Best technique for upper lid eversion.

Area of Science:

• Ophthalmology
• Optometry
• Contact Lens Technology

Background:

• Lid eversion is a crucial step in contact lens aftercare.
• Assessing the palpebral conjunctiva is vital for monitoring ocular health in contact lens wearers.

Purpose of the Study:

• To determine the optimal lid eversion technique based on patient comfort, speed, and conjunctival exposure.
• To compare the efficacy of six different lid eversion methods.

Main Methods:

• Twenty-five participants underwent six lid eversion techniques in a randomized order.
• Techniques included cotton bud variations, digital eversion, and a silicone substitute.
• Comfort was rated on a visual analogue scale; time and exposed area were measured objectively.

Main Results:

• Silicone everter and digital eversion were the most comfortable methods.
• Wooden end of cotton bud was fastest, followed by the silicone everter.
• The silicone everter provided the greatest exposed area of the palpebral conjunctiva.

Conclusions:

• Lid eversion techniques yield repeatable results.
• The silicone everter is recommended for its superior comfort, speed, and efficacy in exposing the palpebral conjunctiva.
• This method enhances patient care in contact lens aftercare.