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Figure 3-1: With the patient's head tilted back, grasp the lower eyelid below the lashes and gently pull the lid away from the eye.
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Figure 3-2: The patient should look up to prevent the medication from first "hitting" the cornea, which stimulates tearing and dilutes the medication. One drop of solution or a "match head" amount of ointment should be placed in the inferior cul-de-sac, without touching the bottle to the lashes or eyelids (to prevent contamination).
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Figure 3-3: While the patient is looking downward, gently lift the lower eyelid to make contact with the upper lid.
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Figure 3-4: For 2 minutes or more, firm pressure is maintained with the forefinger or thumb over the inner corner of the closed eyelids. Lid closure is more important than pressure over the lacrimal sac in decreasing systemic absorption. Any excess medication should be blotted away before pressure is released or the eye is opened.
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