Learning Across Borders: What a Kenyan Eye Hospital Learned When They Visited Nigeria

This blog appeared originally on the Center for Health Market Innovations blog.

City Eye Hospital is a social venture that provides quality and affordable eye care to people living in Kenya. Eye Foundation Hospital has been operating in Nigeria for 20 years to fight against preventable blindness. The two hospitals partnered up to participate in the 2017 CHMI Learning Exchange.

At City Eye Hospital, our vision is to become the leading eye care provider in East Africa. Since we opened our doors in June 2015, we have achieved remarkable milestones, including growing our outpatient volume by four-fold, performing over 1,000 cataract surgeries (60% of which were provided at no cost to the patient), and developed a robust outreach program that offers free eye screening and eye care products like eye drops and eye glasses at a discounted price. The outreach program has screened over 21,000 people for eye related conditions in just two years.

However, our accelerated growth has inevitably brought challenges, and we hoped to find a way around them with the help of a peer learning program. We decided to apply for CHMI’s Learning Exchange, and to partner with Eye Foundation Hospital (based in Nigeria) because they have been in the eye care field for more than two decades and are the leading eye care provider in the West Africa region. We were certain that there were invaluable lessons that we could learn from them.

Specifically, we hoped to identify solutions to the following issues through the Learning Exchange:

  • Many patients have commended us for the excellent customer service and friendly staff at our facility. How can we maintain a unique customer experience as patient volume grows?
  • Our staff size has more than tripled in the past two years, causing human resource management challenges. How do we ensure that our human resource policy is dynamic enough to address the majority of staff needs?
  • The hospital systems where we’re working aren’t strong enough to handle such a high growth rate.  How do we develop Standard Operating Procedures (SOPs) to maintain quality of care?
  • How do we create staff retention incentives for senior doctors and senior members of management?
  • Despite our high growth rate, we aren’t widely known in the country. From our statistics, 80% of new patients are referred by previous happy patients. How do we develop effective marketing strategies to create more awareness of our existence?

What we learned

  • A strong mentorship program for doctors can empower them and improve their performance. Our Chief Medical Director now works with doctors in training for six months to build their confidence before they are allowed to start operating on patients on their own. When this mentorship program was implemented, we saw that the doctors at each hospital demonstrated a full command of hospital operations. It was also a motivating factor for young doctors to work in the hospital.
  • A staff feedback mechanism in each department allows us to address emerging staff issues promptly and enhance their experience in the hospital.
  • Communicating company vision and mission to the rest of the staff consistently enables them to fully buy into the organization, and understand the direction everyone should be moving together to achieve the organization’s goals and objectives. At Eye Foundation Hospital, we saw that the vision and mission statement was clearly displayed in every room and department. Even as visitors we were able to understand and internalize the vision and mission of the company.
  • Constant scanning of the market is important to develop strategies responsive to dynamics in the market. Company leadership should meet regularly to develop plans to grow the business and address challenges affecting its growth.
  • Documenting and displaying SOPs clearly on the walls of every room provides clear direction to staff when executing their duties. Dedication to these SOPs was evident at Eye Foundation Hospital, where the motto was “what is not written is not a rule.”
  • There should be post-operative practices for both providers and patients. Post-operative counselling for patients has been incorporated into City Eye Hospital’s SOPs and fully implemented by the counselling department. We’ve received positive feedback from patients who are very impressed with this change. Weekly post-operative review meetings with surgeons and theatre staff, as well as bi-monthly meetings with doctors have also been implemented after the visit to Eye Foundation Hospital.

Challenges faced during implementation

While the lessons learned above were very fundamental to the successful running of our organization, we recognized that challenges would emerge during implementation. These are some of the specific challenges we faced:

  • Kenya and Nigeria have very different cultures, so we couldn’t simply copy and paste the things we learned at Eye Foundation Hospital. Rather, we adapted them to our culture to ensure they were easy for our staff to accept and follow.
  • Staff were sometimes reluctant to adapt. We realized that some changes needed to be introduced gradually since there was resistance from staff, especially older members of staff.

