Bausch & lomb Soflens daily disposable toric hilafilcon b User manual

SL-5351 / 8077201

Visibility Tinted Contact Lenses

PATIENT INFORMATION BOOKLET

FOR SINGLE USE DISPOSABLE WEAR

CAUTION: Federal (U.S.A.) law restricts this device to sale by or on the order of a licensed practitioner.

Table of Contents

Page

Introduction 2

Wearing Restrictions and Indications 3

Contraindications (Reasons Not To Use) 3

Warnings 4

Precautions 5

Topics to Discuss with the Eye Care Professional 6

Adverse Reactions (Problems and What To Do) 7

Personal Cleanliness and Lens Handling 8

Preparing the Lens for Wearing 8

Handling the Lenses 8

Placing the Lens on the Eye 9

Centering the Lens 10

Removing the Lens 10

Care for a Sticking (Nonmoving) Lens 11

Emergencies 11

Page

Lens Rewetting Products Available

from Bausch & Lomb 11

Instructions for the Monovision Wearer 12

Personal Wearing Schedule Record 13

Check-Up Visits 15

Eye Care Professional Information 16

Glossary of Medical Terms 17

Symbol Reference Guide 18

For labels and cartons:

Quality System Certification Symbol

Fee Paid for Waste Management

Sterile Using Steam or Dry Heat

See Instruction Leaflet

Diameter

Use by Date (Expiration Date)

Batch Code

Authorized Representative in

European Community

Caution: Federal (U.S.A.) law restricts

this device to sale by or on the order

of a licensed practitioner

Diopter (Lens Power)

Single Use Only

Base Curve

Sphere Power (Diopters)

Cylinder Axis (Degrees)

Cylinder Power (Diopters)

Symbol Reference Guide

17 2

Introduction

The instructions in this booklet apply to the Bausch &

Lomb® SofLens® daily disposable Toric (hilafilcon B)

Visibility Tinted Contact Lenses. If you have received or

are considering another brand of contact lenses, do not

use this booklet. Ask your eye care professional for the

patient booklet or instructions that apply to your brand

or type of contact lenses. For Bausch & Lomb SofLens

daily disposable Toric (hilafilcon B) Visibility Tinted

Contact Lenses, it is essential to your safety that you

read and understand the information and instructions

in this booklet, and have your eye care professional

answer any questions, both before and after you receive

contact lenses.

Wearing contact lenses is different from wearing

eyeglasses. Because they are worn directly on your

eyes, contact lenses affect the way in which your eyes

function. These effects tend to increase with the length

of time that the lenses remain on your eyes between

removals. Although the great majority of people

successfully wear contact lenses without problems,

before you decide whether to begin or to continue

wearing contact lenses for daily wear, you should

discuss with your eye care professional the effects of

contact lenses on your eyes and the risks associated

with wearing contact lenses. You also should read the

sections of this booklet entitled “Warnings”, “Adverse

Reactions”, “Precautions”, and “Wearing Restrictions

and Indications”. Ask your eye care professional to

explain anything that you do not understand, including

any additional restrictions which may be given to you

by your eye care professional. Your Bausch & Lomb

SofLens daily disposable Toric (hilafilcon B) Visibility

Tinted Contact Lenses have been prescribed for single-

use disposable wear, and should be discarded each time

lenses are removed from your eyes.

You also need to remember that soft contact lenses,

including those covered by this booklet, are made of a

type of plastic that absorbs liquids, vapors, and small

particles, and, for some people, may collect deposits

from your natural eye fluids. Therefore, you should

strictly follow the instructions contained in this booklet

entitled “Personal Cleanliness and Lens Handling”, as

well as the written information leaflets accompanying

the lens care products that you buy and any other

instructions given to you by your eye care professional.

Any failure to follow these instructions and the wearing

restrictions will increase the chances of contamination,

damage to the lenses, or a build-up of deposits on the

lenses, which can lead to serious, sight-threatening eye

infections and injuries.

Adherence to your prescribed wearing schedule, and

regular check-up visits to your eye care professional are

also necessary for the proper and safe use of contact

lenses.

It is important to not wear your lenses longer than

recommended by your eye care professional since

doing so increases the risk of adverse effects.

