Bausch & Lomb Silsoft and Silsoft Super Contact Lenses - Manual (Page 3)

• feeling of something in the eye (foreign body, scratched
area)
• excessive watering (tearing) of the eyes
• unusual eye secretions
• redness of the eyes
• reduced sharpness of vision (poor visual acuity)
• blurred vision, rainbows, or halos around objects
• change in sensitivity to light (photophobia)
• feeling of dryness
The patient should be instructed that if any of the above
symptoms occur:
• Immediately remove the lenses
• If the discomfort or problems stops, then look closely
at the lens.
• If the lens is in any way damaged, do not put the lens
back on the eye. Place the lens in the storage case and
contact your eye care practitioner.
• If the lens has dirt, an eyelash or other foreign body on
it, or the problem stops and lens appears undamaged,
thoroughly clean, rinse and disinfect the lenses; then
reinsert them.
• If the above symptoms continue after removal of the
lens or upon reinsertion of a lens, the lenses should be
removed immediately and the patient should
immediately contact their eye care practitioner or a
physician, who must determine the need for
examination, treatment or referral without delay. (See
Important Treatment Information for Adverse Effects.)
A serious condition such as infection, corneal ulcer,
corneal vascularization, or iritis may be present, and
may progress rapidly. Less serious reactions such as
abrasions, epithelial staining and bacterial conjunctivitis
must be managed and treated carefully to avoid
complications.
IMPORTANT TREATMENT INFORMATION FOR
ADVERSE EFFECTS
Sight-threatening ocular complications associated with
contact lens wear can develop rapidly, and therefore early
recognition and treatment of problems are critical.
Infectious corneal ulceration is one of the most serious
potential complications, and may be ambiguous in its
early stage. Signs and symptoms of infectious corneal
ulceration include discomfort, pain, inflammation,
purulent discharge, sensitivity to light, cells and flare, and
corneal infiltrates.
Initial symptoms of a minor abrasion and an early infected
ulcer are sometimes similar. Accordingly, such epithelial
defects, if not treated properly, may develop into an
infected ulcer. In order to prevent serious progression of
these conditions, a patient presenting symptoms of
abrasions or early ulcers should be evaluated as a
potential medical emergency, treated accordingly, and be
referred to a corneal specialist when appropriate.
Standard therapy for corneal abrasions such as eye
patching or the use of steroids or steroid/antibiotic
combinations may exacerbate the condition. If the patient
is wearing a contact lens on the affected eye when
examined, the lens should be removed immediately and
the lens and lens care products retained for analysis and
culturing.
FITTING GUIDES AND PATIENT
INFORMATION BOOKLETS
A Bausch & Lomb Fitting Guide provides detailed fitting
information for BAUSCH & LOMB
® SILSOFT ® (elastofilcon
A) Contact Lenses. When lenses are dispensed for vision
correction, the patient must be supplied with an
appropriate cleaning and disinfection regimen, with
appropriate written instructions for the care products
prescribed. The patient must fully understand all lens
care and handling instructions. In addition, it is very
important for the eye care practitioner to give the patient
the appropriate Patient Information Booklet and review it
with the patient. Copies of Fitting Guides and Patient
Information Booklets for BAUSCH & LOMB‚ SILSOFT‚
(elastofilcon A) Contact Lenses are available without
charge from: Bausch & Lomb Incorporated, North
American Vision Care, PO Box 450, Rochester, New York
14603-0450. Toll free number: In the Continental U.S.,
Alaska or Hawaii 1-800-828-9030; In New York State
1-800-462-1720.
WEARING SCHEDULES
It is recommended that contact lens wearers see their eye
care practitioner twice each year or if directed, more
frequently.
A comfort adaptation period is associated with the
BAUSCH & LOMB‚ SILSOFT‚ (elastofilcon A) Contact
Lens. Comfort obtained with this lens is generally
superior to that obtained with hard lenses. The initial
comfort usually is not as good as with hydrogel lenses
due to lens size and movement. The comfort improves
substantially during the adaptation period.
Daily Wear:
There may be a tendency for the daily wear patient to
overwear the lenses initially. Therefore, the importance of
adhering to a proper, initial daily wearing schedule should
be stressed to these patients. The wearing schedule
should be determined by the eye care practitioner. The
wearing schedule chosen by the eye care practitioner
should be provided to the patient.
Extended Wear (Greater than 24 hours, or while asleep)
Wearing schedule should be determined by the
prescribing eye care practitioner for each individual
patient, based upon a full examination and patient history
as well as the practitioner’s experience and professional
judgement. Bausch & Lomb recommends beginning
extended wear patients with the initial daily wear schedule
recommended by the eye care practitioner, followed by a
period of daily wear, and then the gradual introduction of
extended wear one night at a time, unless individual
considerations indicate otherwise. The practitioner
should examine the patient in the early stages of extended
wear in order to determine corneal response.