Importance of participating in a learning exchange

Despite the challenges that came along with implementing some of the things learned, we consider learning to be very important, especially among fairly young organizations like ours.

  • When you get first hand exposure at other facilities, you realize that some of the challenges you face in your organization are not unique to you but are common in the industry. This realization can shift your thinking and change your perspective as a leader, allowing you to seek out new solutions and get support from other leaders in the industry.
  • By traveling to Eye Foundation Hospital and seeing things first hand, we were able to seek immediate clarification for any questions or uncertainties we had. We were able to not only observe but even participate in some of the activities. For example, we participated in a brainstorming session with the leadership team which gave us insight on how to conduct such sessions ourselves. We were able to borrow and implement best practices in eye care like post-operative counselling for surgery patients and regular review meetings with surgeons, which has improved quality of care in the hospital.

Take home

Learning should be a daily exercise of any company, and it works best when top management spearheads it. It’s equally important to run an organization with an open mind as this allows you to adapt to new changes which may go long way in improving the running of the organization. I encourage any person considering engaging in a learning activity to go for it. You never know what lies ahead until you venture out to find it. This is what learning does.

Workplace Eye Wellness Tips

Whether you work at a desk or not, eyes can easily be damaged by excessive computer use or the incorrect use of safety equipment.

To protect your eyes during long hours at work, here are six quick tips for healthy eyes in our continued series to mark the Workplace Eye Wellness Month or March.

  1. Adjust your work station

Computer screens are one of the most common ways that eyesight can deteriorate in the workplace, as bright light can cause digital eye strain plus we tend to blink less when using a computer, which leads to dry eyes.

Therefore, to make your workstation friendlier to your eyes, lower your screen’s brightness and blue light. Also, move it further away to make your workspace more comfortable and less damaging to your eyes—our recommended is that your computer screen is about 20 inches from your face and that the top of the screen is level with your nose so that you’re looking down on it.

  1. Take breaks

Staring at a computer screen all day can cause dry eyes, headaches, eye strain, and neck and back pains. One of the best ways to avoid this is by giving your eyes regular breaks. When working on a computer, always remember the 20/20/20 rule: take a 20-second break every 20 minutes and focus your vision on something that is placed around 20 feet away. Longer breaks away from your computer will also benefit your eye health, thus get up and take 15 minute breaks every 1–2 hours.

  1. Have eye safety equipment

While office workers often suffer computer-related eye conditions, eye care is just as important for those who don’t work in an office.

In fact, staff who work in industries such as construction, manufacturing and electrical work should protect their eyes against damage by wearing the correct safety eye-wear. They should also know where the nearest eyewash station is at their job site and how to use it in case of any eventuality.

4. Keep a healthy diet

Great eye health starts with a healthy diet. Eating right to protect your sight is paramount. It is therefore important to eat a diet rich in vitamin C and E, Omega–3 fatty acids, and fruits and vegetables, particularly dark, leafy greens, such as spinach and kale.

5. Have regular eye exams

Having an eye exam at least once every 1–2 years is essential for healthy eyes, especially when you work in an environment that is hazardous to eye health.

During an eye checkup, an ophthalmologist won’t just check for changes in your vision, but will also look for signs of other medical problems and conditions, thus make sure you schedule a routine eye exam.

Do you have a query related to Workplace Eye Wellness or any other eye-related query? Please feel free to contact us via info@cityeyehospital.or.ke

If you have an eye condition or are in need of a routine eye exam, talk to us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya. 

Understanding Dry Eye Syndrome (DES)

DID YOU KNOW the longer you look at digital devices, the more eye strain you experience, as one blinks a lot less when looking at a screen, which in turn dries out our eyes causing what is medical referred to as dry eye syndrome (DES) also known as dry eye disease (DED)?

DES is a condition in which there is an imbalance in the quantity and/or quality of tears. Tears are composed of oil, mucus and water each produced in different tissues around the eye and with specific function. Any imbalance in these components affects the tear film function leading to DES.

