Bausch & Lomb Silsoft and Silsoft Super Contact Lenses - Manual (Page 4)

The lens must be removed for cleaning and disinfecting at
least once every 30 days or more frequently such as one
to two weeks, as determined by the prescribing eye care
practitioner. (See the factors discussed in the WARNINGS
section.) Once removed, the lens should remain out of
the eye for a period of rest, overnight or longer, as
determined by the prescribing eye care practitioner.
LENS CARE DIRECTIONS
The products and procedures in this insert are
recommended by Bausch & Lomb for the care of
BAUSCH & LOMB
® SILSOFT ® (elastofilcon A) Contact
Lenses. The care products referred to in this insert have
individual package inserts or brochures containing
instructions and warnings for its use, which must be read
and followed. An eye care practitioner may recommend
alternative products and procedures for lens care. If other
products and procedures are recommended, specific
information on those products should be provided to the
patient.
Patients must adhere to a recommended care regimen.
Failure to follow the regimen may result in development
of serious ocular complications as discussed in the
WARNINGS.
Patients who require only vision correction and who
would not, or could not, adhere to a recommended care
regimen for the lenses, or who are unable to place and
remove lenses, should not be provided with them.
When lenses are dispensed, the patient must be provided
with an appropriate cleaning and disinfection regimen and
appropriate and adequate instructions and warnings for
lens care, handling, cleaning, and disinfection. The eye
care practitioner should recommend appropriate and
adequate procedures and products for each individual
patient, in accordance with the particular lens, wearing
schedule and disinfection system selected by the
practitioner, the specific instrictions for such products,
and the particular characteristics of the patient.
Basic Instructions for Patient Cleaning and Disinfecting
The eye care practitioner’s instructions to the patient
concerning cleaning and disinfecting contact lenses
should include the following:
• Bausch & Lomb recommends that the patient use one
system of lens care, either thermal (heat) or chemical.
Unless specifically indicated in the labeling, do not
alternate, change or mix lens care systems for any one
pair of lens.
• Do not reuse solutions. Use fresh solutions for each
step.
• Do not use saliva, tap water, distilled water, or anything
other than a recommend sterile solution labeled for the
care of SILSOFT lenses.
• Carefully read and follow the Patient Information
Booklet
• Lenses must be both cleaned and disinfected each time
they are removed, for any reason. If removed while the
patient is away from the lens care products, the lenses
may not be reinserted, but should be stored until they
can be cleaned and disinfected. Cleaning is necessary
to remove mucus and film from the lens surface.
Disinfecting is necessary to destroy harmful micro-
organisms.
• Clean one lens first (always the same lens first to avoid
mixups), rinse the lens thoroughly with sterile saline or
disinfecting solution to remove the cleaning solution,
mucus, and film from the lens surface, and put that lens
into the correct chamber of the lens storage case. Then
repeat the procedure for the second lens.
• Stored lenses must be disinfected and left in the closed
case until ready to wear.
• If the lenses have been stored for more than 24 hours,
disinfect immediately before wearing and at least once a
week. Put fresh solution inside the lens chamber,
completely covering the lenses, before each
disinfection.
• After removal of lenses from the lens case, the case
should be emptied, rinsed with sterile saline or
disinfecting solution, and allowed to air dry. At the next
use of the case, fill it with fresh solution. (See
Precautions for care of lens case)
Lens Deposits and Use of the Enzymatic
Cleaning Procedure
Some wearers, who tend to secrete unusually large
amounts of mucus in the lacrimal fluid, may experience a
buildup of lens deposits within a few weeks, despite
adequate cleaning measures. If medium to heavy surface
accumulations of non-removable materials are observed,
the affected lenses must be replaced to prevent and
increased risk of adverse effects. To minimize deposit
accumulations, the practitioner may prescribe an
enzymatic cleaning regimen in addition to the regular
cleaning regimen.
Deposits characterized as medium, or heavy, have been
reported to occur on lens worn for approximately one
year. The occurrence of these deposits appears to
increase with duration of lens use. These medium or
heavy deposits, when they do exist, can be detected by
means of slit lamp biomicroscope examination. In order
to remove deposits which may form on the lenses,
wearers should use enzymatic contact lens cleaning
tablets according to the directions for use which
accompany the tablets. To help remove tear residues,
mucus and other deposits that tend to accumulate on the
lens surface, patients should use a recommended
cleaning solution according to the directions for use
which accompany the product. The practitioner’s
instructions should emphasize that the lenses must be
disinfected after completing all cleaning procedures,
including enzymatic cleaning.
Thermal (Heat) Lens Disinfection
• Clean the contact lenses with a recommended cleaning
solutions and thoroughly rinse the contact lenses with
preservative free saline solution.