What should SPLs be monitored for daily?

• A. Slipping, leaks, and cellulitis daily
• B. Vision improvement
• C. No monitoring needed
• D. Only check weekly

Answer: (A)

Sub-palpebral lavage systems deliver medications to the eye through a tube that exits under the eyelid, so daily checks are essential to catch problems early. The most important daily things to verify are that the line remains securely in place and hasn’t slipped, that there are no leaks of fluid at the entry site, and that the skin around the port isn’t reddened, swollen, or showing signs of infection such as cellulitis. You also want to confirm the cannula is patent and the surrounding area is clean and dry to prevent bacterial ingress. Monitoring flow ensures the eye is receiving the intended dose. Vision changes can occur for many reasons and aren’t a reliable indicator of SPL integrity, whereas missing daily checks can allow slipping, leakage, or infection to progress, leading to treatment failure or systemic issues.