Other Causes of Dry Eyes

Dry eyes can also be caused by several other factors including:

  1. Ageing – tear production decreases with age
  2. Trauma – surgery and ocular surface injury can cause DES
  3. Diseases – ocular surface diseases, drug reactions, lacrimal gland disease, thyroid eye disease, lid margin disease and auto immune diseases
  4. Miscellaneous – contact lens and some oral medications can cause or aggravate DES
Symptoms

Digital eye strain is typically caused by the use of a digital screen for two or more hours per day. Its symptoms are a combination of some or all of the signs below:

  • Eye strain
  • Redness and dryness due to decreased blinking
  • Blurry vision due to screen glare
  • Headache from prolonged eye strain
  • Neck, shoulder and/or back pain caused by poor posture and sub-optimal screen position
Treatment
  1. General measures – purposeful blinking especially when using a computer for long periods and resting of tired eyes can reduce discomfort. Avoid air conditioned spaces, fans and smoky or dusty spaces as they aggravate the symptoms.
  2. Ocular lubricants – use of drops, ointments and gels to lubricate the eyes, giving them temporary relief.
  3. Blocking tear drainage – for severe DES, the drainage of tears can be prevented temporarily or permanently with punctal plugs or through surgery.
  4. Medications – topical anti-inflammatory medication can be used in DES.

Remember, an eye visit at least once a year keeps your eye health in check. Happy Workplace Eye Wellness Month!

Do you have a query related to Dry Eye Syndrome or any other eye-related query? Please feel free to contact us via info@cityeyehospital.or.ke

If you have an eye condition or are in need of a routine eye exam, talk to us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya. 

 

Are you suffering from digital eye strain?

pexels-photo-106344Digital eye strain, also referred to at times as computer eyestrain, is the temporary discomfort that follows two or more hours of digital device use at close or mid range distance of a digital device such as television, desktop, laptops, smart phones, gaming systems etc.

Symptoms of digital eye strain
  • Blurred vision
  • Eye redness
  • Dry eyes
  • Headaches
  • Eye fatigue
  • Eye irritation
  • Back, neck and shoulder pain
Causes of digital eye strain

Computer use strains eyes more than reading print material because people tend to:

  • View digital screens at less-than-ideal distances or angles
  • Use devices that have glare or reflection
  • Use devices with poor contrast between the text and the background
  • Blink less while using computers (blinking is key to moistening the eyes)

Some other factors that can make digital eye strain to worsen include:

  • Poor posture
  • The setup of your computer workstation
  • Circulating air, such as from air conditioning or a nearby fan

NOTE: Existing eye conditions may play a key role in eye strain. Common ocular conditions—such as myopia, hyperopia, astigmatism, uncorrected refractive error and presbyopia—can be major contributing factors to digital eye strain.

Recommendations

How do you minimise fatigue due to heavy digital eye strain?

  1. Use eyewear with lenses featuring blue light (filtering capabilities) that reduce the negative effects of blue light as well as anti-reflective or anti-glare properties.
  2. Use proper lighting by ensuring there is uniform ambient light and windows on the side (not in front of or behind).
  3. Adjust monitor display settings: brightness, contrast, text size and color temperature (lower the blue light emitted).
  4. Blink more often.
  5. Take more vision breaks: Use the 20-20-20 rule: It is very helpful to take a 2-3 minute break from the screen every 20 minutes. During these breaks, focus on something at least 20 feet away for at least 20 seconds.
  6. Increase text size on devices to better define content on the screen.
  7. Position yourself at arm’s distance away from the screen for proper viewing distance when using a computer.
  8. Reduce overhead lighting to eliminate screen glare.

Remember to visit an eye professional at least once a year in addition to these tips to ensure your eye health is 100%. Happy Workplace Eye Wellness Month!

Do you have a query related to Digital Eye Strain or any other eye-related query? Please feel free to contact us via info@cityeyehospital.or.ke

If you have an eye condition or are in need of a routine eye exam, talk to us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya. 

