A simple plan for removing cinders and the like from the eye is to pull the upper eyelid forward and downward, by grasping the eyelashes, and direct the child to look upward. In this way the lashes of the lower lid are made to sweep over the inside of the upper one, and thus may brush away the foreign body. If this be unsuccessful, and if the offending substance be in sight, remove it with the corner of a fine handkerchief. If not seen on the eyeball, it must be looked for beneath the lids. It is easy enough to pull down the lower lid and examine its internal surface; in the case of the upper lid, however, it is necessary to perform eversion; this is done by drawing the lid downward and forward, and turning it over a thin lead pencil (Fig. 25). Direct the child, in the meanwhile, to look down. When the intruding body is disclosed by this process, it may be brushed away by a little cotton twisted upon the end of a match stick, or by a small camePs-hair brush; the touch must be very gentle, and no prolonged effort made if the mote be imbedded. Treat any slight irritation following this accident and the process of removal by frequent applications of hot water.

Fig. 25.   Method of Everting Upper Eyelid.

Fig. 25. - Method of Everting Upper Eyelid.