annual report - nationaleyehospital.health.gov.lk report... · national eye hospital of sri lanka...
TRANSCRIPT
National Eye Hospital of Sri Lanka Annual Report - 2012
1 Nationaleyehospital.health.gov.lk +94112693911
Contents
Message from the Director ........................................................................................................................... 2
Contact information: ..................................................................................................................................... 3
Speech of Dr. A.P.J. Abdul Kalam .................................................................................................................. 4
Our Vision and Mission ................................................................................................................................. 8
Our Staff ........................................................................................................................................................ 9
Hospital Statistics ...................................................................................................................................... 11
Training Programs ....................................................................................................................................... 22
Community Health and Other Health Programs ......................................................................................... 23
Activities of Health Education Unit ............................................................................................................. 28
Welfare Programs ....................................................................................................................................... 29
Finance Performance 2012 ......................................................................................................................... 32
Donations .................................................................................................................................................... 34
Infection Control Unit ................................................................................................................................. 37
Other Special Events ................................................................................................................................... 38
National Eye Hospital of Sri Lanka Annual Report - 2012
2 Nationaleyehospital.health.gov.lk +94112693911
Message from the Director
The annual report of the institution is very important to assess its efficiency, effectiveness and
productivity. The government is the main input provider for this institute. These inputs are
provided through Ministry of health. The government and other stake holders have rights to
know our progress. This report gives good analysis of our progress and output.
Health indicators are valuable parameters in assessing the heath status of the population and
there by the status of the country. Health indicators are formulated by the collection and
analysis of data by Ministry of health.
At National Eye Hospital this process is handled by the quality assurance unit which publishes
its statistics and activities in the Annual Report. The purpose of this report is to,
1. Provide a feedback on efficiency, effectiveness and productivity.
2. For future planning and recruitment of staff
3. Justify requests to increase resources from Ministry of Health, and nongovernmental
organizations.
4. Educate the public.
5. Demonstrate our accountability and responsiveness.
I thank the quality assurance unit for their untiring effort and wish them all the best in their
future endeavors.
Your constrictive criticism would be warmly welcome for better report in next year.
Dr.Sisira Liyanage
Director
National Eye Hospital
Colombo 10.
National Eye Hospital of Sri Lanka Annual Report - 2012
3 Nationaleyehospital.health.gov.lk +94112693911
Contact information:
Address : - National Eye Hospital, Colombo - 10, Sri Lanka
Telephone: - 011-2693911-15 – Exchange
011-2696033 – Director
011- 26882809 - Deputy Director
011-26939611 - Hospital secretary
011-2670977 – Pathologist
011-2693924 - Ophthalmology College room
Fax : - 011-2698285, 011- 26882809
E-mail :- [email protected]
Web site : - nationaleyehospital.health.gov.lk
National Eye Hospital of Sri Lanka Annual Report - 2012
4 Nationaleyehospital.health.gov.lk +94112693911
Speech of Dr. A.P.J. Abdul Kalam
Eye care is Noble vision
"Let there be Light"
I am delighted to addressed and interact with the doctors, nurse, paramedics, optometrist
and staff of the Eye Hospital. I am happy that National Eye Hospital has a vision of becoming
the best tertiary care centre in becoming the best tertiary eye care centre in Sri Lanka to
providing quality care to people across all sections of the society. Also, I appreciate the mission
of this hospital to make a lasting impact on the eradication of blindness in Sri Lanka by
providing quality care without any economic or social discrimination .When I am in the midst of
health care giving community , I would like to share few thoughts on " Eye care is Noble
vision ''
Excellence in Eye Care
Friends, eye care is one area where India has reached good progress in diagnosis,
treatment and particularly in reducing avoidable blindness nationally. Such an excellence is not
by accident. It is due to vision of pioneering thinkers, imaginatively executed with systematic
capability building, effective networking of specialists in India and abroad, good social
entrepreneurship models to ensure incisiveness and a desire to maintain excellence. I personally
feel the eye care examples have elements which can be translated to many other areas. At the
same time eye care professionals have to strive to maintain and excel in excellence by
intensifying research. This excellence has arisen from the collective efforts of doctors, nurses,
paramedics and the other staff of eye care institutions.
Status of Eye diseases in India
I was going through the studies carried out by two important groups the L V Prasad Eye
Institution (the Andhra Pradesh Eye Disease Study APEDS) and the Aravind Eye Hospital (the
Aravinda comprehensive Eye surgery, AECS) on the overall prevalence of the Eye disease
including retinal disease in general population in India. The results show the following trends.
National Eye Hospital of Sri Lanka Annual Report - 2012
5 Nationaleyehospital.health.gov.lk +94112693911
Table 1 | Andhra Pradesh Eye Disease Study (APEDS) Blindness Data
Disease Percentage
Cataract 44.0
Refractive Error 16.3
Retinal Disease 10.9
Glaucoma 8.2
Corneal Disease 7.1
Optic Atropy 6.0
Ambiyopia 4.3
Congenital eye Diseases 1.1
Others 2.2 (Source: Andhra Pradesh Eye Disease Study .Investigative ophthalmology &Visual Science 2001)
We can see that the retinal disease constitute around 11% of all the eye diseases. The
common retinal diseases are Diabetic Retinopathy (DR).Age related macular degeneration
(ADM),Hereditary Retinal Dystrophies (HRD) and Retinopathy of Prematurity (ROP) .I am
confident that Doctors of National Eye Hospital are focusing on removing the problems related
to all eye diseases including glaucoma, Refractive errors and congenital eye diseases. You make
to analyze the proportion of Eye diseases encountered in Sri Lanka is same as India. If they are
different, you may like to carry out research for establishing the reason, so that corrective action
can be taken by modifying the life style of Sri Lankan Citizen.