Spaces are provided in the back of this booklet for you

to record your personal wearing schedule and schedule

of follow-up visits. Soft contact lenses generally are

comfortable from the beginning. Therefore, be sure to

follow the wearing schedule prescribed for you, and

do not over wear your lenses for longer periods than

your prescribed wearing schedule simply because they

remain comfortable and you are not experiencing a

problem. Only your eye care professional, through a

professional examination, can determine how your eyes

Glossary of Medical Terms

Ametropia Abnormal vision requiring correction for proper focus

Myopia Nearsighted

Hyperopia Farsighted

Aphakic Lacking a crystalline lens (focusing lens inside the eye)

Non-aphakic Not lacking a crystalline lens

Acute inflammation Sudden swelling, redness and pain

Subacute inflammation Gradual swelling, redness and pain

Anterior chamber Internal portion of the eye, between the cornea and iris

Cornea Clear, front covering of the eye

Conjunctiva Membrane that lines the eyelids and the white part of the eye

Corneal ulcer A sore or lesion on the cornea, which left untreated could lead

to permanent loss of vision

Microbial keratitis An infected corneal ulcer

Hypoxia Lack of oxygen

Epithelial Layer of cells on the surface of the cornea

Epithelial microcysts A small abnormal structure (cyst) in the front surface of the eye

Endothelial polymegathism Irregular cell size and shape

Neovascularization Small blood vessels growing into the cornea

Iritis Internal inflammation of the colored part of the eye (iris)

163

are reacting to the contact lenses and whether there

are any early signs of possible problems.

If problems or symptoms should occur, immediately

remove your lenses and follow the steps described in

the section of this booklet entitled “Warnings” and

“Adverse Reactions”. (Refer to “Glossary of Medical

Terms” for description of medical terms used in this

booklet). Prompt attention to problems is essential and

may require immediate professional care.

Remember, when wearing soft contact lenses your eyes

should look and feel good, and your vision should be

clear.

The Bausch & Lomb SofLens daily disposable Toric

(hilafilcon B) Visibility Tinted Contact Lens is indicated

for the daily wear correction of refractive ametropia

(myopia, hyperopia, and astigmatism) in not-aphakic

persons with non-diseased eyes, exhibiting astigmatism

of 5.00 diopters or less, that does not interfere with

visual acuity. The lens may be prescribed in spherical

powers ranging from +20.00D to -20.00D.

The lens has been prescribed for single-use disposable

wear, and is to be discarded after each removal.

Wearing Restrictions and Indications

DO NOT USE the Bausch & Lomb SofLens daily

disposable Toric (hilafilcon B) Visibility Tinted Contact

Lens when any of the following conditions exist:

• Acuteandsubacuteinflammationorinfectionofthe

anterior chamber of the eye

• Anyeyedisease,injury,orabnormalitythataffects

the cornea, conjunctiva, or eyelids

• Severeinsufficiencyoflacrimalsecretion

(dry eyes)

• Cornealhypoesthesia(reducedcornealsensitivity)

• Anysystemicdiseasethatmayaffecttheeyeorbe

exaggerated by wearing contact lenses

• Allergicreactionsofocularsurfacesoradnexa

(surrounding tissue) that may be induced or

exaggerated by wearing contact lenses

• Anyactivecornealinfection(bacterial,fungal,or

viral)

• Ifeyesbecomeredorirritated

Contraindications (Reasons Not To Use)

Eye Care Professional Information

PLEASE FILL OUT FOR READY USE

Name: __________________________________________________________________________________________

Address: ________________________________________________________________________________________

Phone: _______________________________________________________________________________________

Other Information: ______________________________________________________________________________

______________________________________________________________________________________________

_______________________________________________________________________________________________

______________________________________________________________________________________________

IMPORTANT: In the event that you experience any difficulty wearing your lenses or you

do not understand the instructions given to you, DO NOT WAIT for your next appointment.

TELEPHONE YOUR EYE CARE PROFESSIONAL IMMEDIATELY.

Bausch & Lomb Incorporated

Rochester, New York 14609

15 4

You should be aware of and fully discuss with your eye

care professional the following warnings pertaining to

contact lens wear:

• Problemswithcontactlensescouldresultinserious

injury to your eye. It is essential that you follow

your eye care professional’s direction and all labeling

instructions for proper use of lenses. Eye problems,

including corneal ulcers, can develop rapidly and

lead to loss of vision.

• Dailywearlensesarenotindicatedforovernight

wear, and you should not wear lenses while

sleeping. Clinical studies have shown that the risk

of serious adverse reactions is increased when daily

wear lenses are worn overnight.

• Strictcompliancewithyourwearingrestrictions,

wearing schedule, and follow-up visit schedule

should be followed.

• Studieshaveshownthatcontactlenswearerswho

are smokers have a higher incidence of adverse

reactions than nonsmokers.

• Ifyouexperienceeyediscomfort,excessivetearing,

vision changes, or redness of the eye, you should

immediately remove lenses and promptly contact

your eye care professional.

WarningsCheck-Up Visits

Regular check-up examinations by your eye care professional are an important part of wearing

contact lenses. It is recommended that you follow your eye care professional’s directions for follow

up examinations. Keep all appointments for your check-up visits. If you move to a new city, ask

your present eye care professional to refer you to a contact lens professional in your new location.

