Essential Preparation for Ointment Application
Proper preparation is the first and most critical step in ensuring the safety and effectiveness of your eye treatment. Contamination of the eye, medication, or dispenser can lead to further infection or complications.
Hygiene is paramount
- Wash your hands thoroughly: Use soap and water to clean your hands before and after applying the ointment. This prevents transferring germs to your eye or the medication tube.
- Gather all supplies: Have your ophthalmic ointment, a clean tissue, and a mirror ready. Using a mirror can make the process easier and more precise.
Preparing the ointment tube
- Warm the tube: Hold the tube of ointment in your hand for a minute or so to warm it up. This will soften the ointment, allowing it to flow more easily from the tube.
- Remove the cap safely: Take the cap off and place it on a clean surface, like a fresh tissue. Take care not to touch the tip of the tube, as this will contaminate the medication.
- Clean the eye area: If there is any crusting or discharge around the eye, gently clean it with a clean, damp cloth, wiping from the inner corner toward the outer corner. Use a separate, clean cloth for each eye if necessary.
Step-by-Step Administration Technique
Following a specific technique is key to getting the medication into the eye without causing injury or contamination.
- Position yourself comfortably: Sit or lie down in a well-lit area. Tilt your head back and look up at the ceiling.
- Create a lower eyelid pocket: With one hand, use a finger to gently pull your lower eyelid down, creating a small pocket between the eyelid and your eyeball.
- Apply the ointment ribbon: Hold the tube just above the eyelid pocket. Brace your hand against your cheek or nose for stability. Squeeze a thin ribbon of ointment, approximately 1/8 to 1/2 inch long, into the pocket. Do not let the tip of the tube touch your eye, eyelashes, or skin.
- Release and close the eye: Gently release your lower eyelid and close your eye for 1 to 2 minutes. This allows the ointment to melt and spread across the surface of your eye. Avoid squeezing your eyes shut, as this can force the ointment out.
- Clean up: Use a clean tissue to wipe away any excess ointment from your eyelids and lashes. Wipe the tip of the tube with a clean tissue before replacing the cap.
Special Considerations for Specific Situations
Different circumstances, like age or using multiple medications, require specific approaches to ensure safe and effective treatment.
Administering to a child
Giving eye ointment to a child can be challenging but is achievable with patience. You may need another adult's help to keep the child still.
- For infants and small children: Have them lie down on their back. You can wrap a baby in a blanket to keep their arms and legs still. Place the ointment in the inner corner of the eye; it will drain over the eye when they open it.
- For older children: Follow the same steps as for adults, ensuring they look up and stay still. Explain the process in simple terms to help reduce anxiety.
Using with eye drops
If your doctor has prescribed both eye drops and eye ointment, the order of administration is important. Always apply the eye drops first, and wait at least 5-10 minutes before applying the ointment. The thicker ointment could block the drops from being absorbed if applied first.
Ophthalmic Ointment vs. Fingertip Application
While the direct-from-tube method into the eyelid pocket is standard, some find an alternative fingertip method easier for control. The key to any method is maintaining hygiene and avoiding contamination.
| Feature | Standard (Tube) Method | Fingertip Method (Alternative) |
|---|---|---|
| Best for | Most people, ensuring maximum sterility of the tube. | Individuals with unsteady hands or difficulty controlling the tube. |
| Control | Requires steady hands to prevent the tube tip from touching the eye. | Offers more direct control and feel for placement. |
| Hygiene Risk | Minimal, as long as the tube tip remains sterile. | Higher risk of contamination if the finger is not perfectly clean. |
| Precision | Excellent for placing a specific ribbon length. | Requires practice to transfer the correct amount from fingertip to eyelid. |
| Blurry Vision | Can cause blurry vision; common side effect of ophthalmic ointment. | Can cause blurry vision; common side effect of ophthalmic ointment. |
Troubleshooting and Best Practices
- What if you miss a dose? If you miss a dose, apply it as soon as you remember. If it's almost time for your next dose, skip the missed one and continue your regular schedule. Do not double up on doses.
- Avoid wearing contact lenses: Unless your doctor advises otherwise, remove contact lenses before applying ophthalmic ointment. Wait the recommended time (often 15 minutes) after application before reinserting them.
- Handle blurry vision: Eye ointments cause temporary blurry vision. Plan to use the medication at night before bed if possible, or avoid activities like driving immediately after application.
- Store medication properly: Keep the tube tightly closed in a cool, dry place, and away from direct sunlight. Note the date you opened it, as most eye ointments should be discarded a month after opening.
Conclusion
Knowing how do you administer ophthalmic ointment properly is essential for successful eye treatment. By adhering to strict hygiene, following the correct application steps, and considering special circumstances, you can ensure the medication is delivered effectively while minimizing the risk of contamination and side effects. Always follow your doctor's specific instructions and consult a healthcare professional if you have any questions or concerns. Proper technique is a key component of effective pharmacology and healthy vision.
For more information on eye conditions and safe medication practices, you can visit the Safe Medication website.