Common workplace eye injuries

workplace-injuriesOur first post in our series to mark the Workplace Eye Wellness Awareness Month of March we delve into the world of work-related eye injuries.

So what if I told you that tens of people suffer vision loss or injure their eye by preventable accidents at the workplace? Eye injuries alone are a huge loss in production time and medical compensation and in some cases, sight.

No one is immune to eye problems and injuries no matter the field of work you are in. Eye problems at work range from eye strain or computer vision syndrome to dry eye syndrome to trauma to a slip, trip or fall caused by a wet floor.

Those who don’t have the typical office desk are exposed to even more risks. Think of the lab technicians who work with chemicals or people at the construction sites or mechanics, carpenters, plumbers, grinding machine operators. Think about health care workers, laboratory and janitorial staff.  What do all these hardworking citizens have in common?

So what are some of the key causes of eye injuries at the work place are:

  • Bright lights: Welders produce an intense amount of light that can be harmful to the eye. The use of welders without the correct safety equipment at the work place has the potential to cause temporary or permanent eye damage.
  • Chemicals: Chemicals are used in many factory based jobs. If they come into contact with the face through splashes or spillages, they can cause burns which in turn can harm the eye. Training and having safety equipment is very crucial to avoid sustaining an eye injury at work.
  • Electric shocks: We use electrical products on a daily basis, but an electric shock has the potential to cause eyesight damage. This can occur through the shock itself or the exposure to a sudden bright flash of light.
  • Grit and other particles: Our eyelashes and protective socket are designed to protect the eye from damage. However, frequent exposure to grit at work, particularly through the use of manufacturing machinery, has the potential to cause eye injury, especially if protective equipment such as goggles is not provided. Other forms of exposure can occur through grinding or hammering, where splinters or slivers of material such as metal are ejected at high velocity from the machine towards operators or nearby employees.
  • Head trauma: An impact to the face or head can cause a direct injury to the eye, but a blow or impact to the head in the workplace or any form of head trauma can lead to internal and external eye injuries, which have the potential to cause a loss of sight or even blindness.
  • Sharp or flying objects: We come into contact with sharp objects on a daily basis. If these objects are used in the wrong way or carelessly placed, they have the real risk of causing serious harm to a person’s eyesight.
To prevent or reduce eye injuries at the work place:
  • Know the eye safety dangers at work and complete an eye hazard assessment
  • Eliminate hazards before starting work
  • Use proper eye protection
  • Have your eyes examined once a year to evaluate any unforeseen eye injuries or conditions
  • Wear safety eyewear whenever there is a chance of eye injury. Anyone working in or passing through areas that pose eye hazards should wear protective eyewear
  • Ensure eye safety measures are available depending on the hazard in your work place, including non-prescription and prescription safety glasses, goggles, face shields , welding helmets and full-face respirators

Do you have a query related to an eye injury at work or any other eye-related query? Please feel free to contact us via info@cityeyehospital.or.ke

If you have an eye condition or are in need of a routine eye exam, talk to us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya. 

What is low vision?

low-vision-aids
Low vision aids

Did you know that FEBRUARY is Age-related Macular Degeneration (AMD) and Low Vision Awareness month? In our previous post, we touched on what you need to know the world of AMD. In this post, we touch on all you need to know about Low Vision.

Low Vision is a condition where one has permanently-reduced vision that cannot be corrected or improved through standard refraction and ophthalmic and medical intervention, including regular glasses, contact lenses, medicine or surgery and where one’s ability to do normal tasks like reading is limited, though this varies from person to person.

Persons with Low Vision suffer visual impairment and their vision is less than 6/18 with a constricted visual field of less than 10 degrees from a point of fixation in the better eye. However, one has functional vision which can be utilised through use of Low Vision aids, environmental modification/adaptation and rehabilitation.

To Note:

(1) It is important to recognize the anger and frustration that you may feel after knowing you cannot regain your lost vision. It is advisable to get professional consultation with guidance and counselling from a Low Vision professional, such as a Low Vision therapist or rehabilitation officer.

