Design and implementation of ophthalmology clinics

Design and implementation of ophthalmology clinics

If you are looking to design an ophthalmology clinic, you must follow a series of design principles because one of the most sensitive medical centers is the ophthalmologist, which must comply with the ideal and standard of health, and almost all of us know that ophthalmologists need a decor. They are relaxing and modern. That's why we need to follow all the tips so that we can create good decor. Ophthalmologists include fewer departments than other offices

The different sections of an ophthalmology clinic are as follows:

Anterior chamber and cornea

Modern cataract surgery

Laser. LASIK and refractive error correction (myopia, myopia, and astigmatism)

Implantation of all kinds of intraocular lenses

Treatment of keratoconus (corneal hump)

Types of new corneal transplant techniques (PLK DALK ALTK PK)

Stem cell transplantation for the treatment of pterygium. Chemical burns and…

Posterior chamber section (vitreous and retin)

Glaucoma section

Department of Strabismus and Children

Diagram or ophthalmology clinic plan

In the past, clinics were deliberately designed for medical purposes, but today we can see a shift in the direction of humanism in-clinic facilities. Today's clinics are more equipped (mostly surgical) and more like hotels. The availability of accommodation is more important than cold health plans in past clinics. Also, the length of hospital stay and the stay of the patient is constantly shortened.

Since we know that to plan the design of offices and medical centers, a plan must be designed so that we can advance the design of the ophthalmology clinic as well as other offices, so we need to see what we need from a specialized clinic such as ophthalmology. Ophthalmology offices have fewer departments than other offices, so we should pay more attention to their design and design so that space is not wasted.

Project location

The project site should have enough space for independent residential departments and different departments of the clinic. It should be quiet in the area and there will be no possibility of construction around it in the future unless it is separated and adjacent by adjacent areas. Equipment should not be damaged by fog, strong winds, dust, smoke, odors, and insects. The land should not be polluted and the surrounding free lands should be considered to expand the space.


The hallways should be designed for maximum flow. In general, access corridors should be at least 1.50 meters wide. Corridors that move patients to a mobile bed should be at least 25.2 meters wide.

the doors

Hygiene should be considered in the design of doors. The surface layer of the door must have a long-term resistance to constant cleaning by cleaners and germicides and must be designed to prevent the transmission of sound, unpleasant odors, and airflow. Doors should have the same sound insulation standard as the surrounding walls. Double-glazed wood must have a minimum sound reduction capacity of up to 25 decibels. The exact height of the doors depends on the type and operation


For health reasons, stairs should be designed so that they can cover the entire public when necessary. Stairs should have railings on both sides and be anticipated without protrusions (without protruding edges). Related to the stairs should be included. The effective width of the stairs and steps should be at least 1.50 meters and not exceed 2.50 meters. Doors should not occupy the useful width of the steps and the doors facing the stairs should be open to the exit.

One of the most important parts of any clinic is ophthalmology because the patient is sent to this ward at the first stage (diagnosis) and the last stage after surgery (treatment).

Its space depends on the size of the clinic and the number of clients, and it should be closed to create a sense of security and… for the optometrist and the patient, not in the form of side-by-side units. The dimensions of each unit are 3.5 m and the distance between the patient's chair and the chart (screen) is adjusted to 4-5 m, and the moving space of the optometrist and the patient is 3.5 m. In this space, two types of light are used… extended light for remote testing… and spotlight for near vision testing and eye aberration.

 The dimensions of the stand do not have a chart (screen) of 18/30 cm, and you will use the same number such as numbers, letters, vandals, images (especially for children) and Red Green to measure your visual acuity.

