Comprehensive Guide to Retinal Surgery Cost in Bangladesh
Retinal surgery is crucial for addressing a range of eye conditions that can lead to severe vision impairment or even blindness if left untreated. Conditions like retinal detachment, macular holes, or diabetic retinopathy require advanced surgical intervention to preserve vision. With the rising prevalence of diabetes in Bangladesh, more people are at risk for retinal diseases, making it essential to understand the cost and availability of retinal surgeries in the country.
Key Takeaways
🚨 Retina Surgery Cost Overview (2025)
Planning for retina surgery in Bangladesh? This combined snapshot gives you a clear, cost‑only overview to help you decide between basic, value, and premium care before reading the full guide.
What mainly affects the cost: where the surgery is done, how complex the problem is, and whether the case is urgent.
💰 Typical Cost Range
- Government hospitals: Tk. 15,000 – 25,000 (surgery fee only; medicines and supplies usually extra)
- Non‑profit / social welfare hospitals: Tk. 40,000 – 85,000 (most consumables usually included)
- Private hospitals: Tk. 60,000 – 1,80,000+ (higher for emergencies and complex surgery)
📌 Cost Realities to Plan For
- Procedure matters: Simple vitrectomy costs less than retinal detachment surgery, especially if silicone oil, membrane peeling, or cataract surgery is needed.
- Emergency costs more: Night admissions and urgent cases can increase the bill due to OT and staffing charges.
- Repeat treatments add up: Anti‑VEGF injections are priced per dose and often required multiple times.
- Hidden add‑ons are common: Tests, anesthesia, consumables (gas/oil), medicines, and follow‑ups can add Tk. 15,000 – 30,000 beyond the quoted package.
📍 Why Retinal Surgery in Dhaka Saves Money
- When International travel, hotel stay, and treatment delays are considered, receiving retina surgery in Bangladesh—especially in Dhaka—is usually the most cost‑effective option.
This overview reflects current market pricing and real billing practices in Bangladesh, helping patients plan realistic budgets before hospital admission.
The “Real” Bill: Understanding the Cost Structure
If you’re feeling confused or anxious about hospital bills, you’re not alone. In Bangladesh, many hospitals quote only part of the cost at first. To stay in control and avoid stress at discharge, it’s important to look at the Total Cost of Care, not just the surgery fee you hear initially.
Think of the bill as a few smaller parts added together. Once you know these parts, the numbers usually make more sense.
How the Total Cost Is Calculated (Simple Breakdown)
Total Bill = Surgeon Fee + OT Charges + Consumables + Cabin/Bed Rent + Pre‑operative Tests + Post‑operative Medicines + Anesthesia Charges
- A gentle heads‑up: If you are admitted to a private hospital after 8:00 PM, there may be an emergency surcharge (usually 15–20%) on surgery and OT charges. Asking about this early can help you plan calmly.
- Government hospital reality: Surgery fees are kept low to help patients, but items like gas, silicone oil, and sutures are often bought separately from outside pharmacies. This is normal and not a hidden penalty—just part of how public hospitals work.
Knowing this structure ahead of time helps most families feel more confident, less anxious, and better prepared when discussing costs with hospital staff.
Ask a Trusted Retina Surgeon for Personalized Guidance
Sometimes, understanding the cost isn’t enough. Patients and families also want clear guidance from an experienced retinal surgeon—someone who can explain the condition simply, discuss treatment options honestly, and support them from consultation through aftercare.
Below is a Bangladesh Health Alliance–verified vitreo-retina surgeon, trusted by patients for calm explanations, ethical care, and long-term vision support.
- MBBS, MPH, MCPS (Eye), FCPS (Eye) | Long-term Fellowship in Vitreo-Retina (IIEI&H) | Long-term Fellowship in Phaco Surgery (BETH) | Trained in ROP
- Specialized In: Retina & Macula Care (Diabetic Eye Disease), Vitreo-Retina Treatment, Retinal Laser, Anti-VEGF Eye Injections, Cataract (Phaco) Surgery
- Consultant (Ophthalmology), Bangladesh Eye Hospital Zigatola Ltd.
- BM&DC: A-67851 | Experience: 13+ Years
- Online Consultation Available
- Consultation Fee: BDT ৳1000 Taka Only
- Bangladesh Eye Hospital Zigatola Ltd.
- 6:00 PM – 9:00 PM (Saturday – Thursday)
Retinal Surgery Procedure Price List (2025 Market Estimates)
Costs vary significantly based on the surgeon’s designation (Professor fees are typically 15–20% higher than Consultants).
