Bausch & Lomb PureVision Multi-Focal Contact Lenses - Manual (Page 8)

familiar near objects such as a watch face or fingernails. Again assess the
reaction. As the patient continues to look around room at both near and
distance objects, observe the reactions. Only after these vision tasks are
completed should the patient be asked to read print. Evaluate the patient's
reaction to large print (e.g. typewritten copy) at first and than graduate to
news print and finally smaller type sizes.
After the patient's performance under the above conditions are completed,
tests of visual acuity and reading ability under conditions of moderately dim
illumination should be attempted.
An initial unfavorable response in the office, while indicative of a guarded
prognosis, should not immediately rule out a more extensive trial under the
usual conditions in which a patient functions.
6. Adaptation
Visually demanding situations should be avoided during the initial wearing
period. A patient may at first experience some mild blurred vision, dizzi-
ness, headaches, and a feeling of slight imbalance. You should explain the
adaptational symptoms to the patient. These symptoms may last for a brief
minute or for several weeks. The longer these symptoms persist, the poor-
er the prognosis for successful adaptation.
To help in the adaptation process the patient can be advised to first use the
lenses in a comfortable familiar environment such as in the home.
Some patients feel that automobile driving performance may not be optimal
during the adaptation process. This is particularly true when driving at night.
Before driving a motor vehicle, it may be recommended that the patient be
a passenger first to make sure that their vision is satisfactory for operating
an automobile. During the first several weeks of wear (when adaptation is
occurring), it may be advisable for the patient to only drive during optimal
driving conditions. After adaptation and success with these activities, the
patient should be able to drive under other conditions with caution.
7. Other Suggestions
The success of the monovision technique may be further improved by
having your patient follow the suggestions below.
– Having a third contact lens (distance power) to use when critical
distance viewing is needed.
– Having a third contact lens (near power) to use when critical near
viewing is needed.
– Having supplemental spectacles to wear over the monovision contact
lenses for specific visual tasks may improve the success of monovision
correction. This is particularly applicable for those patients who cannot
meet state licensing requirements with a monovision correction.
– Make use of proper illumination when carrying out visual tasks.
Success in fitting monovision can be improved by the following suggestions.
– Reverse the distance and near eyes if a patient is having trouble adapting.
– Refine the lens powers if there is trouble with adaptation. Accurate
lens power is critical for presbyopic patients.
– Emphasize the benefits of the clear near vision in straight ahead and
upward gaze with monovision.
* The decision to fit a patient with a monovision correction is most
appropriately left to the eye care professional in conjunction with
the patient after carefully considering the patient's needs.
* All patients should be supplied with a copy of the PureVision
Contact Lens Patient Information Booklet.
HANDLING OF LENSES
Patient Lens Care Directions:
When lenses are dispensed, the patient should be provided with appropriate
and adequate instructions and warnings for lens care handling. The eye care
professional should recommend appropriate and adequate procedures and
products for each individual patient in accordance with the particular lens
wearing schedule and care system selected by the practitioner, the specific
instructions for such products and the particular characteristics of the patient.
Frequent/Planned Replacement Wear: For complete information concerning
the care, cleaning and disinfection of contact lenses refer to the PureVision
Multi-Focal (balafilcon A) Visibility Tinted Contact Lens Patient Information
Booklet.
Disposable Wear: For complete information concerning emergency lens care,
refer to the PureVision Multi-Focal Contact Lens Patient Information Booklet.
CARE FOR A STICKING (NONMOVING) LENS:
If the lens sticks (stops moving), the patient should be instructed to use a
lubricating or rewetting solution in their eye. The patient should be instructed
to not use plain water, or anything other than the recommended solutions.
The patient should be instructed to contact the eye care professional if the
lens does not begin to move upon blinking after several applications of the
solution, and to not attempt to remove the lens except on the advice of the
eye care professional.
REPORTING OF ADVERSE REACTIONS:
All serious adverse experiences and adverse reactions observed in patients
wearing BAUSCH & LOMB® PureVision® Multi-Focal (balafilcon A) Visibility
Tinted Contact Lenses or experienced with the lenses should be reported to:
Bausch & Lomb Incorporated
Rochester, New York 14609
Toll Free Telephone Number
In the Continental U.S., Alaska, Hawaii
1-800-828-9030
In New York State: 1-800-462-1720
In Canada: 1-888-459-5000
HOW SUPPLIED:
Each sterile lens is supplied in a plastic blister package containing borate
buffered saline solution. The container is marked with the manufacturing lot
number of the lens, the base curve, sphere power, add power, diameter and
expiration date. Store lenses at room temperature (60°F - 80°F, 15°C - 25°C)
Bausch & Lomb Incorporated
Rochester, NY 14609
© Bausch & Lomb Incorporated. All rights reserved worldwide.
Bausch & Lomb, Path Design, Performa, AerGel and PureVision are trademarks
of Bausch & Lomb Incorporated.
Other brand names/product names are trademarks of their respective owners
Covered by and/or licensed under one or more of the following US patents:
5610252, 4997897, 5815239, 5760100; 5789461; 5849811; 5766999; 5965631
and other patents. Printed in U.S.A.
Symbol Reference Guide for label and cartons:
Quality System Certification Symbol
Fee Paid for Waste Management
Sterile Using Steam or Dry Heat
See Instruction Leaflet
Storage Temperature
Diameter
Use By Date (expiration date)
Batch Code
Diopter (lens power)
Authorized representative in European Community
Caution: Federal law restricts this device to sale by or on
the order of a licensed practitioner.
BC Base Curve
ADD Low or High Add power
19 20
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