BRAMMAR & WALKER OCULARISTS

Artificial Eyes & Cosmetic Shells

PROSTHETIC AFTERCARE

USE AND CARE OF ARTIFICIAL EYE

Insertion

1) Wash hands thoroughly.
2) Place prosthesis on lower eyelid.
3) Look downwards.
4) Lift the upper eyelid and gently push the prosthesis upwards under the upper eyelid and hold in position. Look straight ahead and position the lower eyelid over the lower edge of the prosthesis.

Removal
1) Wash hands thoroughly. 

2) Touch the prosthesis with extractor tip.
3) Slide the tip and lower eyelid down with extractor tip until the tip is beneath the bottom edge of the prosthesis.
4) Look upwards as the handle of the extractor is brought downwards until nearly flat to the cheek.
5) Look downwards and the prosthesis is normally expelled.

Please note that gentle pressure applied to the upper eyelid can sometimes help to tilt the bottom edge of the prosthesis outwards to assist removal.

Cleaning
A HARD contact lens cleaner should be used to clean the prosthesis (it is not recommended that hand soap or washing-up liquid are used as cleaners). The cleaning procedure is as follows:

1) Remove prosthesis and place it on palm of hand.
2) Put a few drops of hard contact lens solution onto the prosthesis and gently rub over all surfaces.

3) Rinse the prosthesis thoroughly in sterile saline solution ensuring all the cleaner has been removed.
4) The prosthesis is now ready to be re-inserted.

General Points

  • It is very important to wash hands thoroughly before inserting or removing the prosthesis for any reason. 
  • The prosthesis should be removed and cleaned when it becomes sticky, dry and uncomfortable to wear. 
  • The frequency of this may vary from a few days to a couple of months.
  • If dropped the prosthesis is unlikely to break, however, to minimise the risk of scratching or fracture great care must be taken when inserting and removing the prosthesis.
  • It is recommended that the prosthesis should be checked and polished annually.

USE AND CARE OF COSMETIC SHELL


Insertion
1) Wash hands thoroughly.
2) Place cosmetic shell on lower eyelid.
3) Look downwards.
4) Lift the upper eyelid and gently push the cosmetic shell upwards behind the upper eyelid and hold inposition. Look straight ahead and position the lower eyelid over the lower edge of the cosmetic shell.

Removal
1) Wash hands thoroughly.
2) Look upwards.
3) Pull lower eyelid down until the lower edge of the cosmetic shell is exposed.
4) Pull lower eyelid horizontally towards ear.
5) Look downwards, this should cause the cosmetic shell to be expelled over the lower lid.

Cleaning
A HARD contact lens cleaner should be used to clean the cosmetic shell (it is not recommended that hand soap or washing-up liquid are used as cleaners). The cleaning procedure is as follows:

1) Remove the shell and place it on palm of hand.
2) Put a few drops of hard contact lens solution onto the shell and gently rub over all surfaces.
3) Rinse the shell thoroughly in sterile saline solution ensuring that all the cleaner has been removed.
4) The shell is now ready to be re-inserted.

General Points
It is very important to wash hands thoroughly before inserting or removing the shell for any reason.
The shell should be removed and cleaned at least once a day and wearing time is as advised by the clinician.
You should not wear your cosmetic shell whilst sleeping.
If dropped the shell is unlikely to break, however, to minimise the risk of scratching or fracture great care must be taken when inserting and removing the shell.
It is recommended that the shell should be checked and polished annually.

USE AND CARE OF CONFORMER


Insertion
1) Wash hands thoroughly.
2) Place conformer flat on lower eyelid.
3) Look downwards.
4) Lift the upper eyelid and gently push the conformer upwards under the upper eyelid.
5) Look downwards and position the lower eyelid over the lower edge of the conformer.

Removal
Use a plastic extractor to remove the conformer using the following procedure:
1) Touch the conformer with extractor tip.
2) Push lower eyelid down with extractor until tip is beneath conformer edge.
3) Look upwards as the handle of the extractor is brought downwards until nearly flat to the cheek.
4) Look downwards and the conformer is normally expelled.

Cleaning
The conformer should be removed and cleaned with cooled boiled water twice a day unless otherwise instructed.
Please note, it is important to keep the holes in the conformer clear as they allow ventilation, drainage and irrigation, which are very important in the healing process.