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Letter to the Editor
Editor, – The excellent article by Michael Steiner (Aust Prescr 2008;31:16-17) prompts me to submit an alternative method demonstrated by an ophthalmologist many years ago. It is particularly useful when drops are to be administered to children and elderly people.
It involves approaching the eye from across the nose into the corner near the nose so that the dropper is unseen and the tendency to blink is reduced. Even with the eye closed the drops eventually enter the area around the eye as shown by a study with pilocarpine at the time.
- Tilt the head back or lie down to face the ceiling.
- Approach the eye from across the nose and hold the dropper above the inner corner without touching it.
- Squeeze out a drop and feel the liquid run into the eye.
- Gentle pressure on the bridge of the nose for 1 to 2 minutes will slow draining and increase effect. Rubbing the eye decreases it.
- The eye may be closed while instilling the drops, especially for children, as drops flow into the eye on opening.
- Leave 5 minutes between different drops.