Burden and Treatment
I am fortunate to have topmost ophthalmologists as my friends who are involved in
various phases of treatment and particularly research, development on eradicating avoidable
blindness in our country and aboard.
Let me share few experience, what I have learnt.
Cataract blindness (close to 50%) and refractive errors (close to 20%) continue to be the
main cause of blindness, and is followed by retina, Glaucoma and cornea cause of blindness. But
what different is the amenability of treatment. Cataract needs a onetime surgery and refractive
error needs a pair of spectacles. In contrast retina, glaucoma and cornel related blindness and a
complex care in diagnostic and treatment, resulting in the need of high skilled personals, cost
effective diagnostic tools and treatment outcome from research efforts.
National Eye Hospital of Sri Lanka Annual Report - 2012
6 Nationaleyehospital.health.gov.lk +94112693911
Dimension of health care giving
Diagnosing diseases accurately without including diagnostic pain indeed reflects the
professional excellence of the healthcare giver. Curing the patients, with precise treatment, with
minimum time and cost, and zero side effects is a tribute to the human ingenuity.
Of course based on the diagnosed the disease and curing experience, the healthcare givers,
becomes a teacher to the families and other patients. The preventive cure is indeed, a great
contribution for the national health and the healthcare givers becomes a partner to national
development.
There are two aspect of medicine - curing and preventive. For example, the diabetic and
cardio disorders are life style disorders and preventive medicine can be applied. Another area is
training. We have three famous ophthmologists in India. One is Dr.S.Badrinath, founder of
Shankar Netralaya, Chennai, Dr. Namperumalswamy of Aravind Eye Care system, and Dr.
G.Nageswar Rao, founder chairman of LV Prasad Eye Institute Hydrerabad.These three
ophthmologists brought worked class treatment for the Diabetic Retinopathy to Indian people.
They have further trained about 300 doctors specializing in diabetic retinopathy.
Six virtues medicare giver must possesses
Friends I would like to share my experience with choatyi Nyima Rinnpoche ,the chief
monk in Kathmandu and a medical researcher. After nearly a kilometer of walk, I reached the
white kumba where the chief monk and his disciples were waiting to receive me. After reception
the chief Monk said, let us go to our study room and I followed him. He climbed the fifth floor,
just like a young boy. Probably the life style has a positive impact on the mind and body. All
along I was following and following.
When I reached his chamber, I saw a laboratory and a spiritual environment overlooking
the Himalayas. What surprised me was his research students come from different parts of the
world.Particulary he introduced me to his coauthor David R Shlim, MD who is working on a
research area, Medicine and Compassion. The chief monk Choakyi nyima Rinpoche and myself
exchanged few books. The monk has written with Dr.Dvid R.Shlim a book titled " Medicine and
read it during my journey from Kathmandu to Delhi. This book gives six important virtues which
a medical practitioner has to possess towards their patients.
First virtue is generosity: the second virtue is pure ethics; third is tolerance, forth is
perseverance, fifth is cultivating pure concentration and the sixth virtue is to be intelligent.
These virtues will empower the care givers with a human heart. I find these virtues era the core
competence of the doctors, nurses, paramedics and support staff of National Eye Institute.
National Eye Hospital of Sri Lanka Annual Report - 2012
7 Nationaleyehospital.health.gov.lk +94112693911
Conclusion
We have the best of doctors and technologist in India and Sri Lanka. We have core
competence in India and Sri Lanka. We have core competence in design and software
engineering. Emerging technologies in virtual reality and micro machines will transformation
should lead to helping the people who cannot afford the modern medical care, particularly in
rural areas. To improve the availability of eye care facility to the rural masses, I would suggest
the provision of vision centers, mobile eye clinics and tele - ophthalmologic clinics by National
Eye Hospital.
My best wishes to all of you for success in your mission of removing the pain of needy
patients.
May God bless you.
Oath for Ophthalmology community
1) I as an eye care professional realize by removing the darkness and giving the light to patient is
indeed the God's mission.
2) I will always give part of my time for treating patients who cannot afford.
3) Based on the experience and my core competence as a doctor, I am capable of diagnosing the
exact disease at right time.
4) I will treat at least 30 rural patients in a year by going rural areas.
5) I will encourage the development of quality indigenous equipments and consumables by
making use of them and assisting in enhancing the quality and reliability of the products.
6) As a doctor, I will teach the patients, their families in prevention eye care based on my
diagnostic observation.
7) I will specialize the field of bionic eye also glaucoma diagnosis and cure in similar standard
what you all have achieved in cataract disease.
8) I will follow the motto "let my remove the pain of the suffering humanity and bring smiles.