(2) Having “Low Vision” is not the same as being “blind.” For example, your doctor may tell you that you have a blind or blank spot in the center of your vision that limits your ability to read or see people’s faces. Nevertheless, you can still get around using your side (or peripheral) vision.

Types of Low Vision
  • Loss of Central Vision: Persons with this type of Low Vision have a blur or blind spot, but a person’s side (peripheral) vision remains. This makes it difficult to read, recognise faces and distinguish most details in the distance. With side vision intact, however, mobility is usually unaffected.
  • Loss of Peripheral (Side) Vision:Persons who lose their peripheral vision cannot distinguish anything in one side or both sides of the eye or anything directly above and/or below eye level. Central vision remains intact, though, making it possible to see directly ahead. Typically, loss of peripheral vision affects mobility. If it is severe, it can slow reading speed because the person can only see a few words at a time.
  • Blurred Vision:With blurred vision, both near and far vision is out of focus, even with the best possible correction with eyeglasses.
  • Generalized Haze: People with generalised haze have the sensation of a film or glare that may extend over the entire viewing field.
  • Extreme Light Sensitivity: Extreme light sensitivity occurs when standard levels of light overwhelm a person’s visual system, producing a washed-out image and/or a glare. People with extreme light sensitivity may suffer pain or discomfort from relatively normal levels of light.
  • Night Blindness: People with night blindness cannot see outside at night under starlight or moonlight or in dimly lighted interior areas, such as movie theaters or restaurants.
Causes of Low Vision

Though Low Vision can occur at any age, normal aging of the eye does not lead to Low Vision. Certain conditions/occurrences have been known to cause Low Vision, such as:

Low Vision Aids

Losing vision does not mean giving up on your activities, but it does mean applying new ways of doing them. There are many Low Vision aids and devices to help you with your daily activities. Talk with your ophthalmologist/Low Vision therapist about solutions for your specific needs.

Below we outline good examples of Low Vision aids that can be of help to persons with Low Vision.

Optical Low Vision aids

These use magnifying lenses to make objects look larger and easier to see. Examples include:

  1. Magnifying spectacles: These are the magnifiers that are worn like eyeglasses to keep your hands free. They can be used for reading, threading a needle or doing other close-up tasks.
  2. Stand magnifiers: These magnifiers rest above the object you are looking at. This helps to keep the lens at a proper distance. That they are mounted on a stand is also quite helpful to people who have tremor or arthritis. Some stand magnifiers have built-in lights.
  3. Hand magnifiers: There are magnifiers designed to help with different amounts of vision.
  4. Video magnifiers: These electronic devices make printed pages, pictures or other small objects look bigger. You often can adjust them to meet your special vision needs. For instance, with some magnifiers you can add contrast to make printed words darker.
Non-optical Low Vision devices

These are designed to help with everyday tasks. Examples include:

  1. Audio books and electronic books: With audio books, you can listen to text that is read aloud while electronic books increase word size and contrast of texts.
  2. Smart phones and tablets: Theselet you change word size, adjust lighting and use voice commands. There also are many apps to choose from, such as programs that read material aloud, magnify or illuminate.
  3. Computers: There are computersthat can read aloud or magnify what is on the screen.
  4. Talking items:Watches, timers, blood pressure cuffs, and blood sugar machines are some of the talking items that can be of aid to persons with Low Vision.
  5. Large-print:Books, newspapers, magazines, playing cards and bank cheques with big-sized fonts.
  6. Telephones, thermostats, watches and remote controls:Large-sized numbers and high contrast colours on these devices are useful to persons with Low Vision.

Remember, you should have an eye exam regularly, at the very least once a year. Take advantage of this month being an AMD and Low Vision awareness month to have your eye exam.

Do you have any queries regarding Low Vision or any other query relating to eye health? Please place your query on the comment section below or contact us via: info@cityeyehospital.or.ke.

If you need medical attention, contact us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya.

Age-related Macular Degeneration

vision-testAge-related macular degeneration (AMD) is a cause of visual impairment in the elderly. It is more common in light-skinned populations than in Africans.