Comparison of hospital clinics with independent clinics
The hospital clinic has a variety of specialties, while the independent clinic has few specialties (and sometimes only one).
The hospital clinic uses the hospital's diagnostic departments (laboratory and radiology), while the independent clinics have these departments in a small form.
At the hospital clinic, admission is limited, and in some cases with prior appointment and subject to morning visits and appointments. In independent clinics, however, patient admission is widespread.
The hospital clinic uses specialist physicians, while independent clinics are independent of the physician.
In the ophthalmology clinic, space is dedicated to determining the eye score and equipping the glasses, which have equipment for the patient to sit on and a screen on the wall to show the patient various symptoms. Another space is dedicated to eye examinations with ophthalmic devices and microscopes. Also, a place for a doctor's desk and an initial interview with the patient are essential at this clinic. In certain cases, a space is also necessary for the treatment of diplopia in children.
 Determining eye score
To determine the eye score, the patient sits on a chair and recognizes the symptoms on the screen at a certain distance from the patient. With the help of glasses that are mounted on the patient's chair with a device, the patient recognizes the symptoms, and the defects of his vision are diagnosed in this way, and the appropriate glasses are prescribed for him by the doctor. So far, two methods have been used to diagnose eye defects. One is the direct method in which the patient sees the symptom board directly, and the other is the mirror method in which the patient sees the screen of the symptom behind him through the mirror. It is clear that the mirror method reduces the length of the room, but most doctors prefer to use the direct method. In the direct method, the minimum length of the room should be 6.60 meters, while in the mirror method, this length can be reduced to 3 meters. The minimum width of the room in each case should not be less than 2.60. In addition to devices used to determine the score of the eye, in some cases, the patient is examined with other devices, including ophthalmic microscopes.
The patient sits at the back of the table where the device is located and the doctor is on the other side of the table. This room should be able to be completely dark. If you use a microscope, a minimum space of 6 square meters is enough for this room. If more devices are used in this space, at least 9 square meters should be allocated to this space.
Dr. Cheshm's office interior decoration
By examining the special sections in the ophthalmology office, we can design an ophthalmology clinic. Usually, ophthalmologists include a waiting room, for the design of which a plan must be considered, and the main design stage is the same doctor's room that should be It should be designed in such a way that all modern and up-to-date devices are placed in it in such a way that the space is pleasant and useful. We may also have space in some offices to sell ophthalmic tools and equipment, such as glasses and lenses.
Micro-space of specialized eye clinics
To design an ophthalmology clinic, as mentioned above, you should follow the principles and tips, which include lighting, space design, and waiting room design, and more. Be sure to note what parts can be useful and what parts are discarded, and even parts that are not useful should be used optimally and their images and plans should be reviewed before execution. To implement ophthalmic decoration, know that you should use a gentle decoration because before the patient goes to the doctor's room, he should enjoy a certain comfort.

Principles of lighting in ophthalmology
As mentioned in the article, one of the most important and key principles is lighting. In designing an ophthalmology clinic, we must observe this point, and in principle, each clinic is divided into two parts: the part where the patient is present and waiting. He should go to the doctor's office, which is called the waiting room, and it should have very modern and stylish lighting that will satisfy the patient and convey a sense of comfort.
Another important part is the main room and the doctor's room, where the lighting should be designed according to the type of specialization.
Separation of counseling and examination rooms
Another less common pattern is the separation of counseling and examination rooms. In this template, the following points should be considered:
Because nurses are responsible for controlling traffic to the examination room, it is best to have the examination room visible to nurses. This will enable the nurse to reach the patient quickly, even when they are on their way to the nursing home. goes.
 Examination rooms should be located close to the counseling room to minimize the unnecessary movement of physicians as much as possible. It is preferable for the examination room and counseling room to be connected through the door.
Exit corridors from the examination space should be located in the direction of the office rooms to control both the exit and entry of individuals and the payment of treatment fees. The examination room is where the diagnosis is made, so in addition to providing the necessary equipment to diagnose the disease, the patient's comfort should not be compromised. The doctor can examine her more easily.
The impact of the clinical and unhealthy environment can cause fear and anxiety and affect the patient's vital signs, which can lead to misdiagnosis by the physician.
The size of the examination room is appropriate. In this room, the examination bed, the sink, the wall and floor cabinets, the space for changing clothes, the trolley of supplies and equipment needed for the examination are placed.
  If a general stress test is performed inside the examination room (EKG test and treadmill), the other room should be minimal or non-existent. However, if the changing space is not considered, the length of the room can be less than 3 meters.
It is possible to create a changing room in the room, the platforms of which come out of the wall, and when it is not needed, it enters the wall again and curtains are installed around this space, in this case, the width of this space can be.
 One of the most important issues is how to place the examination beds. The foot of the bed or the end of the bed should be made with an angled door and also with the wall, so the doctor can easily access the patient from all sides and see if the door is open. Fewer patients are examined. The door of the examination room should be opened from the side of the wall so that the outer surface of the door is in front of the wall. The appearance of such a design may seem ugly, but it is very suitable for the examination room. There is less vision on the patient and it is much easier even when changing clothes. A right-handed doctor (and even many left-handed doctors) will examine the patient from the right side, so the cabinet and sink should be on the right side of the examination bed.

