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How much ointment should I put in my eye? A guide to proper application

5 min read

According to the American Society of Health-System Pharmacists, a very small, ribbon-like strip of eye ointment is all that is needed for most applications. A common mistake is using too much, which can cause blurry vision and waste medication. This guide will detail exactly how much ointment should I put in my eye and the correct technique for applying it effectively.

Quick Summary

This article offers a detailed guide on how to apply eye ointment, including the correct amount, which is typically a thin strip placed into the lower eyelid pocket. It provides a step-by-step application process, discusses the importance of hygiene to prevent contamination, and explains what to do if excess ointment is accidentally applied. The article also addresses common questions, such as using ointment with eye drops.

Key Points

  • Small Amount is Enough: For most conditions, a thin, ribbon-like strip of ointment measuring about a quarter to a half-inch long is the correct amount.

  • Apply into Lower Eyelid: The ointment should be placed in the pocket created by gently pulling down the lower eyelid, not directly onto the eyeball.

  • Anticipate Blurred Vision: Expect your vision to be temporarily blurry after application due to the ointment's thick consistency; nighttime use is often recommended.

  • Maintain Strict Hygiene: Wash your hands before and after use, and never let the tip of the tube touch your eye or any other surface to prevent contamination.

  • Separate from Eye Drops: If using both eye drops and ointment, apply the drops first, waiting at least 10 minutes before applying the thicker ointment.

  • Adhere to Doctor's Orders: Always follow the amount and frequency instructions provided by your healthcare provider, as they can vary based on the medication and condition.

In This Article

Proper Application: How Much Ointment is Enough?

The correct amount of eye ointment is surprisingly small. Healthcare professionals often describe this amount as being roughly the size of a grain of rice. The thickness and consistency of eye ointment mean that this small quantity is sufficient to coat the entire surface of the eye when blinking. Using more than the recommended amount is not only unnecessary but can also be counterproductive, leading to excessive blurred vision and wastage of the medication. The exact amount and frequency should always be followed as prescribed by your doctor, as it can vary depending on the specific medication and the condition being treated.

Why Less is More When Applying Eye Ointment

Eye ointments are formulated to be highly viscous, which is what allows them to stay in contact with the eye for a longer duration compared to eye drops. This prolonged contact is key for sustained treatment of conditions like bacterial infections, dry eye, and inflammation. However, this same property is why a small amount goes a long way. The lacrimal system, which includes the tear ducts, can only handle so much fluid at once. Overloading it with too much ointment can cause the excess to leak out of the eye, blurring vision for a longer period and potentially causing an allergic reaction in some cases.

Step-by-Step Guide to Applying Eye Ointment

Proper application technique is just as important as using the correct amount. Following these steps will ensure the medication is delivered effectively and safely.

  1. Wash your hands thoroughly: Before touching your eyes or the medication tube, wash your hands with soap and water to prevent contaminating the ointment and introducing germs into your eye.
  2. Prepare the tube: Hold the tube in your hand for a minute to warm the ointment, which helps it flow more easily. Remove the cap and place it on a clean surface, being careful not to touch the tip of the tube.
  3. Position yourself: Sit or lie down in a comfortable position. Tilt your head back slightly and look upwards.
  4. Create a pocket: Use a finger to gently pull down your lower eyelid. This creates a small pocket between your eyelid and your eyeball.
  5. Apply the ointment: Hold the tube close to your eye, without touching it. Squeeze a thin, even strip of ointment into the pocket you created. Rotate the tube slightly to detach the ribbon of ointment.
  6. Absorb the medication: Gently release your lower eyelid and close your eye for 1 to 2 minutes. Rolling your eyeball around gently with your eye closed can help spread the ointment evenly.
  7. Wipe and store: Use a clean tissue to wipe away any excess ointment from around your eye. Use a different, clean tissue to wipe the tip of the tube before replacing the cap securely.
  8. Wash your hands again: A final hand wash removes any ointment residue.

Comparison of Eye Ointment vs. Eye Drops

Understanding the differences between eye drops and ointments can help you use them most effectively, especially if your doctor prescribes both.

