Eyeliner Procedure on a Client with Dry Eyes
A 45-year-old client wants permanent eyeliner. She mentions that she has dry eyes and uses lubricating eye drops several times a day. She has no other eye conditions and has consulted her ophthalmologist, who cleared her for the procedure but advised caution. The clinic uses a topical anesthetic gel and a rotary machine. The client has sensitive eyes and a history of conjunctivitis a year ago, which resolved with treatment. She is eager to have the procedure done today.
1. What are the key considerations for performing eyeliner on a client with dry eyes?
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Key considerations: 1) Ensure the ophthalmologist's clearance is documented; 2) Use preservative-free lubricating drops before and after the procedure to maintain eye moisture; 3) Avoid getting pigment or anesthetic gel into the eye; 4) Use a protective eye shield or ask the client to keep eyes closed; 5) Minimize procedure time to reduce eye irritation; 6) Monitor for excessive tearing or discomfort; 7) Provide aftercare instructions including the use of lubricating drops and avoiding eye makeup for at least a week. Also, consider that dry eyes may increase the risk of corneal abrasion if the eye is not adequately protected.
2. What would you do if the client experiences excessive tearing and blinking during the procedure?
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Stop the procedure immediately. Excessive tearing and blinking can indicate irritation or pain. Ask the client to keep eyes closed and gently blot tears away with a sterile swab, being careful not to contaminate the eye area. Check that the anesthetic is not irritating the eye. If the tearing persists, consider rescheduling. If the client is uncomfortable, do not proceed. Document the event.