A. Core Surgical Procedures (Vitrectomy)
The following table summarizes the most common vitreo‑retinal surgeries performed in Bangladesh, with indicative 2025 price ranges across different care tiers.
| Procedure | Govt / Public | Non‑Profit / Social Welfare | Private / Premium |
|---|---|---|---|
| Simple Vitrectomy (Vitreous Hemorrhage) | Tk. 15,000 – 20,000 | Tk. 40,000 – 55,000 | Tk. 60,000 – 90,000 |
| Retinal Detachment (RD) (Standard Pars Plana) | Tk. 20,000 – 30,000 | Tk. 55,000 – 75,000 | Tk. 90,000 – 1,40,000 |
| Complex RD (Membrane Peeling + Silicone Oil) | Tk. 25,000 – 35,000 | Tk. 65,000 – 85,000 | Tk. 1,10,000 – 1,60,000 |
| Phaco‑Vitrectomy (Cataract + Retina Combined) | Tk. 25,000 – 35,000 | Tk. 60,000 – 80,000 | Tk. 1,20,000 – 1,80,000 |
| Silicone Oil Removal (SOR) (Planned second‑stage surgery) | Tk. 5,000 – 10,000 | Tk. 15,000 – 25,000 | Tk. 30,000 – 50,000 |
B. Intraocular Injections & Laser
For injections, the cost is driven by the imported medicine brand.
| Brand Name | Medicine Cost (Approx) | Hospital Service Charge | Total Per Dose |
|---|---|---|---|
| Avastin (Bevacizumab) | Tk. 2,000 – 4,000 | Tk. 3,000 – 6,000 | Tk. 5,000 – 10,000 |
| Lucentis / Accentrix | Tk. 25,000 – 35,000 | Tk. 5,000 – 8,000 | Tk. 30,000 – 45,000 |
| Eylea (Aflibercept) | Tk. 45,000 – 55,000 | Tk. 5,000 – 8,000 | Tk. 50,000 – 65,000 |
| Retina Laser (PRP) | N/A | Tk. 2,000 – 4,000 | Tk. 3,000 – 5,000 |
⚠️ RECURRING COST ALERT: Anti-VEGF injections are rarely a one-time cure. The standard protocol is a “Loading Dose” of 3 Injections (one per month).
- Budget Reality: If you choose Eylea, your 3-month cost will be Tk. 1.5 Lakh+, not Tk. 50k. Plan your finances accordingly.
Medical Nuances: Anesthesia & Recovery
These factors directly impact your bill and lifestyle post-surgery.
Anesthesia Costs
- Local Anesthesia (Block): Included in most adult packages. You are awake but the eye is numb.
- General Anesthesia (GA): Required for children (ROP) or highly anxious adults.
- Extra Cost: Add Tk. 10,000 – 15,000 for the Anesthetist and OT Gas charges.
The “Face-Down” Requirement
- If Gas or Silicon Oil is used to fix the retina, the patient MUST sleep and sit in a face-down position for 1–2 weeks.
- Impact: Elderly patients may need a 24/7 attendant or rented equipment (face-down pillows), adding to the hidden cost.
Pediatric Considerations (ROP)
Retinopathy of Prematurity (ROP) requires specialized care for pre-term babies.
- Screening: Tk. 1,000 – 2,000 (Mandatory for babies <2kg or <34 weeks).
- Laser Treatment: Tk. 3,000 – 5,000 per session.
- Anti-VEGF (Baby Dose): Tk. 5,000 – 8,000.
- Advanced ROP Surgery: Tk. 40,000 – 70,000 (Requires General Anesthesia).
The “Hidden” Costs Checklist
Budget for these unavoidable expenses alongside the surgery package:
Pre-Op Diagnostics (Tk. 8k – 12k):
- OCT Scan: Tk. 1,500 – 3,000.
- FFA (Angiography): Tk. 3,500 – 4,500.
- PAC (Fitness): ECG, Blood Sugar, Viral Markers (Tk. 4,000+).
Post-Op Medicines (Tk. 3k – 5k): Antibiotics and steroid drops for 4-6 weeks.
Follow-up Visits: Usually 3 paid visits in the first month (Tk. 1,000 per visit).
Strategic Decision Matrix: Where Should You Go?
Option A: The Strict Budget (Limit < Tk. 40k)
- Hospitals: NIO (Agargaon) or BSMMU.
- Pros: Top-tier Professors, nominal surgery fees.
- Cons: You must procure your own supplies (gas, oil, sutures) from external pharmacies. Long wait times for “free” beds.
- Best For: Chronic conditions where immediate surgery isn’t critical.
Option B: Value & Quality (Limit Tk. 60k – 90k)
- Hospitals: Ispahani Islamia, Lions Eye, Fashion Eye.
- Pros: High-volume centers with standardized care. “Package” pricing includes consumables.
- Cons: Crowded OPDs. Shared cabins are common.
- Best For: Most middle-income families seeking reliable care without luxury premiums.
Option C: Urgency & Comfort (Limit Tk. 1 Lakh+)
- Hospitals: Bangladesh Eye Hospital, United, Evercare.