The eye ailment affects the part of the eye called the macula, which is the central part of the retina where light is focused by the cornea and lens. It is needed for fine visual tasks such as reading, writing, threading a needle, etc.

Types of AMD

There are two types of AMD:

  1. Dry macular degeneration
  2. Wet macular degeneration

Dry Macular Degeneration 

This is the most common type. It develops very slowly and causes gradual reduction in central vision. It may take a long time before it goes to the final stage. Dry AMD does not affect side vision hence it does not lead to total blindness. About 15% of dry AMD develops to the wet form of AMD.

To note: Dry Macular Degeneration has no treatment.

Wet Macular Degeneration

In wet AMD, abnormal blood vessels grow under the retina. These leak blood and fluid, leading to macula swelling and a rapid drop in vision.

Causes of AMD

Exactly what triggers the processes that lead to AMD is unclear, but a number of things are known to increase the risk factors of developing it, namely:

  1. Age. The older a person gets, the more likely they are to develop at least some degree of AMD.
  2. Family history. Cases of AMD have been known to run in families. If your parents or siblings develop AMD, it is thought that your risk of getting it is increased.
  3. Smoking. This is a significant risk factor for AMD. In general, people who smoke are up to four times more likely to develop AMD than those who have never smoked.
  4. Gender. Women are more likely to develop AMD than men, but this could simply be because women tend to live longer than men.
  5. Ethnicity. Studies have found that rates of AMD are highest in white and Chinese people, and lower in black people.
  6. Other associated conditions. A number of other factors that may increase your risk of developing AMD have also been identified, but a link with the condition has not yet been proven. These include alcohol consumption, obesity, high blood pressure, and heart disease.
Symptoms
  1. Straight lines start to appear distorted, or the centre of vision becomes distorted
  2. Dark, blurry areas or whiteout appears in the centre of vision
  3. Diminished or changed colour perception
  4. Deterioration in reading vision
Prevention
  • Having routine eye exams by an ophthalmologist helps prevent vision loss due to AMD.
Treatment

Drugs such as Lucentis, Avastin and Eylea are injected in the eye to stop the growth of the abnormal blood vessels. One usually requires monthly injections. The condition can recur, which requires additional injections. Sometimes it heals with scarring, leading to permanent visual loss.

Benefits of treatment
  1. Improves vision
  2. Prevents retinal detachment
FAQs
  • Is AMD hereditary? No, it is not.
  • Is AMD preventable? There is nothing one can do to prevent AMD.

Do you have any queries regarding AMD or any other query relating to eye health? Please place your query on the comment section below or contact us via: info@cityeyehospital.or.ke.

If you need medical attention, contact us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya.

What is a black eye?

A black often results from injury to the face or the head, and is caused when blood and other fluids collect in the space around the eye. Swelling and dark discoloration results in a “black eye”.

Despite the name, “black eye,” the eye itself is not usually injured. The tissues around the eye may be significantly discolored and swollen without any injury to the eye itself and should heal on its own in a few days. However, it is prudent to see an ophthalmologist immediately to rule out any severe eye injuries.

The most common cause of a black eye is a blow to the eye or nose.

Symptoms

Signs of a non-threatening black eye include:

  • Swelling and discoloration around the eye
  • Mild pain around the eye
  • Temporary blurred vision
  • Difficulty in fully opening your eye

Signs of a more serious eye injury include:

  • Double vision
  • Loss of sight and/or fuzzy vision could occur
  • Inability to move the eye or large swelling around the eye
  • Blood on the surface of the eye itself or cuts on the eye itself
  • Persistent headache or migraine

Remember: A black eye can also be caused by complications such as traumatic iritis and uveitis, hyphema, glaucoma orbital floor fracture and retinal detachment.

Remedy

Home remedies for black eye include rest and applying ice or frozen peas to the affected areas to decrease swelling and pain.

To avoid a black eye, wear appropriate protective gear for any athletic or work-related activity, don’t leave objects on the stairs, since this can easily result in a fall and eye injury, ensure rugs, which can be a trip hazard, lie flat and are wrinkle-free.