Use the space below to record your appointments.

VISIT SCHEDULE

1. _____________________________________________________________________________

Date Time

2. _____________________________________________________________________________

Date Time

3. _____________________________________________________________________________

Date Time

4. _____________________________________________________________________________

Date Time

5. _____________________________________________________________________________

Date Time

6. _____________________________________________________________________________

Date Time

7. _____________________________________________________________________________

Date Time

8. _____________________________________________________________________________

Date Time

9. _____________________________________________________________________________

Date Time

10. ____________________________________________________________________________

Date Time

5 14

You should be aware of and fully discuss with your eye

care professional the following safety precautions:

Handling Precautions:

• Alwayswashandrinsehandsbeforehandling

lenses. Do not get cosmetics, lotions, soaps, creams,

deodorants, or sprays in the eyes or on the lenses.

It is best to put on lenses before putting on makeup.

Water-base cosmetics are less likely to damage

lenses than oil-base products.

• Beforeleavingyoureyecareprofessional’soffice

be certain that you are able to remove your lenses

promptly or have someone else available to remove

them for you.

• Becertainthatthefingersorhandsarefreeof

foreign materials before touching your lenses, as

microscopic scratches of the lenses may occur,

causing distorted vision and/or injury to the eye.

• Alwayshandleyourlensescarefullyandavoid

dropping them.

• Donottouchthelenswithyourfingernails.

• Carefullyfollowthehandling,insertion,removal,

cleaning disinfecting, storing and wearing

instructions in this booklet and those prescribed by

your eye care professional.

• Neverusetweezersorothertoolstoremoveyour

lenses from the lens container unless specifically

indicated for that use. Pour the lens into the hand.

Lens Wearing Precautions:

• Neverwearyourlensesbeyondtheperiod

recommended by your eye care professional.

• Ifthelenssticks(stopsmoving)ontheeye,follow

the recommended directions on Care for a Sticking

(Nonmoving) Lens. The lens should move freely

on the eye for the continued health of the eye. If

nonmovement of the lens continues, you should

immediately consult your eye care professional.

• Avoid,ifpossible,allharmfulorirritatingvaporsand

fumes when wearing lenses.

• Ifaerosolproductsareusedwhilewearinglenses,

exercise caution and keep eyes closed until the

spray has settled.

Precautions DAY DATE HOURS TO BE WORN HOURS WORN

13 6

• Aswithanycontactlens,follow-upvisitsare

necessary to assure the continuing health of the

eyes. You should be instructed as to a recommended

follow-up schedule.

• Patientsshouldbeadvisedaboutwearinglenses

during sporting and water related activities.

Exposure to water while wearing contact lenses

in activities such as swimming, water skiing and

hot tubs may increase the risk of ocular infection

including but not limited to Acanthamoeba keratitis.

• Alwayscontactyoureyecareprofessionalbefore

using any medicine in the eyes.

Who should know that you are wearing contact lenses:

• Informyourdoctor(healthcareprofessional)about

being a contact lens wearer.

• Alwaysinformyouremployerofbeingacontact

lens wearer. Some jobs may require the use of eye

protection equipment or may require that you not

wear lenses.

Ask your eye care professional whether there are any

other wearing restrictions that apply to you. Write those

restrictions in the spaces provided below and follow

them carefully:

Personal Wearing Record Schedule

Your eye care professional will prescribe your own individual lens wearing schedule and lens replacement schedule.

Use the space below to record your schedule and wearing record.

DAY DATE HOURS TO BE WORN HOURS WORN

Topics to Discuss with the Eye Care Professional

7 12

You should be aware that the following problems may

occur:

• Eyesstinging,burning,itching(irritation),orother

eye pain

• Comfortislessthanwhenlenswasfirstplaced

on eye

• Abnormal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

• Sensitivitytolight(photophobia)

• Dryeyes

If you notice any of the above, you should:

• Immediately remove your lenses.

• Ifthediscomfortorproblemstops,thenlookclosely

at the lens. If the lens is in any way damaged,

do not put the lens back on your eye. You should

discard the lens and insert a new lens on the eye.

If the problem continues, you should immediately

remove the lenses and consult your eye care

professional.

When any of the above problems occur, a

serious condition such as infection, corneal ulcer,

neovascularization, or iritis may be present. You should

keep the lens off your eye and seek immediate

professional identification of the problem and prompt

treatment to avoid serious eye damage.

Adverse Reactions (Problems And What To Do)

• Youshouldbeawarethataswithanytypeoflens

correction, there are advantages and compromises

to monovision contact lens therapy. The benefit

of clear near vision in straight ahead and upward

gaze that is available with monovision may be

accompanied by a vision compromise that may

reduce your visual acuity and depth perception for

distance and near tasks.