National Eye Hospital of Sri Lanka Annual Report - 2012
8 Nationaleyehospital.health.gov.lk +94112693911
Our Vision and Mission
Our Vision
To become the center of excellence in taking care of your vision as leader in South Asia
Our Mission
To provide adequate quality service to satisfy patients through maximum tertiary level
eye care with advance technology and kindness of the well trained staff, to give necessary
training and guidance for all categories of staff in the eye care service in Sri Lanka and
also to support and conduct community eye care programs.
Our Goals
1. To become the excellent center, facilitating eye care in South Asia by 2020.
2. To develop attractive, up to date training programs for each category of health staff
suitable for local and international level in eye care.
3. To establish an international level research center in eye care.
4. To provide technical guidelines for the training of all categories of staff in the eye care
service. 5. To support and conduct community eye care programs in collaboration with donors.
Cooperate Level Strategies
1. To introduce latest technology and update these technology for eye care in next five
years.
2. To prepare a curriculum of training program suitable for local and internationals.
3. Establish international research centre with help of college of ophthalmologists and
private sector.
4. Establish system to get assistance from hospital committee, N.G.O. and donors for
development work.
5. To introduce productivity and quality programs to increase quality and productivity.
6. Maximum use of operation theatre allowed for private sector patients operation by our
consultants for reasonable chargers.
7. Promotions of our services in South Asian countries for low cost but add reasonable
income for hospital.
8. Forward project proposal to international organizations to establish well equipped units
with new technology in new building.
National Eye Hospital of Sri Lanka Annual Report - 2012
9 Nationaleyehospital.health.gov.lk +94112693911
Our Staff
CATEGARY OF STAFF Approved
Cadre
In
Position
Administrative Grade MOO Senior( Director) 1 1
Administrative Grade MOO - Deputy 1 1
Consultant Ophthalmologist(Retinal Surgeon- 02) 9 9
Consultant Pathologist 1 1
Consultant Anesthetists 2 2
Consultant Resident Physician 1
Medical Officer MOO Grade 1
69
60
MOO Grade11
MOO Preliminary
Registered Medical Officer 3 3
Special Grade Nursing Officer 3 2
Nursing Officer Grade 1 (Sister) 6 7
Nursing Officer Grade(Supernumerary)
174
148
Nursing Officer Grade 11A
Nursing Officer Grade 11B
Hospital Infection Control Nurse 1 2
Accountant 1
Development Assistant 1 1
Medical Record Assistant 1 1
Administrative Officer 1 1
Nutritionist 1
Public Management Assistant 18 14
Information & Communication Technology Assistant 1
ward Clerk 6 4
Pharmacist 5 5
Dispenser 2 2
Technical Officer (civil) 1
Medical Lab Technologist 5 5
E.C.G. Recordist (Cardiographer) 2 2
Orthoptist 4 2
Special Grade Ophthalmic Technologist 1
Ophthalmic Technologist 22 26
Telephone Operator 3 3
Diet Stewardess 2 2
National Eye Hospital of Sri Lanka Annual Report - 2012
10 Nationaleyehospital.health.gov.lk +94112693911
CATEGARY OF STAFF Approved
Cadre
In
Position
House Warden 3 2
Hospital Overseer 6 5
Health Driver 4 4
K.K.S. 2 2
Lift Operator 5 5
Book Binder (0) Personalized post 1
Cook 11 7
High pressure Machine Operator 1
Seamstress 2 2
Laborderdly 3 3
Cycle Orderly (0) Personalized post 1
Hospital Attendant 73 45
Sanitary Laborer - Junior 70 80
Ordinary Laborer - Ordinary 150 69
Sanitary Labor - Causal 68
Total 677 601
Deputy Director Consultant for pathology
Dr. A .L. Fareed Dr. (Ms) Sriyani Nanayakara
Consultant for Ophthalmology Consultant for Anesthesia
Dr. (Ms) C. P .Banagala Dr. (Ms) D.Wijewardana
Dr. H. C. N. Fonseka Dr. Saman Jayathilaka
Dr. (Ms) K. M. Gamage Senior Medical Officer
Dr (Ms) .M .K .Kulathunga Dr. (Ms).H.M.P.Samarathunga
Dr (Ms) V. Gurusamy
Dr. (Ms) G. M. Pasqual
Dr. (Ms) I.K.Fonseka
Dr. (Ms) A.L.Daramarathana
Vitreo-Retinal Surgeon
Dr. M.D.Danapala
Dr. Kapila Banduthilaka
Consultant Resident Physician
Dr(Ms). Hirumuthugoda
National Eye Hospital of Sri Lanka Annual Report - 2012
11 Nationaleyehospital.health.gov.lk +94112693911
Hospital Statistics
Outpatient Service
Description No. of patients
First visit 186997
Subsequent visit 99425
Total outpatient visit 286422
Total clinic patients visit 147394
Grand total ( OPD & Clinics) 435214
