with screening for diabetes and hypertensive retinopathy, fundus photography, fluorescein angiography, retinal laser for various retinopathy including diabetic retinopathy. Moreover, we are planning to initiate Anti VEGF therapy as part of retina service which will immensely reduce our referral rates

4

Nd-YAG laser for retinopathies, laser capsulotomy for after cataract posterior lens opacification, laser peripheral iridotomy

5

Fundus Photography with Fluorescein Angiography for diagnosis and documentation of Posterior segment pathologies

6

OCT (optical coherence tomography) for diagnosis and documentation of macular edema, any retinal or choroidal pathologies

7

Ultrasonography (USG B scan) of the posterior and anterior segment of the eye in case of limited or no view of the area of the interest

8

Humphrey Visual Field Analysis (automated perimetry) to diagnose and follow up Glaucoma cases, analyses visual field in various ocular and neurological cases

9

Biometry to assess the power of the intraocular lens implant needed for cataract surgery

10

Orthoptics and Binocular vision therapy for various non refractive accommodative binocular disorder

11

Surgeries: Cataract, Glaucoma filtration surgeries, Lid surgeries, refractive accommodative, Dacryocystorhinostomy, Enucleation, Evisceration, Chalazion, Mass excision and other minor surgical procedures (Phacoemulsification cataract surgery and Vitreo retinal surgery in near future)

12

Medical treatment of any ocular pathologies

13

Intravitreal steroid and anti VEGF injection (in near future)

 

 

3. Specialists

S NO

SPECIALISTS

DEGREE

DESIGNATION

1

Maj Gen Prof Dr Suraj SJB Rana (retd)

MD in Ophthalmology

Professor

2

Brig Gen Dr Anu Gurung

 

MD in Ophthalmology

Associate Professor

3

Col Dr Sagar Rajkarnikar

 

MD in Ophthalmology

HOD & Associate Professor

4

Lt Col Dr Ram Shrestha

MD in Ophthalmology, Oculoplasty surgeon

Associate Professor

5

Lt Col Dr Sachit Dhakal

 

 

MD in Ophthalmology, Vitreo-retinal surgeon

Assistant Professor

6

Maj Dr Kamala Thapa

 

MD in Ophthalmology,

Glaucoma specialist

Assistant Professor

7

Capt Dr Nabaratna Bista

MS in Ophthalmology

Lecturer

8

T/Capt Deependra Kumar Sah

 

Master in Optometry

Lecturer

9

Dr Pragya Manjari Rana

 

MS in Ophthalmology, Anterior segment specialist

 

10

Niranjan Kumar Sharan

 

Bachelor in Optometry

 

 

4. Schedule

 

Day

Timing

Service

Sunday

0900-1600hrs

Regular OPD service

Monday

0900-1600hrs

OT day

Tuesday

0900-1600hrs

Regular OPD service

Wednesday

0900-1600hrs

OT day

Thursday

0900-1600hrs

Regular OPD service

Friday

0900-1600hrs

Regular OPD service

 

Note: We do provide OPD services for special and emergency cases during OT days

 

 

5. Faculty members

 

Faculty

Degree

Designation

Maj. Gen. Prof. Dr Suraj SJB Rana (retd.)

MD in Ophthalmology

Professor

Brig Gen. Dr Anu Gurung

MD in Ophthalmology

Associate Professor

Col. Dr Sagar Rajkarnikar

MD in Ophthalmology

HOD & Associate Professor

Lt Col Dr Ram Shrestha

MS in Ophthalmology

Associate Professor

Lt Col Dr Sachit Dhakal

MS in Ophthalmology

Assistant Professor

Maj Dr Kamala Thapa

MD in Ophthalmology

Assistant Professor

Capt Dr Nabaratna Bista

MS in Ophthalmology

Lecturer

T/Capt Deependra Kumar sah

Master in Optometry

Lecturer

Dr Pragya Manjari Rana

MS in Ophthalmology

 

Niranjan Kumar Sharan

Bachelor in optometry