The doctor on the right side of the cabinet and the left side of the bed are examined, so the doctor removes the equipment with the left hand and examines the patient with the right hand.
Cabinets are usually installed on the side of the longitudinal wall of the room and the wall near the door.
The presence of a sink in the examination room is very desirable, it is a small sink in dimensions with a working surface. The minimum dimensions of the cabinet under the sink can be height. On the surface of the cabinet, a valve can be placed to dump the waste, and the trash can is placed under the cabinet under the valve.
There should be a wall cabinet in the room where disposable items and other disposable items are placed.
Wallpaper napkins and wall soaps are installed near the sink.
Usually, disposable paper rolls are placed on the examination bed and a place should be considered for installing the roll. Doctors heat the equipment in the women's examinations (before the examination), so an electrical outlet should be provided for heating the equipment. They are usually expensive.
There may be a written examination room inside the room so that the doctor can write his or her reports about the patient and his or her examinations. The doctor will sit down on a chair or bed to write his or her observations.
The writing surface may be embedded in the wall
Sometimes doctors like to have the door to the counseling and examination room through the door, adding a door to the examination room reduces the useful space of the room and endangers the patient's comfort.
لافThere are differences of opinion regarding the window in the examination room, in any case, there is no need for natural light in the examination rooms (especially in dermatology), but if the doctors themselves want to consider the window in the examination room. This should be done, the windows should be at a height so that the patient's comfort is not compromised.
It is better to paint the windows blue because the bronze colors make the cheeks sick.
In hospitals, windows are usually a nuisance, especially in the placement of equipment, so partitions are used more, which reduces the number and number of windows as much as possible.
Especially in cases where building designers are unfamiliar with the design of medical spaces, considering windows can cause more headaches, especially when they use windows that do not fit the size of the room.
 The required electricity in the examination rooms is three three-wire electrical outlets with ground wire, one above the counter surface and the other part of the lower part of the bed and the third close to the headboard, the electrical outlet above the counter is installed at height and the other outputs are installed at height. If the doctor uses an ophthalmoscope and an autoscope to examine them, electrical output is considered to charge them, these are special electrical outputs.
Children's examination rooms usually use two electrical outlets, one above the counter surface and the other near the base of the examination bed. In the children's clinic, the wiring must be done carefully and the ground wire must be installed efficiently, as well as the height of the electrical outlets so that children do not have access to it.

Consulting room
Doctors consult with their patients in this place, and if the design of the counseling room is appropriate, it will prevent discomfort to the doctor.
After examining the patient, the doctors talk to the patient in the counseling room about his illness. The use of this room for the doctor and the patient is to establish verbal and sensory communication with the patient. The counseling room can also be used as a study and restroom for the doctor, which should include a doctor's desk, a bookcase, a comfortable chair for patients, a clothes hanger, and, if possible, a bathroom for the doctor. Furniture and interior design The counseling room should be more like the interior design of the home, it is the only wardroom that can be largely dependent on the doctor's taste.
It is better to have this room with natural light. Indirect light bulbs are also suitable for general room lighting. It is advisable to place the counseling room behind the ward for the convenience of the physician so that patients do not pass through this room to reach the examination room, or in some cases where patients or their companions suffer from mental illness and intend to attack the doctor's office. The counseling room at the back of the ward prevents this from happening.
 In areas such as children where the counseling room is less used, there is a counseling room for several doctors and a small table and telephone for each doctor.
 Ideally, comfortable couches that can be turned into beds should be used in the counseling room so that the doctor can rest in this room after surgery or hard work.
waiting room
The first and most important mindset of the patient is formed in the waiting room of the clinic. The psychological impact of this space on the patient is very great, the waiting space is the first space that the patient encounters and can affect the patient's perception of the doctor.
Neglect in the design of this space can hurt the patient, and the patient thinks that the doctor does not value the patient's life, or that the doctor's medical experience, like his office and clinic, is past and old.
The desired space should have beautiful colors, suitable light, and suitable furniture. The patient must wait for the turn to arrive without encountering the reception window, people, and furniture. Patients should be able to enter the examination room easily, without their movement in this space causing anxiety or disturbance to others.
The design of the waiting area should be such that people with disabilities and those in wheelchairs can easily move around in the space should be considered an open space for people who are in wheelchairs. This space should not be exposed to traffic. Another important point is that disabled people should not be separated from other patients.
A good formula for determining the number of waiting space chairs is:
In this formula:
P = Average number of patients examined by a physician per hour.
D = number of doctors
E = Number of examination rooms
S = Seating
L = Late factor
For example, if each doctor sees at least 4 patients per hour and examines 3 rooms in the office and each patient comes to the office with one person, the required amount of chairs is: 5 = 3-1 × 4 × 2
  Depending on the delay factor, it may take half or an hour for a general practitioner to delay, so the waiting room should be 1.5 times that amount.
Therefore, the waiting space for 4 + 5 = S + L, ie 9 people, is enough.
 The factor is slowing down as the number of doctors in each clinic decreases. It should be noted that this formula is for guidance only, the quality of each examination and the space of the section determines the capacity of the waiting space.
The number of seats required may be reduced from 45 to 25 in cases where we have limited space. Ideal situations are rarely implemented in the design of medical spaces, and designers pay more attention to what the employer says.

