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

The Lid Spread is Everything
Incorrect! Fingertips are not centered.
Lid spread is not a perfect circle.
Incorrect! Lids slipped from fingertips.
Lids are not open wide enough.
Perfect! A round opening with plenty of
clearnace for the device application.
application
BostonSight PROSE Device Use and Care Guide6

How to Apply Your PROSE Device with a Plunger
Empty the contents of the case (i.e. the prosthetic device) into the palm of your hand.
With the other hand, GENTLY grasp the device by the edges. Note: the device should be
wet during this process.
Squeeze in on the sides of the plunger before coming into contact with the prosthetic
device.
Place the face of the plunger over the prosthetic device, and release side pressure on
plunger, creating a vacuum between the plunger and the PROSE device.
Release the sides of the device, holding it with the plunger.
IMPORTANT: Holding the device with the fingers while applying the plunger lessens the
force against the device. ALWAYS handle the device by the edges when attempting to
attach the plunger to the device. DO NOT attach the plunger while the device is resting on
a hard surface such as a table or counter top. This will place excessive force on the device,
risking breakage. Never squeeze the sides, or place pressure on the face, of the device.
IMPROPER USE OF PLUNGER DURING DEVICE APPLICATION
• DO NOT apply force with plunger in a downward motion causing device to break
• DO NOT use the plunger to contact the device while it is sitting on a hard surface
• DO NOT attempt to take a device out of the case with a plunger
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application
BostonSight PROSE Device Use and Care Guide 7

How to Apply Your PROSE Device with a Plunger - continued
Holding the plunger vertically, overfill device with preservative-free
saline, prescribed for you. Be careful to let the solution drip, not
stream into the device, in order to prevent bubbles from forming.
Maintain proper lid spread. Hold the eyelids at the edges,
where the lashes meet the lids. The contact points should
be centered on both lids, so as to form a perfectly round
opening with plenty of clearance for device application.
Tuck your chin to your chest. Look straight down. Keep the
plunger centered in your eye by focusing on the black hole
in the center of the plunger.
Continue approaching your eye smoothly and steadily, and
stare at the black hole as if you are looking through it. Some
people find it useful to shut the eye that they are not applying
the device to.
You will feel the fluid, but you are not there yet. Press your device
onto the eye with firm pressure.
Capture the device with the eyelids by releasing the lids. Don’t
squint. Maintain the upward pressure on the device while squeez-
ing the plunger in order to release the plunger from the device.
The device has now been released onto your eye! Continue
squeezing the plunger while you retract it away from the eye.
Now check your device in the mirror. Shine a penlight onto the
surface of the device and look for the presence of any bubbles in
or under the device. If you detect bubbles the device MUST be
removed and reapplied.
After application of both devices, clean your application plunger
with warm soapy water, rinse well, and allow to air dry.
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application
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"DO A PUSH-
SQUEEZE"
BostonSight PROSE Device Use and Care Guide8
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How to Apply Your PROSE Device with a Lighted Plunger
Wet the fenestrated end of the application plunger with
preservative-free saline, prescribed for you. Attach the
plunger to the plunger light by inserting the light into the hole
at the end of the fenestrated plunger.
While holding a cleaned and disinfected PROSE device
gently by the edges, apply to an application plunger by gently
squeezing the plunger at the line while placing the device on
the cup and releasing the ‘squeeze’. Refer to page 7 for
complete instructions. Turn on the green light.
Holding the plunger vertically, overfill device with
preservative-free saline, prescribed for you. Be careful to let
the solution drip, not stream into the device, in order to prevent bubbles
from forming.
Maintain proper lid spread. Hold the eyelids at the edges, where the lashes
meet the lids. The contact points should be centered on both lids, so as to
form a perfectly round opening with plenty of clearance for the device.
Tuck your chin to your chest. Look straight down. Keep the
plunger centered in your eye by focusing on the green light in
the center of the plunger.
Continue approaching your eye smoothly and steadily, and
stare at the green light as if you are looking through it. Some
people find it useful to shut the eye that they are not applying
the device to.
You will feel the fluid but you are not there yet. Press your
device onto the eye with firm pressure.
Capture the device with the eyelids by releasing the lids. Don’t
squint. Maintain the upward pressure on the device while
squeezing the plunger in order to release the plunger from
the device.
The device has now been released onto your eye! Continue squeezing the
plunger while you retract it away from the eye.
Now check your device in the mirror. Shine a penlight onto the surface of the
device and look for the presence of any bubbles in or under the device. If
you detect bubbles the device MUST be removed and reapplied.
After application of both devices, clean your application plunger with warm
soapy water, rinse well, and allow to air dry.
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application
BostonSight PROSE Device Use and Care Guide 9

How to Apply Your PROSE Device with a Plunger Stand
with or without a Lighted Plunger
Place the application plunger in the hole at the top of the stand. If using a light, feed the
wire through the slot on the stand. Turn on the light. Adjust the
height of the stand if necessary, by placing it on top of
something such as a book or a tissue box.
While holding a cleaned and disinfected PROSE device gently
by the edges, place onto the application plunger. Do NOT
squeeze the plunger to attach the device so that it will release
easily when applying.
Overfill device with preservative-free saline, prescribed for you.
Be careful to let the solution drip, not stream into the device, in
order to prevent bubbles from forming.
Hold the eyelids at the edges, where the lashes meet the lids.
The contact points should be centered on both lids, so as to
form a perfectly round opening with plenty of clearance for
device application.
Tuck your chin to your chest. Look straight down. Keep the
plunger centered in your eye by focusing on the black hole or
green light in the center of the plunger.
Begin to approach the device by moving your head downward
smoothly and steadily. The approaching device and plunger
must be centered within that opening and your focus must
remain on the black hole or green light.Some people find it
useful to shut the eye that they are not applying the device to.
You will feel the fluid but you are not there yet. Continue the
downward motion until your device is pressed firmly against
your eye.
Capture the device with the eyelids by releasing the lids.
The device has now been released onto your eye! Keep your
eye closed while you sit up, backing away from the plunger with the device on your eye.
Now check your device in the mirror. Shine a penlight onto the surface of the device and
look for the presence of any bubbles in or under the device. If you detect bubbles the device
MUST be removed and reapplied.
After application of both devices, clean your application plunger with warm soapy water,
rinse well, and allow to air dry.
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application
BostonSight PROSE Device Use and Care Guide10
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Examples of Bubbles Under Your PROSE Device
Single bubble:
Multiple bubbles:
If you see a bubble, the device MUST be removed and re-applied.
application
BostonSight PROSE Device Use and Care Guide 11