• Somepatientshaveexperienceddifficultyadapting

to monovision contact lens therapy. Symptoms,

such as mild blurred vision, dizziness, headaches

and a feeling of slight imbalance, may last for a

brief minute or for several weeks as adaptation

takes place. The longer these symptoms persist, the

poorer your prognosis for successful adaptation.

• Youshouldavoidvisuallydemandingsituations

during the initial adaptation period. It is

recommended that you first wear these contact

lenses in familiar situations, which are not visually

demanding. For example, it might be better to be

a passenger rather than a driver of an automobile

during the first few days of lens wear. It is

recommended that you only drive with monovision

correction if you pass your state drivers license

requirements with monovision correction.

• Somemonovisionpatientswillneverbefully

comfortable functioning under low levels of

illumination, such as driving at night. If this

happens, you may want to discuss with your eye

care professional having additional contact lenses

prescribed so that both eyes are corrected for

distance when sharp distance binocular vision is

required.

• Ifyourequireverysharpnearvisionduring

prolonged close work, you may want to have

additional contact lenses prescribed so that both

eyes are corrected for near when sharp near

binocular vision is required.

• Somemonovisionpatientsrequiresupplemental

spectacles to wear over the monovision correction

to provide the clearest vision for critical tasks. You

should discuss this with your eye care professional.

• Itisimportantthatyoufollowyoureyecare

professional’s suggestions for adaptation to

monovision contact lens therapy. You should discuss

any concerns that you may have during and after

the adaptation period.

• The decision to be fit with a monovision

correction is most appropriately left to the eye

care professional in conjunction with you, after

carefully considering and discussing your needs.

Instructions for the Monovision Wearer

11 8

1. PREPARINg ThE LENs FOR WEARINg:

It is essential that you learn and use good hygienic

methods in the care and handling of your new lenses.

Cleanliness is the first and most important aspect of

proper contact lens care. In particular, your hands

should be clean and free of any foreign substances

when you handle your lenses. The procedures are:

• Alwayswashyourhandsthoroughlywithamild

soap, rinse completely, and dry with a lint-free towel

before touching your lenses.

• Avoidtheuseofsoapscontainingcoldcream,lotion,

or oily cosmetics before handling your lenses, since

these substances may come into contact with the

lenses and interfere with successful wearing.

• Handleyourlenseswithyourfingertips,andbe

careful to avoid contact with fingernails. It is helpful

to keep your fingernails short and smooth.

Start off correctly by getting into the habit of always

using proper hygienic procedures so that they become

automatic.

2. hANdLINg ThE LENsEs:

• Developthehabitofalwaysworkingwiththesame

lens first to avoid mix-ups.

• Positionthelensonyourindexfingerandexamine

it to be sure that it is moist, clean, clear and free of

any nicks or tears.

• Shouldyouaccidentallyplaceaninside-outlenson

your eye, one of the following signs should signal

you to remove and replace it correctly.

a. Less than usual comfort

b. The lens may fold on the eye

c. Excessive lens movement on blink

d. Blurred vision

• Ifthelensfoldsandstickstogether:Placethelens

in the palm of your hand and wet thoroughly with

the recommended rewetting solution. (Refer to

the Lens Rewetting Products Chart for the solutions

available from Bausch & Lomb). Then GENTLY rub the

lens between your index finger and palm in a gentle

back and forth motion.

• Ifthelensflattensordrapesacrossyourfinger,

the lens or your finger may be too wet. To correct

this, dry your finger by transferring the lens several

times from one index finger to the other, drying the

opposite finger each time.

Personal Cleanliness and Lens Handling

6. CARE FOR A sTICKINg (NONMOVINg) LENs

It is important to the health of your eyes that your

contact lenses move freely. If a lens sticks (stops

moving), put a few drops of the lubricating or rewetting

solution recommended by your eye care professional

into your eye. In this case, do not use plain water or

anything other than the recommended solutions. Do

not attempt to remove a lens that is sticking, which

could damage your eye. If the lens does not begin to

move when you blink after several applications of the

solution or drops, contact your eye care professional

immediately. Do not attempt to remove the lens except

on the advice of your eye care professional.

7. EMERgENCIEs

If chemicals of any kind (household products, gardening

solutions, laboratory chemicals, etc.) are splashed

into your eyes, you should: FLUSH EYES IMMEDIATELY

WITH TAP WATER AND THEN REMOVE LENSES PROMPTLY.

CONTACT YOUR EYE CARE PROFESSIONAL OR VISIT A

HOSPITAL EMERGENCY ROOM WITHOUT DELAY.

