Eye, Prosthetic – Care Of 

Purpose: 

To prevent infection or irritation by maintaining cleanliness of the prosthetic eye. 

Policy: 

Prosthetic eyes not in use should be stored in a normal saline (NS) solution in a labeled container. Eyes should not be left out for a prolonged period of time. 

Equipment: 

• NS solution 

• Clean exam gloves 

• Clean towel 

• Sterile applicator 

• Soap 

• Warm water 

• Collection cup 

Procedure: 

1. Preparation: 

• Explain the procedure to the resident. 

• Assemble all necessary equipment. 

• Assist the resident to a sitting position and place a towel over the chest area. 

2. Removal of Prosthetic Eye: 

• Put on clean exam gloves. 

• Draw the lower lid downward and gently press under the eye with a finger or sterile applicator, allowing the prosthetic eye to drop out onto a piece of gauze or gloved hand. 

3. Cleaning the Prosthetic Eye: 

• Cleanse the prosthetic eye with warm water and soap, then rinse well with warm water. Do not dry the prosthetic eye. 

4. Inserting the Prosthetic Eye: 

• Lift the upper lid and slip the prosthetic eye under the lid with the sharper border pointed toward the inner canthus. 

• Stabilize the socket and draw down the lower lid until the prosthetic edge slips under the lower lid. 

5. Completion: 

• Remove gloves and wash hands. 

• Document the procedure in the treatment kardex before the end of the shift. 

• Notify MD/APRN of any new changes, pain, or signs/symptoms of infection. 

• Document date, time, and other observations including any redness, irritation, or pain at the site and the resident’s response to the procedure. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Document the care of the prosthetic eye, including the resident’s response and any observations, in their medical record. 

• Note any abnormalities or difficulties encountered during the procedure. 

• Regularly review and update techniques for prosthetic eye care according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on proper prosthetic eye care procedures to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.