Do you have any queries regarding black eyes or any other eye condition? Please place your query on the comment section below or contact us via: info@cityeyehospital.or.ke.

If you need medical attention, contact us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya.

Great Tips on Proper Use of Eye Drops

Use of eye drops is one of the most common treatments for eye conditions and infections, including dry eye and glaucoma.

To get the greatest effect from your eye drops, you must apply them correctly. Your eye doctor will give you instructions on how to use your particular eye drops prescription, but in most cases, the guidelines on proper eye drop applicaton is the same.

So what are the key things to observe when using eye drops?
  1. Wash your hands with soap and water then dry them with a clean towel before and after using the eye drops.
  2. Do not let the dropper or dropper nozzle touch your eye, fingers or any other surface. This is to keep it free from germs.
  3. If you are applying more than one eye drop at a go, wait about 3-5 minutes between one drop and the next to ensure that the drops are properly absorbed into your eye.
  4. If your prescription entails using both an eye ointment and eye drops, use the eye drops first to avoid the ointment blocking the absorption of the eye drops into the eye.
  5. Like any other medication, eye drops ought to be taken as prescribed. Overuse or skipping doses can affect treatment, especially of serious conditions such as glaucoma where a missed dose can result to poor control of the eye pressure.
  6. Do not let anyone else use your drops and do not use anyone else’s drops yourself.
  7. You may get a taste of eye drops in your mouth or a feeling that the drops are running down your throat. This is normal. To prevent this, gently press on the tear duct for a minute or so after applying the drop.
  8. Throw out the bottle (and get a new one if required) after the recommended time. This is often four weeks after first opening the bottle. (One tip is to write the date that you opened the bottle on the label so you will know when it is time to throw it out.)

Remember to always read instructions on medications carefully, including the expiry date before use.

If you have a query related to eye drops, please feel free to contact us via info@cityeyehospital.or.ke

If you have an eye condition are need a routine eye exam, talk to us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya. 

What is corneal abrasion?

A corneal abrasion (a scratched cornea) is one of the most common eye injuries. So what are the causes, symptoms and treatment of corneal abrasion?

Causes

Many people assume corneal abrasions are only caused by a noticeable injury like getting poked in the eye by a sharp object, such as a pencil. However, sand, dust and other small particles can also cause a corneal abrasion, especially if you rub your eyes.

Other causes include:

  • Chemicals entering your eye
  • Wearing poor-fitting or dirty contact lenses
  • Certain types of eye infection
  • Undergoing surgery without proper eye protection
Symptoms
  • Discomfort that may entail feeling like you have sand or grit in your eye
  • Red eyes
  • Tearing
  • Hypersensitivity to light
  • Blurred vision
  • Feeling pain when you open or close your eye
Prevention

If you feel like there’s something in your eye, you’re going to want to rub it. Don’t. It is through the rubbing that you get a scratch. Do this instead:

  • Blink several times
  • Pull your upper eyelid over the lower eyelid
  • Gently rinse your eye with clean water

Remember, you should not try to remove anything that is stuck on your cornea. In case of such an occurrence, visit an eye doctor immediately.

Treatment

The treatment for a corneal abrasion depends on the severity of the wound and the cause. It may entail your doctor prescribing antibiotic eye drops or ointment to keep your eye from getting infected. The doctor may also patch your affected eye to keep light from bothering it.

A minor scratch should heal on its own in 1–3 days. More severe abrasions may take longer.

While your eye heals:

  • Do not rub it
  • Do not wear contact lenses until your eye doctor says it is safe to do so
  • Wear sunglasses to ease discomfort caused by sunlight.

Do you have any further queries on corneal abrasion or any other eye condition or ailment? Please place your query on the comment section below or contact us via: info@cityeyehospital.or.ke.

If you need medical attention, contact us via +254 (0) 707 777 707 or visit us at City Eye Hospital, Ngong Rd, Opposite Traffic Police Station, Nairobi, Kenya.