|Alger brush burr||Store in clean, closed case||NA||Clean in ultrasonic cleaner or discard burr or place in 2% glutaraldehyde for 30 seconds, then in isopropyl alcohol (99%) for 15 seconds.|
|RGP contact lenses||Dry storage||Inspect visually for defects.|
Thoroughly clean the surface and rinse prior to re-use.
Avoid contact with patient’s lids.
|Clean contact lens with approved RGP cleaner via digital cleaning (20 seconds per side).|
Rinse with sterile preserved/aerosol saline. Soak in 3% H2O2 for a minimum of 3 hours.
Rinse with sterile preserved/aerosol saline. Dry RGP lens with a clean tissue and store in a dry container.
|Soft contact lenses||Store disinfected lenses in saline in tightly sealed vials.||Inspect visually for defects.|
Insert directly from vial.
Avoid contact with patient’s lids.
|Clean contact lens with a hydrogel lens cleaner via digital cleaning (20 seconds per side).|
Rinse with sterile preserved/aerosol saline. Fill glass vial with sterile saline.
Label with lens parameters and date of heating. Sterilise in autoclave at 134°C for at least 3 minutes or 121°C for at least 10 minutes. Alternative: thermal disinfection unit 78°C to 90°C for 20–60 mins.
|Trial disposable contact lenses||Manufacturer packaging||Inspect visually for defects.|
Insert directly from blister pack.
Do not use if packaging is damaged.
Avoid contact with patient’s lids.
|Contact lens trial set cases|| || ||Clean thoroughly and either disinfect with H2O2 or autoclave if the product can tolerate heat.|
|Contact lens cases for use in practice/stainless steel bowls (Note: glass vials are recommended for placing contact lenses in while the patient is at the practice)|| || ||Clean thoroughly with cleaner and scrubbing brush and boil/autoclave.|
|Dropper bottles||Store product in temperature range recommended by manufacturer.|
Refrigerate if appropriate.
Mark opening date on bottle.
Discard by due date or 1 month after opening, whichever is earlier.
Discard if used on infected eye.
Hold the cap in your hand during use.
|Avoid contact of tip with hands, patient’s lashes, eye or lid. If infection suspected use minims or a disposable dropper or glass rod to apply.||Replace cap without hand touching dropper tip.|
|Dyes (fluorescein, phenol red, rose bengal and lissamine. green) and Schirmer strips||Use only if from a sterile pack||Wet dyes before use with unpreserved sterile saline||Discard after use|
|Foreign body needle||Keep single use, sterile packed 27 gauge hypodermic needles and STERILE cotton buds||Prevent needle contact with hands or any surface before use||Discard in sharps container. Avoid needle stick injury.|
|Foreign body spud||Store in clean, closed case||MUST be autoclaved between patients||Clean thoroughly with soap and running water and MUST autoclave after use.|
|Fundus contact lens||Store in clean, closed container||Use current date contact solution from clean dropper or minim||Remove any bio-material with soap and running water, rinse.|
Swab contact surface with isopropyl alcohol if infection is suspected.
Air dry in clean area. Disinfect if infection suspected.
Consider manufacturer’s instructions: Disinfect with either 2% aqueous glutaraldehyde or 1:10 dilution of sodium hypochlorite/household bleach.
Position the lens on its side, then immerse the entire lens in the selected solution for 25 minutes.
Remove the lens from the solution and thoroughly rinse with room temperature water, then dry with a soft, lint-free cloth.
|Gloves (must be powder-free)||Store in box||If gloves are worn, use new gloves for every patient||Dispose of immediately after use. Wash hands before and after use.|
|Gonioscopy lenses||Store in clean, closed case||Use current date contact solution from clean dropper or minim||As for Goldmann/Perkins tonometer prism.|
Consider manufacturer’s instructions.
|Hands||Keep fingernails clean and a reasonable length.|
Keep powder-free surgical gloves for use if hands or patient have exposed lesions.
|Wash hands with soap and water before examination commences||Wash hands after all examinations. Wash hands after removal of gloves.|
Remove jewellery. Wet hands with water. Apply recommended amount of product to hands. Rub hands together vigorously for at least 15 seconds, covering all surfaces of the hands and fingers. Rinse hands with water. Dry with disposable towel.
|Head rests, chin rests and brow bar||NA||Wipe with isopropyl alcohol swab||Wipe with isopropyl alcohol swab|
|Lacrimal lavage probe (punctal dilator)||Store in clean, closed case||Swab with isopropyl alcohol swab||Wash with soap and running water, swab with alcohol and air dry.|
Alternatively clean with 3% H2O2 and heat disinfect or autoclave.
Return to covered container.
|Lacrimal lavage needle (cannula)||Use disposable modified single use syringe and needles.|
If using reusable needles, store in sealed container.
|Use saline from freshly opened container (20 ml disposable unit dose)||Dispose of syringe in sharps container. If using reusable needles, autoclave before reuse (sterilise for at least 3 minutes at 134°C or for at least 10 minutes at 121°C). Alternatively flush with 3% H2O2 and boil for 10 minutes.|
Return to sealed container.
|Occluders/eye patch||Store in clean, closed container||Use paper tissue between occluder/eye patch and eyelids||Discard tissue. Replace patches regularly. Alcohol swab plastic patches after use.|
|Ophthalmoscopes (direct, MIO, BIO)||Store in clean, closed case||Alcohol swab surfaces that may contact face, lashes etc||Alcohol swab if infection suspected.|
|Phoropter/refractor head||Cover with dust-cover overnight||Alcohol swab area that may contact patient’s face||Alcohol swab if infection suspected.|
|Schiötz tonometer||Store in clean, covered case||NA||Disassemble. Wash in running water. Swab footplate with alcohol.|
|Scleral depressors, lid evertors, specula, forceps||If metal instruments are used, store in clean, closed case.|
Cotton buds may be used as evertors and depressors.
|Wash in soap and water or alcohol swab and air dry.||Discard any cotton buds used. Wash metal instruments in soap and running water, alcohol swab or autoclave if infection suspected.|
|Spectacle frames||Ensure frame display area is cleaned regularly||NA||If infection suspected, swab with isopropyl alcohol.|
|Stethoscope||Ensure storage case/bracket is clean||Swab bell and diaphragm with isopropyl alcohol.|
Clean ear pieces if sharing with other practitioners.
|If infection suspected, swab with isopropyl alcohol.|
|Thermometer||Store in clean, closed case||Wash with soap and water||Wash with soap and water. Swab with isopropyl alcohol|
|Tonometer probe (Perkins or Goldmann)||Have 2 prisms so that one can be soaking while the other is being used.|
Store in clean, closed container when not in use.
|Air dry||Clean tonometer prism with soap and water before debris has dried.|
Soak prism for 5 minutes in 3% H2O2, 70% isopropyl alcohol or 1:10 dilution of bleach.
Rinse with sterile water/saline and air dry
|Trial frame||Store in clean, covered container||Alcohol swab area that may contact patient’s face.||Alcohol swab if infection suspected.|
|Tweezers (plastic for contact lenses)||Store in clean, covered container|| ||Clean manually with a contact lens daily surfactant cleaner, rinse with saline, dry with a tissue. If possible, disinfect in a thermal disinfection unit 78°C to 90°C for 20–60 minutes.|