Eye Medication Schedule

Instructions

Drops and ointment should be put into the space between your eyeball and your lower lid. To do this properly, first wash your hands with soap and water. You or the person helping you should place a finger on your cheek, below the lower lid, and pull downward. This fixes the skin against the cheekbone to form a “V” pocket, as shown. A mirror will be helpful if you are doing this alone. Be very careful that neither the tip of the dropper bottle nor the ointment tube touch the eyeball at any time.

The medication schedule has been designed to fit your needs. Be sure you follow the instructions carefully.

 

 

 

 

  • Put ____ drop(s) of ______________ in your _______ eye ____ times a day for _____ days.
  • Put ____ drop(s) of ______________ in your _______ eye ____ times a day for _____ days.
  • Put ____ drop(s) of ______________ in your _______ eye ____ times a day for _____ days.
  • Put ____ drop(s) of ______________ in your _______ eye ____ times a day for _____ days.
  • Put ____ drop(s) of ______________ in your _______ eye ____ times a day for _____ days.
  • Put about 1/4 inch of _____________ in your _______ eye ____ times a day for _____ days.

Other medications

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If you have questions, call

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