LENs REWETTINg PROduCTs AVAILABLE FROM

BAusCh & LOMB:

Bausch & Lomb ReNu® Lubricating and Rewetting Drops

Bausch & Lomb Sensitive Eyes® Drops

3. PLACING THE LENS ON THE EYE

There are other methods of lens placement. If the

following methods are difficult for you, your eye care

professional will provide you with an alternate method.

Note: If after placement of the lens, your vision is blurred,

check for the following:

• Thelensisnotcenteredontheeye(see“Centering

the Lens,” next in this booklet).

• Ifthelensiscentered,removethelens(see

“Removing the Lens” section) and check for the

following:

a. Cosmetics or oils on the lens. Clean, rinse,

disinfect, and place on the eye again.

b. The lens is on the wrong eye.

c. The lens is inside-out (it would also not be as

comfortable as normal).

If you find that your vision is still blurred after checking

the above possibilities, remove both lenses and consult

your eye care professional.

The One Hand Placement Technique

Place the lens on your index finger. Head up, looking

straight ahead, pull down your lower eyelid with the

middle finger of your placement hand. Look up steadily

at a point above you. Then place the lens on the lower

white part of your eye. Remove your index finger and

slowly release the lower lid. Look down to position the

lens properly. Close your eyes for a moment; the lens

will center itself on your eye.

The Two Hand Placement Technique

With the lens on your index finger, use the middle

finger of the other hand to pull the upper lid against

the brow. Use the middle finger of your placement

hand to pull down the lower lid and then place the lens

centrally on your eye. While holding this position, look

downward to position the lens properly. Slowly release

your eyelids.

If the lens feels uncomfortable, then:

Look in a mirror and gently place a finger on the edge

of the contact lens and slowly slide the lens away from

your nose while looking in the opposite direction. Then

by blinking, the lens will recenter itself. If the lens still

feels uncomfortable, follow the steps described in the

section of this booklet entitled “Adverse Reactions.”

4. CENTERING THE LENS

Very rarely, a lens that is on the cornea will be

displaced onto the white part of the eye during lens

wear. This can also occur during placement and

removal of the lenses if the correct techniques are not

performed properly. To center a lens follow one of the

procedures below.

• Holdtheupperandlowereyelidsopenwithyour

fingers. Then, while looking in a mirror, gently place

a finger on the contact lens and gently slide the lens

towards the center of the eye.

• Holdtheupperandlowereyelidsopenwithyour

fingers. Then, while looking in a mirror, move your

eye towards the lens to place it on the center of

the eye.

5. REMOVING THE LENS

Always remove the same lens first.

a. Wash, rinse, and dry your hands thoroughly.

b. Always be sure that the lens is in the correct

position on your eye before you try to remove it

(a simple check of your vision, closing one eye

at a time, will tell you if the lens is in the correct

position). Look up and slowly pull down your lower

lid with the middle finger of your removal hand and

place your index finger on the lower edge of the

lens. Squeeze the lens lightly between the thumb

and index finger and remove it. Avoid sticking the

edges of the lens together.

c. Remove the other lens by following the same

procedure.

Note: If this method of removing your lens is difficult for you,

your eye care professional will provide you with an

alternate method.

3. PLACING THE LENS ON THE EYE

There are other methods of lens placement. If the

following methods are difficult for you, your eye care

professional will provide you with an alternate method.

Note: If after placement of the lens, your vision is blurred,

check for the following:

• Thelensisnotcenteredontheeye(see“Centering

the Lens,” next in this booklet).

• Ifthelensiscentered,removethelens(see

“Removing the Lens” section) and check for the

following:

a. Cosmetics or oils on the lens. Clean, rinse,

disinfect, and place on the eye again.

b. The lens is on the wrong eye.

c. The lens is inside-out (it would also not be as

comfortable as normal).

If you find that your vision is still blurred after checking

the above possibilities, remove both lenses and consult

your eye care professional.

The One Hand Placement Technique

Place the lens on your index finger. Head up, looking

straight ahead, pull down your lower eyelid with the

middle finger of your placement hand. Look up steadily

at a point above you. Then place the lens on the lower

white part of your eye. Remove your index finger and

slowly release the lower lid. Look down to position the

lens properly. Close your eyes for a moment; the lens

will center itself on your eye.

The Two Hand Placement Technique

With the lens on your index finger, use the middle

finger of the other hand to pull the upper lid against

the brow. Use the middle finger of your placement

hand to pull down the lower lid and then place the lens

centrally on your eye. While holding this position, look

downward to position the lens properly. Slowly release

your eyelids.

If the lens feels uncomfortable, then:

Look in a mirror and gently place a finger on the edge

of the contact lens and slowly slide the lens away from

your nose while looking in the opposite direction. Then

by blinking, the lens will recenter itself. If the lens still

feels uncomfortable, follow the steps described in the

section of this booklet entitled “Adverse Reactions.”

