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The Eastern Regional Eye Care Programme (EREC-P) in South-East Nepal is a further development of Sagarmatha Choudhary Eye Hospital (SCEH), Lahan. In order to balance the work load of SCEH and to increase the scope for long-term human resource sustainability, Biratnagar Eye Hospital (BEH) was started in Biratnagar, Nepal’s second largest city 130 km east of Lahan, in September 2006. EREC-P continues the 40-years co-operation between Nepal Netra Jyoti Sangh (NNJS), the Social Welfare Council of Nepal and CBM. With the combination of the two eye hospitals SCEH and BEH along with its’ satellite clinics EREC-P is a high volume treatment programme, which provides high quality comprehensive eye services at a cost affordable to the population in eastern Nepal and northern India.
Lahan is located in South-East Nepal, at the East-West Highway close to the Indian border, neighboring the Indian state Bihar.
The 461 member Staff at the SCEH and all its Satellite Clinics include 16 Ophthalmologist, 1 ENT, 2 Anesthesiologist, 1 Microbiologist, 14 administrative staff, 39 ophthalmic assistants (OA), 16 optometrist, 1 health assistants, 6 staff nurse, 1 eye health educator, 1 anesthesia assistant, 8 pharmacy assistant, 45 eye health workers and different type of trainees.
All staff members, aside from the doctors, are locals and have been trained at SCEH, Lahan.
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.
Outreach teams visit schools in Sagarmatha Zone on a regular basis and refer children found with refractive errors or problems equiring treatment to SCEH.
Outreach teams visit villages in Sagarmatha 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 SCEH.
Outreach teams visit villages in Sagarmatha Zone on a regular basis to perform cataract screening. People found with cataract or other operable diseases are taken to SCEH for surgery free of cost.
Patients requiring special examination and treatment are referred to SCEH.
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.
Sagarmatha Choudhary Eye Hospital, Lahan has started a mobile eye clinic in a bus provided by Nepal Netra Jyoti Sangh. The Mobile eye clinic is equipped with slit lamp, edging machine for optical dispensing and has pharmacy service. The mobile eye clinic services are being provided in three places of Siraha (Sukhipur), Saptari (Topa) & Udaypur(Beltar) districts.
SCEH 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.
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.
SICS with PC IOL: NPR 1,200 (General Ward); 4,400 (Private Ward); 6,400 (Private Cabin)
PHACO with PC IOL: NPR 8,000 (Private Ward) , NPR 10,000 (Private Cabin)
PHACO with Foldable IOL: NPR 10,000 (Private Ward), NPR 12,000 (Private Cabin)
PHACO with Foldable Hydrophobic IOL: NPR 16,000 (Private Ward), NPR 18,000 (Private Cabin)
PHACO with Foldable Acrysof IOL: NPR 24,000 (Private Cabin)
PHACO with Foldable Acrysof IOL IQ: NPR 32,000 (Private Cabin)
PHACO with Foldable Hydrophilic multifocal Indian IOL: NPR 35,000 (Private Cabin)
PHACO with Foldable Hydrophobic multifocal Indian IOL: NPR 64,000 (Private Cabin)
PHACO with Foldable Hydrophilic Multifocal Foreign IOL: NPR 110,000 (Private Cabin)
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 and posterior chamber lens Implantation
Surgery should be done as early as possible to prevent further deterioration of vision.
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.
If media opacities hinder a proper fundus examination this assessment is done in order to evaluate the posterior segment of the eye
Cornea Transplantation / PK
Corneal Ulcer
Glaucoma is a chronic disease leading to blindness if not treated in time and on a regular basis. Equipment to detect glaucoma:
Oculoplasty department provided a wide variety of services including DCR, DCT, various therapeutic and cosmetic eyelid surgeries, and orbital tumors.
Contact lens units is referral units in eastern Nepal. Patients with different eye disorders mostly Keratoconus and Myopia received services from the contact lens unit. We offer Spherical Soft contact lens, Prosthetic contact lens, RGP (Rigid Gas Permeable), Rose K2.
Patient's having best corrected visual VA < 6/18 are further evaluated at Low Vision Department. Those who are suffering from LV are advised on the use of visual aids, like special spectacles and magnifiers.
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.
Five-year-old Nirmal lives in a village about 40 km from Biratnagar, a major city in eastern Nepal. Nirmal’s father Shrawan (34) works as a daily wage labourer in a factory in Biratnagar...