- Pros: Zero wait time. Immediate booking for Retinal Detachment (critical for saving vision). Advanced equipment (Alcon Constellation). Cashless insurance processing.
- Cons: High cost.
- Best For: Emergency Retinal Detachment or patients with cashless insurance coverage.
Factors Influencing Retinal Surgery Cost
Think of this section as advice from a family member who has already been through the process. The goal is to help you understand the costs clearly, so you can ask the right questions and feel confident—not confused—when talking to hospitals.
In Bangladesh, retinal surgery prices are not fixed, and that’s normal. Different bills don’t mean someone is cheating you; they usually reflect real differences in treatment needs and hospital systems.
Type and Complexity of the Procedure
Here’s the simple way to think about it: the more work the eye needs, the higher the cost.
- A simple vitrectomy or laser usually stays on the lower side.
- Retinal detachment surgery costs more, especially if extra steps like membrane peeling, silicone oil, or cataract surgery are needed.
If your doctor explains why extra steps are required, the higher cost usually makes sense.
Hospital Category (What This Means for Your Wallet)
Each hospital type works a little differently:
- Government hospitals: Surgery fees are low, but families often buy medicines, tests, and consumables separately.
- Non-profit / social welfare hospitals: A balanced option—moderate cost with semi-packages that are easier to manage.
- Private hospitals: Higher cost, mainly for faster access, 24/7 OT availability, and comfort.
None of these are “right” or “wrong”—the best choice depends on your budget and urgency.
Emergency vs Planned Surgery
If surgery happens suddenly, especially at night, costs usually go up. This is due to emergency staff, OT availability, and hospital rules. Knowing this early helps you stay calm and prepared.
Anesthesia Requirement
- Local anesthesia: Common for adults and usually included.
- General anesthesia: Often needed for children or very anxious patients and typically adds Tk. 10,000–15,000.
This is a medical safety decision, not an optional upgrade.
Surgical Consumables (A Very Common Question)
Items like silicone oil, surgical gas, sutures, and disposables are often imported.
- In government hospitals, these are usually purchased separately.
- In package-based hospitals, they are often included.
This difference explains many price gaps and is a normal part of the system.
Diagnostic and Pre-operative Tests
Tests such as OCT, FFA, ECG, and blood tests are part of safe surgery. They are often billed separately, so it’s wise to ask about them upfront.
Surgeon’s Experience and Seniority
More senior surgeons may charge slightly more. Families often choose them for complex cases because experience can reduce repeat procedures and long-term costs.
Post-operative Care and Follow-up
Eye drops, follow-up visits, and planned second-stage procedures (like silicone oil removal) add to the total cost over time.
If you plan for these from the start, you’ll feel more in control and less worried later on.
Choosing the Right Clinic for Retinal Surgery in Bangladesh
Choosing a clinic is mainly about comfort with the cost and clarity of billing. In Bangladesh, the same retinal surgery can cost different amounts depending on how the clinic presents packages, handles emergencies, and explains expenses.
Focus on Cost Transparency, Not Big Names
Instead of worrying about brand names, it’s more helpful to ask simple questions:
- Does the clinic offer a fixed package or itemized billing?
- Which costs are included, and which are paid separately?
- Will they give a written estimate before admission?
Clear answers usually mean fewer surprises later.
Package Pricing vs Itemized Billing (In Simple Terms)
- Package pricing: Common in non-profit and private hospitals. Easier for families because most major costs are known upfront.
- Itemized billing: Common in government hospitals. Surgery fee is low, but total cost can rise as medicines and supplies are added.
Neither option is wrong—it simply depends on how much uncertainty you are comfortable with.
Emergency Readiness and Cost Impact
Clinics that can operate any time of day or night often charge more. While this increases cost, it can prevent delays that may lead to repeat procedures or longer recovery.
Location and Follow-up Expenses
Retina surgery usually needs several follow-up visits. Choosing a clinic closer to home can quietly save money on:
- Transport
- Time away from work
- Accommodation for attendants
Always Ask for a Written Cost Breakdown
Before admission, request a simple written list showing:
- Surgery fee
- Consumables (gas or oil)
- Anesthesia charges
- Medicines and follow-up visits
When costs are written clearly, most patients feel more confident, calmer, and better prepared.
Choosing a clinic that matches your budget level (basic or premium) helps you focus on recovery instead of worrying about unexpected bills.
Insurance Coverage & Financial Aid
Corporate Insurance
- Coverage: Most policies (MetLife, Pragati, Green Delta) cover Vitrectomy under In-Patient (IPD) limits.
- Injections: Avastin/Eylea are often covered under Day Care limits. Check your policy for “Intravitreal Injection” clauses.
- Cashless: Available primarily at Tier 3 (Corporate) hospitals.