Total no .of casualty patients 49247
Average OPD visit (per day) 1153
Average clinic visit (per day) 511
Average (OPD & Clinic ) visit (per day) 1664
304153
293771
304484
286422
203481
141337
149400
148792
0 100000 200000 300000 400000 500000 600000
2009
2010
2011
2012
OPD Visits
Clinic Visits
Figure 1 | A Comparison on number of OPD and Clinic visits during year 2009 to 2012
National Eye Hospital of Sri Lanka Annual Report - 2012
12 Nationaleyehospital.health.gov.lk +94112693911
OPD Visit
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Tot
No. of 1st
visit 16948 15645 17128 12520 14959 16258 15961 15873 15386 15906 15575 14838 186997
No. of
sub. visit 8500 8025 8825 7440 7900 9080 8445 8835 8295 8230 8145 7705 99425
Tot 25448 23670 25953 19960 22859 25338 24406 24708 23681 24136 23720 22543 286422
16948
15645
17128
12520
14959
16258
15961
15873
15386
15906
15575
14838
8500
8025
8825
7440
7900
9080
8445
8835
8295
8230
8145
7705
0 5000 10000 15000 20000 25000 30000
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
No. of 1st visit
No. of sub. visit
Figure 2 | A comparison on number of OPD visits during the year 2012
National Eye Hospital of Sri Lanka Annual Report - 2012
13 Nationaleyehospital.health.gov.lk +94112693911
Inpatient Service
Description No .of Patients
Bed strength 477
Total no. of admissions 24052
Total no. of discharge 23177
Total no. of Inpatient days 110149
Average daily sick 275
Bed occupancy rate 63%
Average length of stay 4
21032
23198
25274
24052
0 5000 10000 15000 20000 25000 30000
2009
2010
2011
2012
No. of Admissions
Figure 3 | A comparison of number of total hospital admissions from 2009 to 2012
National Eye Hospital of Sri Lanka Annual Report - 2012
14 Nationaleyehospital.health.gov.lk +94112693911
Ward Statistics
Ward Inpatients
days Admission Discharge Beds Cots
Length
of stay
Class Beds
Tot.
No. of.
patients
1 7704 937 806
34
9.2
1st 10 195
2 5219 901 758
24 3 5.8 Tot 10 195
4 4625 1249 1244
24 5 3.7
5 6074 2062 2007
28 6 2.9
6 5728 1122 1043
21
5.1
7 5187 1538 1517
29
3.2
8 4555 1686 1565
21 4 2.7
9 5452 1129 1056
20 4 4.8
10 5654 1505 1435
24 4 3.7
11 6762 1868 1802
25
3.6
12 7264 1538 1447
33
4.7
13 8300 2040 1995
33
4.0
14 6981 1259 1216
33
5.5
15 6074 1476 1344
29
4.1
16 5383 1861 1852
22 2 2.9
17 5711 1394 1281
24 2 4.0
18 2115 307 305
13
6.8
National Eye Hospital of Sri Lanka Annual Report - 2012
15 Nationaleyehospital.health.gov.lk +94112693911
Hospital Surgeries
SURGERY Month
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec TOTAL
1.Cataract 768 619 771 211 467 697 674 703 614 802 739 641 7706
2. Surgical PI
2 1 1 7 1 1
1 2 2 1 19
3.TPPV 116 87 75 39 62 96 107 86 79 113 93 99 1052
4. Sclera Bulking Pro. 34 13 19 2 23 20 34 25 18 29 16 21 254
5. PKP 31 39 37 19 20 44 32 33 19 22 34 27 357
6. DCR 8 16 8 8 5 11 7 14 13 9 16 11 126
7.Trabeculectomy 62 55 40 15 26 44 46 30 22 25 24 38 427
8. Anterior vitrectomy 32 32 30 19 33 25 23 28 27 27 29 34 339
9. Repair Of Corneal
Laceration 37 28 30 19 41 30 34 34 20 25 21 25 344
10. Aspiration Of Lm 12 8 17 1 7 25 14 22 10 8 13 16 153
11. Squint Correction 31 26 18 8 33 19 16 40 23 16 26 34 290
12.. Nucleation 3
3 3 1 4 3 1 1 2 4 3 28
13 Evisceration 2 4 2 3 2 8 6 4 3 5 5 1 45
14. Orbitotomy 2 2 4
5 4 8 5 5 3 3 3 44
15. Ptosis Correction 1 2
1
1
2 7
16. Excision Of Biopsy 8 1 5 1 4 2 5 6 5 6 2 7 52
17.Removel Of Foreign Body 39 40 32 26 50 19 34 43 39 6 31 36 395
18.Removal Of Suture 143 92 134 108 83 107 109 91 139 44 84 80 1214
19 EUA / EUM 95 113 103 63 133 120 90 117 100 103 85 63 1185
20.Resuturing 16 8 24 20 19 13 9 24 22 103 26 2 286
21. Indirect Laser 10 7 8 6 12 2 6 4 6 32 4 28 125
22. Cryotherapy/Diode Laser 19 12 11 3 4 7 9 14 11 5 12 14 121
23. Other Major Surgeries 301 245 334 127 170 306 294 234 199 307 319 299 3135
24. Other Miner Surgeries 323 227 259 176 195 231 233 233 221 264 255 229 2846
Total 2093 1678 1965 879 1402 1835 1794 1791 1598 1958 1843 1714 20550
18242
19850
21817
20550
16000 17000 18000 19000 20000 21000 22000 23000
2009
2010
2011
2012
Total Number of surgeries
Figure 4 | A comparison on number of surgeries done from year 2009 to 2012
National Eye Hospital of Sri Lanka Annual Report - 2012
16 Nationaleyehospital.health.gov.lk +94112693911
770619
1052
254
357
126427
339
344
153
290
284544
7
52395
1214
1185
286
125
1213135
2846
0 1000 2000 3000 4000 5000 6000 7000 8000 9000
Cataract
Surgical PI
TPPV
Sclera Bulking Pro.