4. CENTERING THE LENS

Very rarely, a lens that is on the cornea will be

displaced onto the white part of the eye during lens

wear. This can also occur during placement and

removal of the lenses if the correct techniques are not

performed properly. To center a lens follow one of the

procedures below.

• Holdtheupperandlowereyelidsopenwithyour

fingers. Then, while looking in a mirror, gently place

a finger on the contact lens and gently slide the lens

towards the center of the eye.

• Holdtheupperandlowereyelidsopenwithyour

fingers. Then, while looking in a mirror, move your

eye towards the lens to place it on the center of

the eye.

5. REMOVING THE LENS

Always remove the same lens first.

a. Wash, rinse, and dry your hands thoroughly.

b. Always be sure that the lens is in the correct

position on your eye before you try to remove it

(a simple check of your vision, closing one eye

at a time, will tell you if the lens is in the correct

position). Look up and slowly pull down your lower

lid with the middle finger of your removal hand and

place your index finger on the lower edge of the

lens. Squeeze the lens lightly between the thumb

and index finger and remove it. Avoid sticking the

edges of the lens together.

c. Remove the other lens by following the same

procedure.

Note: If this method of removing your lens is difficult for you,

your eye care professional will provide you with an

alternate method.

11 8

1. PREPARING THE LENS FOR WEARING:

It is essential that you learn and use good hygienic

methods in the care and handling of your new lenses.

Cleanliness is the first and most important aspect of

proper contact lens care. In particular, your hands

should be clean and free of any foreign substances

when you handle your lenses. The procedures are:

• Alwayswashyourhandsthoroughlywithamild

soap, rinse completely, and dry with a lint-free towel

before touching your lenses.

• Avoidtheuseofsoapscontainingcoldcream,lotion,

or oily cosmetics before handling your lenses, since

these substances may come into contact with the

lenses and interfere with successful wearing.

• Handleyourlenseswithyourfingertips,andbe

careful to avoid contact with fingernails. It is helpful

to keep your fingernails short and smooth.

Start off correctly by getting into the habit of always

using proper hygienic procedures so that they become

automatic.

2. HANDLING THE LENSES:

• Developthehabitofalwaysworkingwiththesame

lens first to avoid mix-ups.

• Positionthelensonyourindexfingerandexamine

it to be sure that it is moist, clean, clear and free of

any nicks or tears.

• Shouldyouaccidentallyplaceaninside-outlenson

your eye, one of the following signs should signal

you to remove and replace it correctly.

a. Less than usual comfort

b. The lens may fold on the eye

c. Excessive lens movement on blink

d. Blurred vision

• Ifthelensfoldsandstickstogether:Placethelens

in the palm of your hand and wet thoroughly with

the recommended rewetting solution. (Refer to

the Lens Rewetting Products Chart for the solutions

available from Bausch & Lomb). Then GENTLY rub the

lens between your index finger and palm in a gentle

back and forth motion.

• Ifthelensflattensordrapesacrossyourfinger,

the lens or your finger may be too wet. To correct

this, dry your finger by transferring the lens several

times from one index finger to the other, drying the

opposite finger each time.

Personal Cleanliness and Lens Handling

6. CARE FOR A STICKING (NONMOVING) LENS

It is important to the health of your eyes that your

contact lenses move freely. If a lens sticks (stops

moving), put a few drops of the lubricating or rewetting

solution recommended by your eye care professional

into your eye. In this case, do not use plain water or

anything other than the recommended solutions. Do

not attempt to remove a lens that is sticking, which

could damage your eye. If the lens does not begin to

move when you blink after several applications of the

solution or drops, contact your eye care professional

immediately. Do not attempt to remove the lens except

on the advice of your eye care professional.

7. EMERGENCIES

If chemicals of any kind (household products, gardening

solutions, laboratory chemicals, etc.) are splashed

into your eyes, you should: FLUSH EYES IMMEDIATELY

WITH TAP WATER AND THEN REMOVE LENSES PROMPTLY.

CONTACT YOUR EYE CARE PROFESSIONAL OR VISIT A

HOSPITAL EMERGENCY ROOM WITHOUT DELAY.

LENS REWETTING PRODUCTS AVAILABLE FROM

BAUSCH & LOMB:

Bausch & Lomb ReNu® Lubricating and Rewetting Drops

Bausch & Lomb Sensitive Eyes® Drops

7 12

You should be aware that the following problems may

occur:

• Eyesstinging,burning,itching(irritation),orother

eye pain

• Comfortislessthanwhenlenswasfirstplaced

on eye

• Abnormal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

• Sensitivitytolight(photophobia)

• Dryeyes

If you notice any of the above, you should:

• Immediately remove your lenses.

