I instruct patients to warm their eye-drop bottle by holding them for five minutes before use. This reduces thermal shock to the eyes and makes the drops much more easily tolerated.

I also tell these patients not to blink for a minute or two after applying the drops and to keep their eyes closed and roll them around under the lids. This helps distribute the medicine and avoids washing it out with tears generated by blinking. — Thomas Urschel, RPAC, Clarendon, N.Y. (163-6)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

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