PKP
DCR
Trabeculectomy
Anterior vitrectomy
Repair Of Corneal Laceration
Aspiration Of Lm
Squint Correction
Nucleation
Evisceration
Orbitotomy
Ptosis Correction
Excision Of Biopsy
Removel Of Foreign Body
Removal Of Suture
EUA / EUM
Resuturing
Indirect Laser
Cryotherapy/Diode Laser
Other Major Surgeries
Other Miner Surgeries
Total Number
Figure 6 | Number of
surgeries done in year 2012
Cataract - 37%
0%
TPPV; 5%1%2%
1%2%2%
2%
1%
1%
0%
0%0%0%
0%2%
Removal Of Suture;
6%
EUA / EUM; 6%
1%
1%
1%
Other Major Surgeries;
15%
Other Miner Surgeries;
14%
1.Cataract2. Surgical PI3.TPPV4. Sclera Bulking Pro.5. PKP6. DCR7.Trabeculectomy8. Anterior vitrectomy9. Repair Of Corneal Laceration10. Aspiration Of Lm11. Squint Correction12.. Nucleation13 Evisceration14. Orbitotomy15. Ptosis Correction16. Excision Of Biopsy17.Removel Of Foreign Body18.Removal Of Suture19 EUA / EUM20.Resuturing21. Indirect Laser22. Cryotherapy/Diode Laser23. Other Major Surgeries24. Other Miner Surgeries
Figure 5 | Percentages of surgeries performed in 2012
National Eye Hospital of Sri Lanka Annual Report - 2012
17 Nationaleyehospital.health.gov.lk +94112693911
132798
114357106300
112794
0
20000
40000
60000
80000
100000
120000
140000
2009 2010 2011 2012
Ophthalmic Technological Services
Test
Month Total
Jan. Feb. Mar. Apr. May. Jun. Jul. Aug. Sep. Oct Nov Dec
Refractions 10579 8640 9657 7708 8111 8710 8811 10970 10120 9700 10080 9708 112794 Visual Fields
(H.V.F. ) 167 122 159 448 Scanning “A”
(Biometry) 642 621 568 300 410 560 583 570 592 677 820 495 6838 Corneal
Topography 17 2 12 31
IOL master 21 60 71 72 202 426
Tot 11405 9385 10396 8008 8521 9270 9415 11600 10783 10449 11102 10203 120537
Figure 5 | Number of refraction tests done in each year
National Eye Hospital of Sri Lanka Annual Report - 2012
18 Nationaleyehospital.health.gov.lk +94112693911
Orthoptic Clinical Service 2012
Test Months
Total Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Visual Acuity 97 97 94 69 101 95 77 77 78 70 95 81 1031
Convergence Test
1
1
1
3
Orthoptic
Assessment 614 528 566 455 575 617 575 569 580 541 546 570 6733
Hess Test 74 62 69 54 67 68 88 54 81 87 85 74 863
Post Operation 30 29 27 20 20 17 20 17 26 25 28 33 292
Medical Test
24 9 28 25
86
Total 815 741 765 626 788 795 760 716 765 723 754 758 9008
Low Vision Clinical Service - 2012
Month Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
No. of
patients 188 133 160 79 131 173 134 139 72 173 126 109 1617
8960
8663
8737
9008
8400 8500 8600 8700 8800 8900 9000 9100
2009
2010
2011
2012
Figure 6 | Overview of number of tests done at
Orthoptic clinic from year 2009 to 2012
Figure 7 | Number of patients attended to Low
Vision Clinic 1014
957
1266
1617
0 500 1000 1500 2000
2009
2010
2011
2012
National Eye Hospital of Sri Lanka Annual Report - 2012
19 Nationaleyehospital.health.gov.lk +94112693911
Laser Treatment Unit 2012
Test Month
Total Jan. Feb. Mar. Apr. May. Jun. Jul. Aug. Sep. Oct Nov Dec
Fundus
Fluorescence
Angiography
(FFA)
91 125 130 81 81 100 112 57
777
I.C.G.
