Pull the upper lid down over the lens 
(ask the patient to continue to 
look down and close their eyes).  
HOLD  the upper lid closed because 
if one releases the upper lid the 
lens will probably just slide out 
from under the upper lid.

While holding the upper lid in place, 
with the index finger of the other 
hand, pull the lower lid out from 
under the lens.  If necessary have 
the patient look up, keeping the 
upper lid in place all the time.  Once the lower lid is on top of the lens, the lids can be released.  Check to be sure the lower lid is on top of the lens.