DR. HIRIKA GOSALIA
DR. PRITHVI CHANDRAKANTH, Dr. SHISHIR VERGHESE, Dr. KALPANA NARENDRAN
Abstract
There’s a potential risk of transmission of infection during lid eversion due to the exposure of ocular fluids following contact between the examiners finger & patients bare ocular surface.Lid eversion is essential component of eye examination.I-verter is simple cost-effective tool used for upper lid eversion with no direct contact with the ocular surface.We compare the efficacy of both methods for upper lid eversion based on three criteria- comfort,speed & area of palpebral conjunctiva exposed.50 participants underwent both techniques by the same clinician.After each technique, the clinician underwent swab culture of the fingers to test hand hygiene for each.No statistical significance between the 2 lid eversion techniques in terms of comfort(p=0.612), time(p=0.08) and area exposed(p=0.13). The index finger eversion(p<0.05) had significantly higher infectious load than the other. Hence, i-verter is as efficient as index finger-based lid eversion with low infection transmission rate.
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