Manual technique for Schiotz tonometry. Courtesy of Sklar Instruments.
IV. THERAPEUTIC SKILL 1. EYELID EVERSION
2. EYE DROP INSTILATION 3. EYE OINTMENT INSTILLATION
4. APPLY EYE DRESSING 5. REMOVAL CONJUNCTIVAL FOREIGN BODY
6. REMOVAL CORNEAL FOREIGN BODY WITH COTTON BUD
1. EYELID EVERSION INFERIOR CONJUNCTIVA AND FORNIKS EXAMINATION
1. Patient look down, pushed the skin in the inferior part of inferior eyelids with thumb or point finger then pulled toward the maxilar bone.
2. Patient asked to see upgaze so the inferior forniks can be exposed and inferior
SUPERIOR PALPEBRAL CONJUNCTIVA EXAMINATION 2 HANDS TECHNIQUE 1. Using thumb or point finger, pull several eyelashes, and pull away the edge of
superior eyelids against the eyeball 2. Put cotton tip applicator cotton bud in the sulcus of superior eyelids, along
theegde of tarsus and pushed the applicator to the temporal part of the eye. 3. Pull the edge of superior eyelids outward and upward to see the superior bulbar
conjunctiva, through the applicator. Pulled the applicator and hold the edge of the eyelids to the skin of superior orbital rim with thumb to see the superior palpebral
conjunctiva.
SUPERIOR PALPEBRAL CONJUNCTIVA EXAMINATION 1 HAND TECHNIQUE 1. Ask the patient to look up, Pasien diminta untuk melihat ke atas, use the hand
that temporal to the checked eye, and placed the thumb in inferior eyelids, then pull up.
Udayana University Faculty of Medicine, DME
57
2. Placed the edge of point finger to press superior eyelids up. Patient then asked to look down, hold for a couple of second. Pinch the superior eyelids using
thumb and point finger 3. Rotate with the finger and wrist so the superior eyelids could be seen. The point
finger holds the resistance in the lid crease. Thumb holds the edge of superior eyelids to the superior orbits.
2. EYE DROP INSTALLATION
1. Patient look up gaze 2. Hold the inferior eyelids under the eyelashes and pull the eyelids out from the
eyeball. 3. Give 1 drop into cul –de –sac, do not touch the eyelashes or eyelids to avoid
contamination. 4. Gently pull the inferior eyelids upward until touching the superior eyelid while the eye
looking downgaze. 5. Close the eyelids for about 3 minutes and try not to blink, so the drug can be pump
into the nose and increase systemic absorption. 6. The excessive drug in medial canthal should be wipe out before open the eyelids.
Another drug that should be instilled may be given in 10 minutes after the first drug instilled.
3. EYE OINTMENT INSTALLATION
Kategori