Ointment application to the eyelid margin is a common therapeutic approach for conditions like blepharitis, dry eye, and various infections. The eyelid margin is the edge where the eyelashes meet the skin, containing the openings of the meibomian glands. Ointment is preferred because its semi-solid, lipid-based nature allows it to remain on the eye surface longer than liquid drops, providing extended contact time for the medication. Maximum efficacy and contamination prevention depend entirely on the accuracy of the application technique.
Essential Preparation Steps
Hygiene is the most important step before applying any medication to the eye area. Wash your hands thoroughly with soap and water to prevent transferring bacteria or contaminants to the eye. Inspect the eye and eyelid area for any crusting or debris. If debris is present, clean the eyelids first, often using a warm compress or specialized cleanser, to remove scales and oil secretions from the lash base.
Gather all necessary supplies, including the ointment tube, a clean tissue, and a mirror. Before opening the tube, check the label to confirm the correct medication and verify the expiration date. Avoid touching the tip of the ointment tube to any surface, including your fingers or the eye itself, as this prevents contamination of the sterile medication.
Step-by-Step Application Technique
Begin by finding a comfortable position, such as sitting with your head tilted slightly back; this helps the ointment flow away from the tear duct area. Use your index finger to gently pull the lower eyelid down and away from the eyeball, creating a small, shallow pocket or trough. This movement exposes the conjunctival sac where the ointment will be placed, avoiding the cornea.
Hold the ointment tube close to the pocket, bracing the hand holding the tube against your cheek or nose for stability. Look up toward the ceiling as you squeeze a thin ribbon of ointment, typically one-quarter to one-half inch (6mm to 12mm) long, directly into the trough. Lay the ointment along the inside of the lower eyelid margin, moving from the inner corner toward the outer corner. If application is prescribed specifically for the lash line (e.g., for blepharitis), place a small bead of ointment on a clean fingertip or cotton swab and gently rub it along the base of the eyelashes while the eye is closed.
Post-Application Care and Safety Tips
After applying the ointment, slowly release the lower eyelid and gently close your eye for one to two minutes. Do not rub or squeeze the eyelids tightly, as this can force the ointment out or disrupt its distribution. You may gently blink a few times to help the ointment melt and spread smoothly across the eye’s surface.
Temporary blurry vision is typical for 15 to 30 minutes due to the ointment’s thick consistency. During this time, avoid activities that require clear vision, such as driving or operating machinery. Use a clean tissue to wipe away any excess ointment that has spilled onto the surrounding skin or eyelashes. Never share your tube of eye ointment, as this transmits infection. If the tip of the tube accidentally touches any surface, dispose of the tube and replace it with a new one to maintain sterility.