The estimated waiting time for each patient is 1.5 to 1.8 square meters and is considered to be 1.7 square meters on average for each patient. In any case, the space required for the waiting room depends on the shape, location of the entrances, and the location of the reception window.
 The reception area should be in a place where the staff can control the entry and exit of patients all the time, part of the reception space should be allocated to the fund. Reception offices are usually large, and at least 1.8 meters of counter space must be provided behind the reception window to accommodate the typewriter, telephone, and supplies required.
If the number of admissions/office staff is more than two or three, it is possible to separate the spaces for the previous appointment, admission, and fund.
Office staff may assist medical staff and nurses in the examination room and nursing home when weighing less and in reporting patient reports, but in any case, their job is to do office work.
 With proper design, the number of personnel is significantly reduced.
Office offices
Heart offices are the heart of medical clinics. Medical reports, insurance, and library work are prepared in these offices. In a small office, one or two people may perform this operation, but for a large clinic, the number of staff may increase to more than three (if patients have fewer visits, a secretary for two doctors and If there are too many visits, a secretary is needed for each doctor.
If each doctor examines 4 to 5 patients per hour, the secretary may take more time to prepare patients who have not yet been examined.
Internal clinic
 The set of internal clinical activities includes the following:
Pulmonary diseases, neurology, oncology, hematology, stomach, endocrine glands and skin, infectious and gastrointestinal diseases. Before designing an indoor clinic, the activities to be performed at the clinic should be discussed.
 Usually, a group of doctors works in internal clinics, and the working hours of internal clinics are usually 9 am to 12 noon and 2 to 5 pm.

Surgeons usually perform their surgeries in the morning and visit the patients in the office in the afternoon. If five doctors work together in a clinic, it is less likely that they will all be in the same clinic. For this reason, a clinic with three examination rooms can usually easily meet the needs of five physicians without harming their functioning.
The internal clinic is the part where the number of patients referred to is moderate. However, often due to comprehensive consultation between physician and patient, and invasive examinations on the patient, the examination time is long (of course, subsequent examinations are performed after the diagnosis of the disease in a short time).
Some doctors prefer to consult with the patient in the counseling room and others in the examination room, however, if the counseling room is considered separately, its dimensions should not be less than 3.5 x 3.5 meters.
Children's office
 Pediatricians treat children's illnesses from birth to adulthood, usually in the examination room for a short time. But patients usually wait a long time. The children's clinic is one of the busiest clinics. Usually, two or three doctors work together in children's clinics.
The treatment routine and counseling and examination space for children are similar to the internal office. However, if the separation pattern of counseling and examination rooms is used, it is best to consider 3 or 4 examination rooms for each pediatrician. Of course, four rooms are more desirable.
The examinations are usually done in a short time and the next patient is quickly transferred to the next examination room, while the nurse is cleaning the room for the previous examination.
It is a good idea to have a large examination room for the child and infant to be examined in which both age groups can be examined.
Usually, the examination room for children aged 12-18 is separate and the minimum space required for the examination of children aged 12-18 is 2.5 x 3.5 square meters. It is considered not necessary, only a scale should be considered in the room, if the weight of the child is taken in the waiting space, it may cause fear and panic.
If we do not have space limitations, a chair should be provided for the child's companion or mother, a writing desk for the doctor, and the size of the examination room should be 2.5 x 2.5 square meters.
The baby's examination beds are 120 x 60 cm, and if the baby's weight is initially taken on the bed, the dimensions of the bed are 180 x 960 cm.
The examination beds for children are 180 x 60 cm. The beds are always placed next to the wall to reduce the chances of the child falling, the doctor examines the patient from the right side (right-handed doctor). The left-handed doctor examines the child from the left. There may be a space test on the bed for the baby to be rubbed by the mother and weighed.
 Any cabinet available to children should be locked, even if the cabinet is empty, as the child's hand may remain on the drawer or cabinet door.
It is best to have a baby's height monitor on the bed. Some babies are easily allowed to measure their height, but for others, their feet must be fixed with a wooden sliding arm to measure the baby's height.
To examine, the child is placed on a bed of paper rolls, the spools of which are placed on top of the bed so that the bed can be quickly prepared for the examination.
The color of the children's office walls should be happy and at least two of the room's walls should be completely painted. It is better to consider a color pattern for the flooring.
Beautiful and interesting colors and designs can greatly reduce the child's restlessness during the examination, you can use beautiful color schemes and colored wallpaper. Children's examination room should never be carpeted or carpeted. It is best to use vinyl flooring.
In specialized clinics for infants and toddlers, a large nursing home should be considered for neonatal wards, as many injections are performed by a nurse. The drug does not cause a bad reaction.
There should be several chairs for parents in the hallway near the nursing home or perhaps in the nursing home itself.
The nursing home is located in the front of the ward, which is great for a child who only comes to the injection site.
Children's offices should have an admission window so that patients in the examination room can be easily seen by staff.