• Ifthediscomfortorproblemstops,thenlookclosely

at the lens. If the lens is in any way damaged,

do not put the lens back on your eye. You should

discard the lens and insert a new lens on the eye.

If the problem continues, you should immediately

remove the lenses and consult your eye care

professional.

When any of the above problems occur, a

serious condition such as infection, corneal ulcer,

neovascularization, or iritis may be present. You should

keep the lens off your eye and seek immediate

professional identification of the problem and prompt

treatment to avoid serious eye damage.

Adverse Reactions (Problems And What To Do)

• Youshouldbeawarethataswithanytypeoflens

correction, there are advantages and compromises

to monovision contact lens therapy. The benefit

of clear near vision in straight ahead and upward

gaze that is available with monovision may be

accompanied by a vision compromise that may

reduce your visual acuity and depth perception for

distance and near tasks.

• Somepatientshaveexperienceddifficultyadapting

to monovision contact lens therapy. Symptoms,

such as mild blurred vision, dizziness, headaches

and a feeling of slight imbalance, may last for a

brief minute or for several weeks as adaptation

takes place. The longer these symptoms persist, the

poorer your prognosis for successful adaptation.

• Youshouldavoidvisuallydemandingsituations

during the initial adaptation period. It is

recommended that you first wear these contact

lenses in familiar situations, which are not visually

demanding. For example, it might be better to be

a passenger rather than a driver of an automobile

during the first few days of lens wear. It is

recommended that you only drive with monovision

correction if you pass your state drivers license

requirements with monovision correction.

• Somemonovisionpatientswillneverbefully

comfortable functioning under low levels of

illumination, such as driving at night. If this

happens, you may want to discuss with your eye

care professional having additional contact lenses

prescribed so that both eyes are corrected for

distance when sharp distance binocular vision is

required.

• Ifyourequireverysharpnearvisionduring

prolonged close work, you may want to have

additional contact lenses prescribed so that both

eyes are corrected for near when sharp near

binocular vision is required.

• Somemonovisionpatientsrequiresupplemental

spectacles to wear over the monovision correction

to provide the clearest vision for critical tasks. You

should discuss this with your eye care professional.

• Itisimportantthatyoufollowyoureyecare

professional’s suggestions for adaptation to

monovision contact lens therapy. You should discuss

any concerns that you may have during and after

the adaptation period.

• The decision to be fit with a monovision

correction is most appropriately left to the eye

care professional in conjunction with you, after

carefully considering and discussing your needs.

Instructions for the Monovision Wearer

13 6

• Aswithanycontactlens,follow-upvisitsare

necessary to assure the continuing health of the

eyes. You should be instructed as to a recommended

follow-up schedule.

• Patientsshouldbeadvisedaboutwearinglenses

during sporting and water related activities.

Exposure to water while wearing contact lenses

in activities such as swimming, water skiing and

hot tubs may increase the risk of ocular infection

including but not limited to Acanthamoeba keratitis.

• Alwayscontactyoureyecareprofessionalbefore

using any medicine in the eyes.

Who should know that you are wearing contact lenses:

• Informyourdoctor(healthcareprofessional)about

being a contact lens wearer.

• Alwaysinformyouremployerofbeingacontact

lens wearer. Some jobs may require the use of eye

protection equipment or may require that you not

wear lenses.

Ask your eye care professional whether there are any

other wearing restrictions that apply to you. Write those

restrictions in the spaces provided below and follow

them carefully:

Personal Wearing Record Schedule

Your eye care professional will prescribe your own individual lens wearing schedule and lens replacement schedule.

Use the space below to record your schedule and wearing record.

DAY DATE HOURS TO BE WORN HOURS WORN

Topics to Discuss with the Eye Care Professional

5 14

You should be aware of and fully discuss with your eye

care professional the following safety precautions:

Handling Precautions:

• Alwayswashandrinsehandsbeforehandling

lenses. Do not get cosmetics, lotions, soaps, creams,

deodorants, or sprays in the eyes or on the lenses.

It is best to put on lenses before putting on makeup.

Water-base cosmetics are less likely to damage

lenses than oil-base products.

• Beforeleavingyoureyecareprofessional’soffice

be certain that you are able to remove your lenses

promptly or have someone else available to remove

them for you.

• Becertainthatthefingersorhandsarefreeof

foreign materials before touching your lenses, as

microscopic scratches of the lenses may occur,

causing distorted vision and/or injury to the eye.

• Alwayshandleyourlensescarefullyandavoid

dropping them.

• Donottouchthelenswithyourfingernails.

• Carefullyfollowthehandling,insertion,removal,

cleaning disinfecting, storing and wearing

instructions in this booklet and those prescribed by

your eye care professional.

