Saturday , December 15 2018
Care of Eyes Opthal Care

How to Care of Eyes

Care of eyes is a process of cleaning one / both eyes using prescribed solution for removing secretion and for preventing infection.

Caring for your vision doesn’t begin and end with eyeglasses, contact lenses and corneal modification surgeries like LASIK. There are many other things you can do to maximize and protect the vision you currently have.

Why Care of Eyes are Important

To relieve pain and discomfort, prevent infection, provide instillation of an eye drop.

Application of Eye Ointment

  • Check the Doctor’s prescription for the name of medicine.
    • Collect the following articles.
    • Sterile dressing pack consisting of sterile gauze pieces and cotton swabs.
    • Normal saline solution – If eyes have to be cleaned prior to application of ointment.
    • Sodium bicarbonate solution, if required to soften crushed discharge.
    • Eye ointment according to prescription (any prescription must be checked against the doctor’s prescription).

Check the following

  • Prescription against tube of ointment.
  • For which eye, the ointment is prescribed.
  • Expiry date on tube.
  • Wash and dry your hands thoroughly.
  • If there is any discharge and to remove any previous ointment, clean the eye with sterile cotton soaked in saline.
  • Place wool on the lower lid against the lid margin.
  • Slightly avert the lower lid by pulling on the wool swab. Ask the person to look up immediately prior to applying the ointment.
  • Apply the ointment by gently squeezing the tube and with the nozzle 2.5 cm above the lower lid drawing a line along the edge of the lower lid from the inside corner outward.
  • If the ointment tube is used once, wipe around the opening with sterile gauze and discard a little ointment into the kidney tray before applying into the eye.
  • Ask the person to close his or her eye and remove excess ointment with fresh cotton swab.
  • Inform the person that when he or she opens the eye, vision will be little blurred for few minutes.
  • Make the person comfortable.
  • Wash your hands.

Eye Irrigation

  • Sterile dressing pack consisting of –
    • Gauze pieces.
    • Cotton
    • Sterile bowl
    • Sterile Syringe
    • Irrigating fluid (usually sterile normal saline is used but in an emergency tap water may be used).
    • Mackintosh and towel.
    • Kidney Tray
  • Prepare the irrigation fluid to the appropriate temperature.
  • Check the temperature by pouring across the inner aspect of the wrist.
  • Assist the person into the appropriate position.
  • Head comfortably supported with chin almost horizontal.
  • Head inclined to the side of the eye to be treated.
  • Remove any discharge from the eye by swabbing with sterile cotton from inner canthus to outer canthus.
  • Ask the person to hold the kidney tray against his / her cheek before the eye being washed.
  • Position the mackintosh and towel under the person’s head.
  • Hold the person’s eyelids apart using your thumb and index fingers, against the orbital ridge. Do not press on the eyeball.
  • Inform the person that the flow of solution is going to start and pour a little on to his / her cheek first.
  • Direct the flow of the fluid from the nasal corner outwards.
  • Ask the patient to look up, down and to either side while irrigating.
  • Keep the flow of irrigating fluid constant.
  • When the eye has been thoroughly irrigated, ask the person to close his / her eyes and use a new swab to dry the lids.
  • Take the kidney tray from the person and dry his / her cheek.
  • Make the person comfortable.
  • Remove and care for used equipment approximately.
  • Wash hands.

Instillation of Eye–Drops

  • Keep the following equipment ready –
    • Sterile dressing pack including sterile gauze pieces and cotton swabs, if applicable.
    • Normal saline solution – if eyes have to be cleaned prior to instillation of eye drops.
    • Sodium bicarbonate solution, if required to soften crusted discharge.
    • Eye drops according to prescription (any preparation must be checked against the doctor’s prescription).
  • Explain the procedure to the patient.
  • Check the following –
    • Prescription against bottle label for which eye the drops are prescribed.
    • Expiry date on bottle.
  • Assist the person into the correct position i.e. head well supported and tilted back.
  • Wash and dry your hands thoroughly.
  • Clean the eye with sterile cotton soaked in a saline (if there is any discharge).
  • Place a cotton wool swab on lower lid against the lid margin.
  • Ask the person to look up prior to instilling the drop. Open the eye using your thumb and index finger.
  • Instill the drops keeping the bottle atleast 2-3 inches away from the eye.
  • Ask the person to look up prior to instilling the drop. Open the eye using your thumb and index finger.
  • Make the person comfortable.
  • Wash hands