BostonSight PROSE User manual

PROSE Device Use
and Care Guide
www.bostonsight.org
Restoring Sight. Changing Lives
®
PROSE
™
Copyright 2020
No part of this document may be reproduced
or distributed without the consent of BostonSight

BostonSight PROSE Device Use and Care Guide2
TABLE OF CONTENTS
Contact Information.................................................................................................
SET UP and APPLICATION
Set up for PROSE Device Application..........................................................
Preservative Free Saline Protocol.................................................................
Key Points for Optimal PROSE Device Application......................................
The Lid Spread is Everything........................................................................
How to Apply Your PROSE Device with a Plunger.......................................
How to Apply Your PROSE Device with a Lighted Plunger...........................
Apply Your PROSE Device with a Plunger Stand..........................................
Bubbles Under Your PROSE Device.............................................................
REMOVAL
Set Up: PROSE Device Removal..................................................................
How to Remove Your PROSE Device with a Plunger...................................
How to Remove Your PROSE Device without a Plunger..............................
DISINFECTION and CARE
Setting Up Your PROSE Disinfection Case..................................................
Set Up for PROSE Device Care and Cleaning..............................................
Nightly Disinfection Protocol for Your PROSE Device..................................
Morning Protocol for the Application of Your PROSE Device.......................
FAQ for Current BostonSight PROSE Patients.......................................................
PROSE Accessory and Solution Buying Guide.......................................................
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www.bostonsight.org
464 Hillside Avenue, Suite 205
Needham, MA 02494
BostonSight PROSE Device Use and Care Guide
CONTACT INFORMATION
Increased eye redness, pain, discharge, sensitivity to light, and/or significant reduction in vision may
signal infection and requires IMMEDIATE attention. Please contact your primary eye care provider and
ask them to keep your PROSE doctor aware of any findings.
Warning
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Main Phone: [phone]
Main Fax: [phone]
Doctors and staff CANNOT respond to medical
issues via email.
PROSE device problems, including
application, removal, or cleaning
Patient Emergencies (BostonSight, Needham only)
(after hours, weekends, or holidays)
Please note the patient emergency line is for
BostonSight-Needham patients ONLY. If you are not
a BostonSight-Needham patient, please contact your
PROSE provider directly.
Order a replacement PROSE device(s) or for
damaged or lost devices, please contact:
Insurace Pre-Authorization
1. Review this guide
2. Visit www.bostonsight.org/video to view our
Device Application and Removal video series.
3. Call 781-726-7494 to leave a message for an
ophthalmic technician.
Patient Emergency Line: [phone]
The emergency telephone line should NOT be used in
cases of broken or lost devices, medication
questions, or solution and cleaning questions. Please call
our office during normal business hours to discuss any
non- emergency issues you may be having.
Device Coordinator: [phone]
If you are requesting device servicing, complete the form
linked below and include it with your devices.
www.bostonsight.org/device-servicing
Insurance claim follow-up/appeal
Financial resources
Loren Stead [phone]
Lynn Carter [phone]
http://www.bostonsight.org/PROSE/For-Patients/
Community-Resources/Financial-Resources

You will need a soft towel to be placed on top of a clean work surface where you will apply
your device(s).
You will need the following supplies:
• An application plunger
• A removal plunger
• A small mirror
• Preservative-free saline, prescribed for you
Set-up for BostonSight PROSE Device Application
• Saline must be sterile and non-preserved, and prescribed for you by your doctor. Under no
circumstance should tap water ever be used for rinsing or filling.
• Purilens Plus is a chemical and preservative-free saline solution buffered with boric acid
and sodium borate. When using PuriLens Plus, only bottles that have been opened for
less than 48 hours should be used to fill your device. Marking the date on the bottle will
help remind you when it is time to throw the bottle away.
• You may rinse your device with PuriLens Plus that has been opened for as long as two
weeks. After two weeks, any remaining saline solution MUST be discarded.
• Sodium chloride 0.9% comes in boxes of 100 vials. Vials are 3, 5 or 10 mL, and are man-
ufactured for inhalation use in a nebulizer. It is equivalent to PuriLens Plus, except that it is
not buffered. We recommend asking your BostonSight doctor for a sample to try first. This
is to ensure that it does not cause any ocular irritation. Each single-use vial must be
disposed of immediately after use.
• ScleralFil by Bausch & Lomb is a sterile, buffered isotonic saline solution.
Each carton contains 30 single-use 10ml vials. It is available online at
http://www.bauschsvpstore.com and https:// dryeyeshop.com/
• LacriPure, an unbuffered preservative-free saline, available as 5ml single-use vials in a
98-count box. It is available online at https://dryeyeshop.com and
https://store.meniconamerica.com
• Bausch and Lomb Sensitive Eyes Plus Saline Solution or Clear Care Rinse & Go, can be
used for rinsing only. This solution contains preservatives and should not, under
any circumstances, be used to fill prosthetic devices used in PROSE treatment. Also, if
using this solution for rinsing, the prosthetic devices must be thoroughly rinsed with
preservative-free saline, prescribed for you, prior to application.
• Nutrifill is a preservative-free, buffered saline with natural electrolytes. It comes in a box of
35 10mL ampoules. It is available at http://www.nutrifill.com, http://www.dryeyeshop.com,
and http://www.myeyesupply.com.
Prescribed Preservative-Free Saline Protocol
application
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BostonSight PROSE Device Use and Care Guide4

Key Points for Optimal BostonSight PROSE Device Application
Wash your hands with non-moisturizing soap and dry them completely with a lint-
free towel before you begin.
Gently handle only the outside edges of the device.
• Your devices may have dots. For patients with devices for both eyes, the RIGHT
device is marked with ONE black dot. The LEFT device will have either NO dots
or TWO black dots.
• When either device has one or two black dots, the device should be applied with
the dot(s) oriented at the 12 o’clock position, unless otherwise instructed by your
doctor.
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application
Your eye must be open WIDE – the lid spread is everything!
The PROSE device must be centered within the lid spread.
The plunger must be vertical. Your PROSE device must retain the preservative-free
saline, prescribed for you, in the device to avoid bubbles.
Overfill your device to improve your chances of a bubble-free application.
1 dot = Right 2 dots = Left
BostonSight PROSE Device Use and Care Guide 5