INSTILLATION OF FLUORESCEIN

To instill the fluorescein, have the 
patient look down, rest your wrist 
on the patient's forehead and 
grasp the upper lid with the index 
finger over the lashes.  The patient 
should not be able to blink.  With 
the patient still looking down, 
pull the lid up and gently lay the 
flat side of the strip against the 
conjunctiva.  Do not rub the 
fluorescein strip across the eye.  
Gently lift it off and release the 
patient's lid.

Do not use a dry fluorescein strip 
or dab the fluorescein strip against 
the lower lid as this unnecessarily 
irritates the patient and causes 
reflex tearing.