Mar 21, 2010


Instilling eye drop for another person may look easy but it can be difficult when putting eye drop for ourselves.
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Instilling eye drop or ointment yourself:

1. Wash your hands

2. Gently shake the eydrop bottle and open the cap.

3. Face up and look directly to the ceiling.

4. Use index finger of the left hand to pull the lower lid down exposing lower fornix of the eye.

5. Hold the eye drop in the right hand and rest the palm of the right hand on to the index finger of the left (this maneuver would help as a guard to prevent touching the eye.)

6. Bring the tip of the eye drop to about 1cm from eye and you should be now directly looking into the mouth of the bottle

7. Now, keep the position still, roll up the eye and squeeze the bottle until one drop reaches the eye and a cooling sensation felt in the eye.

8. Closed the eye for 1 minute

Instilling eye drop for a patient:

1. Wash your hands

2. Gently shake the eydrop bottle and open the cap.

3. Patient need to face up and look directly to the ceiling.

4. Use index finger of your left hand to pull the lower lid down to expose the lower fornix of the eye.

5. Hold the eye drop in the right hand and rest the palm of the right hand on to the index finger of the left (this maneuver would help as a guard to prevent touching the eye.)

6. Squeeze the bottle until one drop reaches the eye and a cooling sensation felt in the eye.

7. Closed the eye for 1 minute

Tips:

  1. Aim at the lower fornix and not the corneal
  2. If the eye drop is in, you should feel sense of coldness into the eye and the drops would have pooled the sac and the vision will be blurred for a moment but it would clears up immediately with blinking.
  3. Closing the eyes for a minute helps to prevent the loss of the medicine into the nose due to pumping mechanism resulting from blinking.
  4. Use the little finger of either finger to hold the cap to prevent contamination of the cap. (refers to the animations)
  5. For elderly patient or patients with stiff neck, lying down would help.


Pulling the lower lid down
will expose the lower fornix
of conjunctiva sac

Aiming the drop to the sac is
easier and safer than aiming
at the cornea

Clinically instilling drop
posterior to the lashes will
do the job.
1-limbus
2-bulbar conjunctiva
3-lower fornix
4-palpebral conjunctiva
5-Meibomian gland opening
6-Grey line


Common mistake during eye drop instillation.

1. Touch the corneal before squeezing the eye

2. Touch the sac before squeezing the eye

3. Touch the lashes

4. Missed drop

5. Instill multiple drop (If instill effectively, a drop is adequate otherwise you would run out of the medication very soon.

Video showing an efficient method of instilling
eye drop in clinic set up. Note the cap is held
by little finger of another hand to prevent
contamination

Pre operative assessment pamphlet





There has been few clinches and confusion of the work flow during the preoperative assessment day among the patients. Preoperative day normally is a week before the surgery day but it normally was booked many months ago. Due to the long wait and the complicated workflow during the assessment day, they prove to be difficult for the patients.
Recognizing the problems, eye clinic QAP team have designed a pamphlet to help the patients and facilitate the work flow. Apart from that, we attached also peri-operative advice on the pamphlet as to kill two birds in one stone. This pamphlet is given to all the patients booked for surgery, together with the blood and ECG forms. We had been introduced the pamphlet in March 2010 and we shall see the result in 5-6months time.

Mar 2, 2010

Forms to claim for intraocular lens for civil servants





For civil servants, pensioner or first degree relatives of the civil servants. The receipt for the intraocular lens can be claimed using these forms from the respective department if he/she is still working and from the JPA if already retired. These forms and instruction can be easily downloaded from the JPA website: http://www.jpa.gov.my/borang/