How to Remove Your PROSE Device with a Plunger
You will need to have a soft towel to be placed on top of a clean work surface
where you will remove your device(s).
You will need the following supplies:
• A removal plunger
• A small mirror, positioned upright
• Preservative-free saline, prescribed for you
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removal
BostonSight PROSE Device Use and Care Guide12
Set Up for PROSE Device Removal
Position the mirror upright on your work surface.
Lubricate your eye thoroughly with preservative-free saline,
prescribed for you.
Wet a removal plunger with the preservative-free saline,
prescribed for you.
Look straight ahead into the mirror.
Just as when applying your PROSE device, execute proper lid spread.
It is important to make sure the upper lid is secure during the removal
to prevent scratching your eye.
While maintaining your lid spread, create suction with the plunger at
a 45 degree angle. Aim for the 6 o’clock position on the device, at the
point where the colored portion of the eye meets the white.
Press the removal plunger firmly, but gently, against the device. Break
the suction by tipping the bottom of the plunger up and then pull the
plunger in an arc-down-and-out manner, taking care not to scratch
your cornea. On some occasions, you may need to pull and relax the
plunger rapidly and repeatedly.
NOTE: If the plunger is pressed too close to the center of the device,
directly over the pupil, it may not be possible to break suction and
remove the device.
Maintain the lid spread until the device is out of your eye.
Hold the device gently by the edges and remove the plunger from the
device by twisting and maneuvering it towards the edge of the device.
Clean your removal plunger with warm soapy water, rinse well, and
allow to air dry.

removal
How to Remove Your PROSE Device without a Plunger
Lubricate your eye thoroughly with preservative-free saline, prescribed for you.
Press the tip of an index finger on the very
edge of your upper lid at the 12 o’clock
position and gently push it into your eye just
above the top edge of the device. (If you have
deep-set eyes, this will require you to reach
under your brow and look slightly down.)
Block the device from moving down by pressing the tip of the
index finger of your other hand on the very edge of your lower lid
just below the bottom edge of the device.
Look upward until you feel the device being blocked by pressure
on the upper lid margin.
Scoop the upper edge of the device off the eye with the upper lid
margin, look up further and blink slowly to remove the device.
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BostonSight PROSE Device Use and Care Guide 13

disinfection and care
To start, you will need to have a clean work surface and the following supplies:
• One PROSE disinfection case
• One unopened package of Clear Care
• Please note that you can use original Clear Care or Clear Care Plus
Remove the lid from the PROSE disinfection case.
Remove the lid from the small Clear Care case.
Remove/break off the catalyst from the arbor on the bottom of the Clear Care
case (as illustrated to the right).
Discard the Clear Care case.
*NEVER attempt to disinfect your PROSE device in the case included
with the Clear Care Solution
If your PROSE case still has the arbor (stem) attached to the bottom of the
basket assembly, it will need to be removed by using pliers to grasp the arbor
and gently bending the arbor until it breaks. If not, continue to step 6
Drop the catalyst from the Clear Care case into the PROSE disinfection case
so that it sits on the bottom of the PROSE case.
We recommend replacing the catalyst every two months. Under NO
circumstances should the catalyst be used for more than 90 days.
Your PROSE disinfection case is now properly set up for nightly disinfection.
Setting up Your PROSE Disinfection Case
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We recommend replacing your PROSE device case every 3 months
BostonSight PROSE Device Use and Care Guide14

disinfection and care
You will need to have a soft towel to be placed on top of a clean work surface
where you will clean your device(s).
You will need the following supplies:
• A PROSE disinfection case with catalyst from Clear Care Cleaning &
Disinfecting Solution
• Preservative-free saline, prescribed for you
• Optimum ESC by Lobob or MiraFlow, Unique pH, Boston Simplus or
Tangible Clean* (*Tangible Clean is for Hydra-Peg devices only)
• One bottle of Clear Care (or Clear Care Plus)
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Set Up for PROSE Device Care and Cleaning
BostonSight PROSE Device Use and Care Guide 15
Note: Both Optimum ESC by Lobob and MiraFlow are currently on backorder

disinfection and care p.m.
Wash your hands thoroughly with non-moisturizing soap and dry completely with a
lint-free towel before you begin.
Place your device in the palm of your hand. Place one drop
of Optimum ESC by Lobob or MiraFlow Extra-Strength Daily
Cleaner, or Unique pH or Boston Simplus (for plasma-
treated) or Unique pH, Boston Simplus, or Tangible Clean (for
Hydra-PEG treated) on the outside surface of the device and
rub for fifteen seconds. Place another drop on the inner surface
and then rub again for fifteen seconds.
DO NOT rub the device between your fingers to clean it.
This can cause the device to warp.
While handling the PROSE device gently by the edges, rinse
the device thoroughly with preservative-free saline prescribed for you, B&L Sensitive
Eyes Plus saline or Clear Care Rinse & Go. