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 Procedure > Instruction for Insertion of Ocular Prosthesis  
 

Insertion of Ocular Prosthesis into the Eye Socket
(Instructions for Patient)

It is easier to insert the ocular prosthesis with the fingers (for more control), than it is using the suction cup.  Chances are, you 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 to insertion.

Insertion of the Ocular Prosthesis with Finger

Step 1. Moisten prosthesis with water or any contact lens wetting solution (for easier insertion).

Step 2. Hold the prosthesis by the outer edges with the thumb and forefinger.  (The index finger will come into use in Steps 4 to 6.)  The black dot (left eye) or two dots (right eye) indicate the top of the prosthesis.

Step 3. You may lay a mirror at an angle so you are looking downward to see your image.  Then place the index or forefinger of your free hand on the upper eyelashes.  Pull the upper eyelid toward the eyebrow.  This will create a large gap.

Step 4. Bring the prosthesis up past your lower eyelid, 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.

Step 5. Your index finger continues to push the prosthesis up and under the upper lid and will remain on the prosthesis until you have complete entry.

Step 6. You may now release your hold of the upper lid and just pull the lower lid downward.  This allows the entire prosthesis to slip into the cavity.

 

 

   
   
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Jahrling Ocular Prosthetics, Incorporated
50 Staniford Street, Boston, MA  02114, USA
Members American Society of Ocularists, Board Certified Ocularists