The goal:
Following doctor’s orders and nurse’s instructions to achieve the best therapeutic results.
 
Indication:
Patients diagnosed with eye diseases or disorders and undergoing medication treatments.
 
Procedure:
  1. Check eye drop medication for expiration date, and make sure eye drop medication is clear and free from discoloration. Discard any eye drop medication which are deterioration, discoloration or over their expiration date.
  2. Wash your hands with soap and water.
  3. How to apply ”eye drop medication”:
    1. For suspension eye drop medication, please shake at least 10 times before use.
    2. First, lie down or sit with your head tilted back and look upwards.Second, pull down the lower lid of your eye with your index finger. Squeeze medication bottle.
    3. Due to the volume capacity of conjunctiva, one drip per time is enough.
    4. Remove your index finger from the lower eyelid. Close your eyes for a while, and don’t blink or squeeze your eyelid.
    5. Press on the inner corner of your closed eye gently with a cotton ball for one minute (to prevent the drops drainge out from going into the tear duct).
    6. If you are using different eye drop medication in one eye simultaneously, wait at least 8 to 10 minutes between these two kinds of eye drop medication.
  4. How to apply “eye ointment”:
    1. First, lie down or sit with your head tilted back and look upwards.
    2. Second, pull down the lower lid of your eye with your index finger. Squeeze a small amount of ointment inside your lower eyelid. Be careful not to touch the tip of tube to the eye or eyelid.
    3. Close or blink your eyes to spread the ointment over your eyes.
    4. If eye drop medication and ointment are applied in one eye simultaneously, wait for at least 8 to 10 minutes after applying another eye drop medication.
    5. Don't worry, if you have blurred vision temporarily after ointment usage. It is normal. Don’t use ointment before driving. It’s better to apply ointment prior going to bed.
 
Other Instructions:
  1. Keep the eye drop medication clean, especially the tip. Do not let the tip of the tube touch the eye, eyelid, lashes, and fingers. Remove the cap of the eye drop medication. The cap of the eye drop medication will be placed by flatwise at clean table or tissue.
  2. To prevent cross-contamination, do not share your eye medications with others.
  3. Store your eye medications at room temperature and away from direct sunlight.
  4. Avoid placing eye medications in your pockets or car, in case the rising temperature affects the efficacy. Some eye medications should be stored in the refrigerator (not freezer).
  5. Don’t stop using the eye medications arbitrarily. Regular follow-up is necessary to monitor response to the medication treatment.
    If you experience any complications, please consult your ophthalmologist or nurses immediately with any concerns you may have.
 
References
  1. Clark, J. (2016). Two more steps to add to your eye drops care procedure.Nursing Standard, 30(41), 33. doi:10.7748/ns.30.41.33.s39
  2. Davies, I., Williams, A. M., & Muir, K. W. (2017). Aids for eye drop administration. Survey of Ophthalmology, 62(3), 332-345. doi:10.1016/j.survophthal.2016.12.009
  3. Shaw, M. (2016). How to administer eye drops and eye ointment. Nursing Standard, 30(39), 34-36. doi:10.7748/ns.30.39.34.s42
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