• Neverusetweezersorothertoolstoremoveyour

lenses from the lens container unless specifically

indicated for that use. Pour the lens into the hand.

Lens Wearing Precautions:

• Neverwearyourlensesbeyondtheperiod

recommended by your eye care professional.

• Ifthelenssticks(stopsmoving)ontheeye,follow

the recommended directions on Care for a Sticking

(Nonmoving) Lens. The lens should move freely

on the eye for the continued health of the eye. If

nonmovement of the lens continues, you should

immediately consult your eye care professional.

• Avoid,ifpossible,allharmfulorirritatingvaporsand

fumes when wearing lenses.

• Ifaerosolproductsareusedwhilewearinglenses,

exercise caution and keep eyes closed until the

spray has settled.

Precautions DAY DATE HOURS TO BE WORN HOURS WORN

15 4

You should be aware of and fully discuss with your eye

care professional the following warnings pertaining to

contact lens wear:

• Problemswithcontactlensescouldresultinserious

injury to your eye. It is essential that you follow

your eye care professional’s direction and all labeling

instructions for proper use of lenses. Eye problems,

including corneal ulcers, can develop rapidly and

lead to loss of vision.

• Dailywearlensesarenotindicatedforovernight

wear, and you should not wear lenses while

sleeping. Clinical studies have shown that the risk

of serious adverse reactions is increased when daily

wear lenses are worn overnight.

• Strictcompliancewithyourwearingrestrictions,

wearing schedule, and follow-up visit schedule

should be followed.

• Studieshaveshownthatcontactlenswearerswho

are smokers have a higher incidence of adverse

reactions than nonsmokers.

• Ifyouexperienceeyediscomfort,excessivetearing,

vision changes, or redness of the eye, you should

immediately remove lenses and promptly contact

your eye care professional.

WarningsCheck-Up Visits

Regular check-up examinations by your eye care professional are an important part of wearing

contact lenses. It is recommended that you follow your eye care professional’s directions for follow

up examinations. Keep all appointments for your check-up visits. If you move to a new city, ask

your present eye care professional to refer you to a contact lens professional in your new location.

Use the space below to record your appointments.

VISIT SCHEDULE

1. _____________________________________________________________________________

Date Time

2. _____________________________________________________________________________

Date Time

3. _____________________________________________________________________________

Date Time

4. _____________________________________________________________________________

Date Time

5. _____________________________________________________________________________

Date Time

6. _____________________________________________________________________________

Date Time

7. _____________________________________________________________________________

Date Time

8. _____________________________________________________________________________

Date Time

9. _____________________________________________________________________________

Date Time

10. ____________________________________________________________________________

Date Time

163

are reacting to the contact lenses and whether there

are any early signs of possible problems.

If problems or symptoms should occur, immediately

remove your lenses and follow the steps described in

the section of this booklet entitled “Warnings” and

“Adverse Reactions”. (Refer to “Glossary of Medical

Terms” for description of medical terms used in this

booklet). Prompt attention to problems is essential and

may require immediate professional care.

Remember, when wearing soft contact lenses your eyes

should look and feel good, and your vision should be

clear.

The Bausch & Lomb SofLens daily disposable Toric

(hilafilcon B) Visibility Tinted Contact Lens is indicated

for the daily wear correction of refractive ametropia

(myopia, hyperopia, and astigmatism) in not-aphakic

persons with non-diseased eyes, exhibiting astigmatism

of 5.00 diopters or less, that does not interfere with

visual acuity. The lens may be prescribed in spherical

powers ranging from +20.00D to -20.00D.

The lens has been prescribed for single-use disposable

wear, and is to be discarded after each removal.

Wearing Restrictions and Indications

DO NOT USE the Bausch & Lomb SofLens daily

disposable Toric (hilafilcon B) Visibility Tinted Contact

Lens when any of the following conditions exist:

• Acuteandsubacuteinflammationorinfectionofthe

anterior chamber of the eye

• Anyeyedisease,injury,orabnormalitythataffects

the cornea, conjunctiva, or eyelids

• Severeinsufficiencyoflacrimalsecretion

(dry eyes)

• Cornealhypoesthesia(reducedcornealsensitivity)

• Anysystemicdiseasethatmayaffecttheeyeorbe

exaggerated by wearing contact lenses

• Allergicreactionsofocularsurfacesoradnexa

(surrounding tissue) that may be induced or

exaggerated by wearing contact lenses

• Anyactivecornealinfection(bacterial,fungal,or

viral)

• Ifeyesbecomeredorirritated

Contraindications (Reasons Not To Use)

Eye Care Professional Information

PLEAsE FILL OuT FOR REAdy usE