Angiography 2 1 1
4
Fundus
Photograph 4.0 30 53 8 14
21 15
145
Optical
Coherence
Tomography
(OCT)
448 384 443 370 492 526 151
291 630 530 638 4903
Central Corneal
Thickness
(CCT)
282 262 441 256 325 305 303 358 357 568 565 580 4602
Endothelial Cell
Count (ECC) 12 21 19
9 17 7 4 5
94
Treatment Pan Retinal
Photocoagulation
(PRP)
220 200 236 162 234 223 203 246 214 266 291 302 2797
Focal Laser
Treatment (FLT) 91 125 149 66 73 94 80 86 89 100 136 112 1201
Argon Laser
Treatment (ALT)
Suturelysis 38 56 67 12 18 23 18 25 119 32 25 36 469
Feeder Vessels
Cauterization 9.0 24 53 2 12 16 27 23 57 13 2 6 244
Capsulatomy
(YAG) 121 98 128 58 102 119 93 151 120 150 168 187 1495
Peripheral
Iridectomy (PI) 39 40 33 13 30 38
73 57 52 68 109 552
Vitreolysis 6.0 4.0
19 8 10 13 25 11 14 10 16 136
Corneal cross
linking 9 12 15 14 15 13 4 82
Total 1361 1369 1754 1048 1399 1480 1040 1078 1334 1840 1808 1990 17501
National Eye Hospital of Sri Lanka Annual Report - 2012
20 Nationaleyehospital.health.gov.lk +94112693911
ECG Service 2012
Month Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
No. of
Tests 1253 1094 1146 713 1138 1243 1239 1070 1027 1135 1278 1059 13395
year Number
2011 12330
2010 10689
2009 8796
National Eye Hospital of Sri Lanka Annual Report - 2012
21 Nationaleyehospital.health.gov.lk +94112693911
Laboratory Service 2012
Test Month
Total Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Biochemistry 1470 1684 1378 849 1832 1971 2036 2398 2291 2279 1837 2137 22162
Histology 137 108 100 90 135 215 208 216 234 192 312 278 2225
Microbiology 234 191 178 246 286 227 212 161 215 367 212 267 2796
Haematology 1164 1105 92 830 1352 1547 1582 1336 1374 1370 1475 1209 14436
Total 3005 3088 1748 2015 3605 3960 4038 4111 4114 4208 3836 3891 41619
2216253%
22255%
27967%
1443635%
Biochemistry
Histology
Microbiology
Haematology
Figure 8 | Percentages of laboratory tests done in year 2012
National Eye Hospital of Sri Lanka Annual Report - 2012
22 Nationaleyehospital.health.gov.lk +94112693911
Figure 9 | Overview of total number of laboratory tests done from year 2009 to 2012
Training Programs
Date Topic Lectures Name and Position Participants No
24.03.12 Tuberculosis Dr.Jayaruwan Bandara Public & Staff
14.06.12 Dengue Dr.A.L.Fareed
Deputy Director
Nursing Officers 28
15.06.12 Dengue Dr.A.L.Fareed
Deputy Director
All staff &Nursing
Officers
31
19.09.12
Ulcer Management
Dr.P.Chandrasiri
Con. Microbiologist
Nursing Officers &
Medical Staff
15.10.12 Hand washing Dr.Jayaruwan Bandara
Public & Staff
01.12.12 HIV/ADIS Dr.Nimal Edirisinghe
Director STD
Public & Staff
22102
31749
33567
41619
0 10000 20000 30000 40000 50000
2009
2010
2011
2012
National Eye Hospital of Sri Lanka Annual Report - 2012
23 Nationaleyehospital.health.gov.lk +94112693911
Community Health and Other Health Programs
- Suwaudana Health Programs
- Vision 2020 Activities
Suwaudana Programs
Date Venue Participants
24.02.12 Vishaka Vidyalaya Ms.R.W.S.Sandamali
Nursing Officer
Ms Wasanthi Shiromi
Health Assistant
Ms Shiromi Deepamala
Health Assistant
03.05.2012 Jinthupitiya MOH area Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Ms.S.A.T.R.D.Rajitha
Ophthalmic Technologist
Ms.M.D.Priyangani
Ophthalmic Technologist
Mr.Mahinda Saman
Health Assistant
Ms.Jayanthi Botheju
Health Assistant
28.05.2012 Orugodawatha Maternity Centre Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Ms.Jayanthi Botheju
Health Assistant
Mr.Nishantha Kalum
Health Assistant
15.06.2012 Kolonnawa MOH area - Dahampura Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Ms.D.M.N.K.Wijerathna
Ophthalmic Technologist
Ms.Senavirathna
Ophthalmic Technologist
Ms.A.H.K.Patabadi
Ophthalmologist
Mr.Sumith Kumara
National Eye Hospital of Sri Lanka Annual Report - 2012
24 Nationaleyehospital.health.gov.lk +94112693911
Health Assistant
Mr.Mahinda Saman
Health Assistant
22.06.2012 Kolonnawa MOH area Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Mr.Sumith Kumara
Health Assistant
Mr.Mahinda Saman
Health Assistant
23.06.2012 Suwaudana Programme - Ampara Mr.W.W.J.C.Fernando
Ophthalmic Technologist
Mr.K.P.M.R.S.Bandara
Ophthalmic Technologist
Mr.K.P.M.R.Perera
Health Assistant
Mr.Mahinda Saman
Health Assistant