Feature Eye Drops Eye Ointment
Consistency Watery liquid Thick, greasy, gel-like
Absorption Absorbed quickly, shorter-acting Absorbed slowly, longer-lasting
Impact on Vision Minimal, temporary blurring Significant, temporary blurred vision
Recommended Use Often used during the day for quick relief Often used at bedtime due to blurred vision
Contamination Risk Lower, as drops don't often touch surfaces Higher, as tip is closer to the eye; strict hygiene needed
Application Order Always apply drops first if using both Apply at least 10 minutes after eye drops
Purpose Can treat redness, dryness, and infections Provides enhanced, prolonged moisture and treatment

Potential Side Effects and Over-Application

While eye ointments are generally safe when used correctly, over-application or improper technique can cause issues. The most common side effect is temporary blurred vision, which is normal and typically subsides within a few minutes. However, using too much can exacerbate this effect and cause a 'gunky' or sticky sensation.

In some cases, using an eye ointment can lead to minor eye irritation, redness, or a mild stinging sensation upon application. If you experience prolonged irritation, redness, swelling, or any signs of a serious allergic reaction (such as a rash or trouble breathing), stop using the ointment and contact a healthcare provider immediately.

For those with existing eye conditions or using other eye medications, it is crucial to consult a doctor before starting an eye ointment. This is especially true for contact lens wearers, who should typically remove their lenses before applying ointment and avoid wearing them until treatment is complete. For children, always use the ointment as directed by a healthcare provider, who may recommend specific application techniques based on the child's age.

Conclusion

When asking, 'how much ointment should I put in my eye?', the key takeaway is that a small, grain-of-rice-sized amount is usually sufficient for most eye treatments. This small but potent application, when applied correctly into the lower eyelid pocket, ensures the medication stays in the eye for an extended period, providing effective and sustained relief. Following the proper application steps—from meticulous handwashing to waiting patiently for absorption—is critical for both the safety and success of the treatment. Always adhere to your doctor's specific instructions for amount and frequency to avoid potential side effects and maximize therapeutic benefits. https://www.safemedication.com/-/media/SafeMed/Flyers/Eye-Ointments-and-Gels-Flyer.pdf

Authoritative Source

  • Safe Medication (American Society of Health-System Pharmacists): This resource provides a downloadable flyer with clear, illustrated instructions on the proper use of eye ointments and gels.

Key Takeaways

  • Small Amount is Sufficient: A ribbon of ointment about a quarter to a half-inch long (grain of rice-sized) is the standard amount for most eye conditions.
  • Proper Technique is Essential: Always wash hands, avoid touching the tube tip to your eye, and apply the ointment into the lower eyelid pocket for maximum absorption.
  • Expect Blurred Vision: Eye ointment will temporarily blur vision due to its thick consistency, making it best to apply at bedtime.
  • Apply Ointment Last: If using both eye drops and ointment, apply the drops first and wait at least 10 minutes before applying the ointment.
  • Monitor for Side Effects: While minor irritation is possible, contact a doctor if you experience persistent or worsening symptoms.
  • Follow Doctor's Orders: Adhere strictly to the prescribed amount and frequency, and never use more than recommended.

Frequently Asked Questions

For most eye infections, including styes, a small strip of ointment about a quarter to a half-inch long is sufficient. Your doctor will provide specific instructions based on the severity of the infection.

Using too much eye ointment will typically result in significantly prolonged and excessive blurred vision and a gunky or sticky feeling around the eye. Any extra ointment that leaks out is usually a sign of over-application.

No, you should never apply eye ointment with your finger. This can introduce bacteria to the eye and increase the risk of infection. Always squeeze the ointment directly from the tube into the lower eyelid pocket.

Eye ointment is thick and viscous to provide long-lasting lubrication and treatment. This consistency is what causes temporary blurring. It is normal and should subside once the ointment is absorbed.

If you have shaky hands, sit or lie down and rest the hand holding the ointment tube against your cheek or nose for stability. Using a mirror can also help, or ask someone else for assistance if possible.

If the tip of the tube touches your eye or any other surface, it is considered contaminated. You should dispose of the tube and get a new one to prevent introducing bacteria into your eye.

If you have been prescribed both eye drops and eye ointment, you should always apply the drops first. Wait at least 10 minutes before applying the ointment to allow the drops to be fully absorbed.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.