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
1. Ointment used if the eye need longer duration of drug. Diperlukan bila menginginkan kontak dengan mata yang lebih lama.
2. Similar with application of eyedrops, but the amount that given to the patient usually as much as needed.
3. Patient asked to extend his head or lay in bed in supine position 4. Give the ointment into the cul – de – sac and keep away the tube from the
eyelashes or eyelids. 5. Gently pull the inferior eyelids upward until touching the superior eyelid while the
eye looking downgaze 6. For about 2 minutes press with thumb and point finger with closed eyelids.
4. APPLICATION OF A PRESSURE PATCH
1. The patient closes both eyes; the examiner must ensure good closure of the eyelids. 2. The examiner applies an eye pad to the closed eyelids, either lengthwise or folded in
half 3. The examiner places a second patch lengthwise over the first patch.
4. Finally, the examiner secures the patches with tape placed from the center of the forehead to the angle of the jaw across the patched eye. Usually, an antibiotic
ointment is applied before patching, and the patient’s progress should be monitored daily
Udayana University Faculty of Medicine, DME
58
A B
C D
Taken from Pallay DA, Krachmer JH, M.D. Primary Care Ophthalmology, Mosby,2005
5. REMOVAL CONJUNCTIVAL FOREIGN BODY
1. Patient could be seat or lay in supine position. Extend the head while the patient sit. 2. Separate the eyelids with thumb and point finger in 1 hand or use the eye spreader
speculum. 3. Wet the cotton bud with topical anesthesia, or normal saline or artifisial tears. Do not
use the dry cotton bud because the cotton could leave its part in the eye. 4. Swab and rotate the mucous so it can be bond to the cotton bud. Usually swaping is
done to inner canthal or inferior forniks. 5. Swab cotton bud through the superior and inferior forniks to clean the debris..
6. Conjunctival sac can be filled with sterile isotonic liquid.
6. REMOVAL CORNEAL FOREIGN BODY WITH COTTON BUD