EMI (Installments)
- Facility: 0% Interest EMI for 3-12 months.
- Partners: City Bank (Amex), BRAC, SCB, EBL.
- Requirement: Bill usually must exceed Tk. 50,000. Ask the billing desk before payment.
Zakat / Welfare Funds
- Islamia Eye Hospital: Offers 50–100% subsidy via their Social Welfare department (Zakat Fund).
- NIO: Free surgery available for eligible patients (consumables not included).
International Comparison: The “Medical Tourism” Verdict
Should you travel abroad for Retina Surgery (India, Thailand, Singapore)?
| Destination | Direct Surgery Cost | Logistics & Stay | Estimated Total Cost | Medical Risk |
|---|---|---|---|---|
| Dhaka (Premium Private) | Tk. 1.0 – 1.6 Lakh | Home recovery | Tk. 1.2 – 1.8 Lakh | Low (Immediate care) |
| Kolkata, India (Sankara / Disha) | Tk. 0.9 – 1.2 Lakh | Hotel 10–15 days | Tk. 2.0 Lakh+ | High (Visa & travel delay) |
| Chennai, India (Apollo / Sankara) | Tk. 1.2 – 1.6 Lakh | Flight + Hotel 15 days | Tk. 3.0 Lakh+ | High (Delay + post-op travel) |
| Bangkok, Thailand | USD 2,200 – 3,800 | Flight + Hotel 10–14 days | Tk. 3.0 – 4.0 Lakh+ | Moderate (Non‑urgent only) |
| Singapore | USD 5,000 – 20,000 | Flight + Hotel 10–14 days | Tk. 6.0 Lakh – 18 Lakh+ | Low medical risk, very high cost |
Cost Notes:
- Thailand prices often include surgeon, OT, and anesthesia but exclude flights and extended recovery stay.
- Singapore offers world‑class care, but pricing reflects its overall healthcare market rather than retina surgery alone.
BHA Medical Verdict (2025):
- For Retinal Detachment or sudden vision loss, overseas travel is clinically risky. Visa and travel delays allow retinal scarring (PVR), reducing surgical success.
- Bangkok may be considered only for non‑urgent, stable retina conditions when Dhaka options are unavailable.
- Singapore is suitable mainly for patients with strong international insurance coverage.
👉 For emergencies, immediate surgery in Dhaka remains the safest and most cost‑effective option.
Checklist for Admission
Ask the hospital counselor these 5 questions to secure the best deal:
- “Is the Silicon Oil Removal (2nd surgery) included in this package, or will I pay again later?”
- “Does the package include the Gas/Oil charge, or is that billed separately?”
- “Do you have a 0% EMI facility with [Your Bank]?”
- “Is this a Fixed Package or Itemized Billing? If the surgery takes longer, will the OT charges increase?”
- “If I am admitted tonight (Emergency), is there an Emergency Surcharge?”
Disclaimer: Prices are estimated based on 2024-2025 market data in Dhaka. Hospital rates change frequently. Always obtain an official written quote before admission.
Tips for Managing and Reducing Retinal Surgery Costs
- Compare Clinics: Obtain quotes from multiple clinics to ensure you get the best value for your surgery while still prioritizing quality care.
- Check Insurance Coverage: Confirm that your insurance policy covers retinal surgeries and ask about reimbursement for diagnostics and follow-up care.
- Consider Non-Surgical Options: In cases of early-stage diabetic retinopathy or minor retinal tears, non-surgical treatments like laser therapy may be a more cost-effective option.
- Opt for Payment Plans: Many clinics offer installment options, making it easier to manage the cost of surgery over time.
Frequently Asked Questions
Is retinal surgery painful?
No, retinal surgery is performed under local or general anesthesia, so patients do not feel pain during the procedure.
How long does it take to recover from retinal surgery?
Recovery times vary depending on the type of surgery, but most patients see improvements in vision within a few weeks to months.
Can retinal surgery restore lost vision?
Retinal surgery can prevent further vision loss, and in some cases, partially restore vision.
What are the risks of retinal surgery?
As with any surgery, there are risks involved, such as infection, bleeding, or retinal re-detachment. Your ophthalmologist will discuss these risks with you before the procedure.
How effective is vitrectomy surgery?
Vitrectomy surgery is highly effective for treating retinal conditions such as retinal detachments or macular holes. The success rate depends on the specific condition and its severity.
Conclusion
Retinal surgery is essential for treating a variety of serious eye conditions, from retinal detachments to diabetic retinopathy. The cost of retinal surgery in Bangladesh varies depending on the type of surgery, the clinic, and the surgeon’s expertise. By understanding the different types of retinal surgeries and the factors influencing their costs, you can make informed decisions about your eye care. Always consult with a qualified ophthalmologist to determine the most suitable treatment for your condition.