Insertion of Ocular Prosthesis into the Eye Socket
for Caregiver to the Patient)
It is easier to insert the ocular prosthesis with the fingers
(for more control), than it is using the suction cup.
Chances are the patient may blink or squeeze the lids during
this insertion process, resulting in loss of suction and
the possibility of dropping the prosthesis.
Cleansing of the Hands prior to Insertion
Please be advised that bacteria that frequently causes conjunctivitis
and socket infections exists on the skin. We would
therefore, recommend using a 'no more tears' baby shampoo
for a thorough hand scrub with emphasis on the fingertips.
This shampoo destroys bacteria and it has a neutral pH.
The shampoo should also be applied with a warm wet facecloth
to the ocular prosthesis. You may rub it vigorously
with the facecloth to remove any dried protein deposits on
its surface. Rinse well prior
Insertion of the Ocular Prosthesis with Fingers
Step 1. Moisten prosthesis with
water or any contact lens wetting solution for easier insertion.
2. Hold the prosthesis by the outer edges with the
thumb and forefinger. (The index
finger will come into use in Step 4 & 5.) The
black dot (left eye) or two
dots (right eye) indicate the
top of the prosthesis.
Step 3. Have
the patient look downward and, at the same time, place your
thumb or finger of your free hand on the upper eyelid and
lashes. Pull the upper eyelid toward the eyebrow.
This will create a large gap.
4. Bring the prosthesis up past the lower lid and
set it flush once it is partially past the lower eyelid and
touching the orbital tissues. You may now place the
index finger on the front of the prosthesis, allowing you
to release the thumb and forefinger hold.
5. The index finger will continue to push the prosthesis
up and under the upper lid until it is completely in the
Step 6. In
one swift motion, release hold of the upper lid, and pull
the lower lid downward, to allow the entire prosthesis to
slip into the cavity.