29.06.2012 Arandara Primary School -
Galagamuwa
Ms.S.J.Wijewickrama
Ophthalmologist
Ms.T.D.Kurey
Ophthalmologist
Ms.Jayanthi Botheju
Health Assistant
Mr.K.P.M.R.Perera
Health Assistant
13.07.2012 Alapalawa Maha Vidyalaya Ms.Nyana Jayathilaka
Ophthalmic Technologist
Ms.T.D.Kurey
Ophthalmic Technologist
Ms.Jayanthi Botheju
Health Assistant
Mr.K.P.M.R.Perera
Health Assistant
14.07.2012 Anula Vidyalaya Dr.C.N.Jayasundara
Mr.Mahinda Saman
Health Assistant
18.07.2012 Jinthupitiya MOH area Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Mr.Mahinda Saman
Health Assistant
Mr.Suchith shanhta
Health Assistant
20.07.2012 St'Jemes Primary School W.M.Sagarika Gomes
Ophthalmic Technologist
National Eye Hospital of Sri Lanka Annual Report - 2012
25 Nationaleyehospital.health.gov.lk +94112693911
Ms.J.K.R.N.Jakody
Ophthalmic Technologist
Mr.J.H.M.Jalath
Health Assistant
Mr.T.Wijekumara
Health Assistant
27.07.2012 Dehiwala MOH area-Atthidiya Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Ms.Y.N.Wijesinghe
Ophthalmic Technologist
Ms.P.M.M.I.Uyanwatha
Ophthalmic Technologist
Mr.Mahinda Saman
Health Assistant
Mr.Sujeewa Saman
Health Assistant
27.07.2012 Batuwatha Maha Vidyalaya - Kegolla Ms.L.S.R.Perera
Ophthalmic Technologist
Ms.R.J.K.Dissanayaka
Ophthalmic Technologist
Ms Siriyawathie
Health Assistant
Mr.E.Wijekumara
Health Assistant
08.08.2012 Dabana Vidyalaya - Mahiyangana Ms.I.R.K.S.Gunathilaka
Ophthalmic Technologist
Ms.K.M.R.S.P.Bandara
Ophthalmic Technologist
MrK.M.P.R.Perera
Health Assistant
Mr.Sumith Kumara
Health Assistant
10.08.2012 Kolonnawa MOH area Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Ms.S.A.T.D.R.Kumari
Ophthalmic Technologist
Ms.M.D.Priyangani
Ophthalmic Technologist
Mr.Mahinda Saman
Health Assistant
Ms.Jayanthi Botheju
Health Assistant
15.08.2012 Keerhirathna Maha Vidyalaya Ms.M.W.A.Y.N.Wijasinghe
Ophthalmic Technologist
National Eye Hospital of Sri Lanka Annual Report - 2012
26 Nationaleyehospital.health.gov.lk +94112693911
Ms.Nayana Juwandara
Ophthalmic Technologist
Ms.Jayanthi Botheju
Health Assistant
Mr.E.Wijekumara
Health Assistant
22.08.2012 Pamankada MOH area Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Mr.Mahinda Saman
Health Assistant
Mr.Sujeewa Disanayaka
Health Assistant
28.08.2012
29.08.2012,
15.09.2012
16.09.2012
Eye care Program in Polonnaruwa Dr.Asela Abeyadeera
Dr.Ahamed Jesa
31.08.2012 Special Task Force - Katukurunda Dr P.Gunarathna
Ms.N.Dissanayaka
Ophthalmic Technologist
Ms.A.H.K.Patabadi
Ophthalmic Technologist
Mr.Mahinda Kumara
Health Assistant
Mr.Kalum Jayarathna
Health Assistant
09.09.2012 Dharamapala Vidyalaya - Pannipitiya Dr.O.A.S.Subashini
Ms.K.A.N.S.Rajakaruna
Nursing Officer
Ms.J.M.R.S.P.Bandara
Ophthalmic Technologist
Mr.Mahinda Saman
Health Assistant
Ms.Jayanthi Botheju
Health Assistant
14.09.2012 Rajamaha Vihara - Thinthirimale Ms.D.M.N.K.Wijerathna
Ophthalmic Technologist
Ms.J.K.R.N.Jayakody
Ophthalmic Technologist
MrK.M.P.R.Perera
Health Assistant
Mr R.S.A.Kumara
Health Assistant
National Eye Hospital of Sri Lanka Annual Report - 2012
27 Nationaleyehospital.health.gov.lk +94112693911
26.09.2012 Jinthupitiya MOH area Dr.Asela Abeyadeera
Dr.Ahamed Jesa
Ms.D.M.P.M.M.I.Uyanwatha
Ophthalmic Technologist
Ms.Ymuna Niroshinie Wijesinghe
Ophthalmic Technologist
Ms.G.H.M.Kumara
Health Assistant
Mr.E.Wijekumara
Health Assistant
Military Hospital Visit
We conduct separate clinics for Army, Navy, Air Force and Police under the supervision of
Dr. Charith Fonseka, Consultant Ophthalmologist from Monday to Thursday.
National Eye Hospital of Sri Lanka Annual Report - 2012
28 Nationaleyehospital.health.gov.lk +94112693911
Activities of Health Education Unit
The health education unit plays a major role in this institution. The following activities are
carried out by the health education unit.
1. Daily health education is given on air or individually for OPD patients on common eye
conditions.
2. Acts as the triage system to grade emergency casualties.
3. Post operative health education is given for patients on their successive clinic visits.
4. Following special day programs are conducted. Here special lectures are organized in both
Sinhala and Tamil for patients.
Glaucoma day program
Diabetic day program
World sight day program
ADIS day program
5. Organization of health exhibitions and participation for health exhibitions.
6. Conduct training program for nurses and miner staff.
7. Arrange special control measures and mass education in out breaks.
National Eye Hospital of Sri Lanka Annual Report - 2012
29 Nationaleyehospital.health.gov.lk +94112693911
Welfare Programs
Bakmaha Udawa
National Eye Hospital of Sri Lanka Annual Report - 2012
30 Nationaleyehospital.health.gov.lk +94112693911
Pirith Chanting Ceremony
National Eye Hospital of Sri Lanka Annual Report - 2012
31 Nationaleyehospital.health.gov.lk +94112693911
Annual trip to Namal Uyana & Sigiriya
National Eye Hospital of Sri Lanka Annual Report - 2012
32 Nationaleyehospital.health.gov.lk +94112693911
Finance Performance 2012
Allocation 2011 (LKR) Expenditure 2012 ( LKR) %
Recurrent Expenditure 283,328,982.99 282,894,547.96 100
Travelling 300,000.00 155,009.00 52
Supplies 22,171,771 18,676,664.86 84
Maintenance 6,000,000.00 4,166,560.83 69
Service 35,377,147.00 28,366,337.35 80
Transfer 4,413,868.00 4,413,800.77 100
Others 15,000,000.00 14,894,258.15 99
Total 366,591,768.99 353,567,178.92 96
Capital Expenditure
Rehabilitation of capital Assets
15,566,641.48 10,938,361.56 70
Acquisition of Capital Assets
54,807,394.00 54,173,601.40 99
Capital Buildings 3,663,554.00 1,143,596.84 31
Other Capital expenditure
14,320,299.92 2,725,676.89 19
Sub Total 88,357,889.40 68,981,236.69 78
Drugs 44,421,892.00
4,023,639.25 100
Other Medical Supplies 40,398,252.43
Sub Total 44,421,892.00 44,421,891.68 100
Total 132,779,781.40 113,403,128.37 85
National Eye Hospital of Sri Lanka Annual Report - 2012
33 Nationaleyehospital.health.gov.lk +94112693911
Income of the Hospital 2012
Quarter Amount (2012) (LKR)
1st 3,170,300.29
2nd 2,918,816.63
3rd 3,471,859.02
4th 5,544,006.85
Total 15,104,982.79
National Eye Hospital of Sri Lanka Annual Report - 2012
34 Nationaleyehospital.health.gov.lk +94112693911
Donations
Opening of New Retinal Unit on 08.03.12
National Eye Hospital of Sri Lanka Annual Report - 2012
35 Nationaleyehospital.health.gov.lk +94112693911
Donation of water filters & Paint by Unilivers on 27.06 12
Donation of lens to children by parents of two babies
Donation of Chairs to the hospital
National Eye Hospital of Sri Lanka Annual Report - 2012
36 Nationaleyehospital.health.gov.lk +94112693911
Donation of water filters by Hospital Committee
Donation of digital display panels by Atom Media
Donation of corneal cross linking system (worth 2.6 millions) by LB Finance
Donation of lenses by LB finance (200 lens worth 2million)
National Eye Hospital of Sri Lanka Annual Report - 2012
37 Nationaleyehospital.health.gov.lk +94112693911
Infection Control Unit
Infection control unit plays a pivotal role on controlling the infection rate in this institution. This unit
plays an unremarkable service to control infections within the hospital. Some of its activities are listed
below.
Conduct dengue prevention " Shamadana ' campaigns
Maintain sterility of the operation theater s
Maintain the standards of mini & major autoclave machines
Testing of Hepatitis B antibody levels of hospital staff
Bacteriological examination of water used within the hospital
Obtained the Environmental protection licenses
Obtained the Waste management licenses
Conduct infection control meetings
Annual Infection contra rate is 100%
National Eye Hospital of Sri Lanka Annual Report - 2012
38 Nationaleyehospital.health.gov.lk +94112693911
Other Special Events
Indian Former President Abdul Kalam visited to National Eye Hospital on 21.01.12
National Eye Hospital of Sri Lanka Annual Report - 2012
39 Nationaleyehospital.health.gov.lk +94112693911
Opening of High Dependency Unit (HDU) On 02.03.12
Glaucoma screening program on 2012.03.15
National Eye Hospital of Sri Lanka Annual Report - 2012
40 Nationaleyehospital.health.gov.lk +94112693911
Mass Education “protest” held in Glaucoma day
Inauguration ceremony of Diabetic Birth Day Card program
National Eye Hospital of Sri Lanka Annual Report - 2012
41 Nationaleyehospital.health.gov.lk +94112693911
Medical Exhibition on 2.03.12.to.4.3.12
Wesak Ulela - 5.05.12
World sight day program (11.10.12)
National Eye Hospital of Sri Lanka Annual Report - 2012
42 Nationaleyehospital.health.gov.lk +94112693911
World downs day program
World TB day program
A lecture was delivered to patients and their relatives visiting to OPD by Dr.Kapila
Banduthilaka (Vitreo Retinal Surgeon).
World hand washing day
A lecture on importance of hand washing was conducted by Dr.Jayaruwan Bandara at OPD.
Hospital website & digital displays at OPD were launched on 22.10.12. by Secretary of
Health Dr. Nihal Jayathilaka
National Eye Hospital of Sri Lanka Annual Report - 2012
43 Nationaleyehospital.health.gov.lk +94112693911
Poya Bana
World Diabetic day on14.11.12 - lecture by Dr. (Mrs.) Champa Banagala Consultant
ophthalmologist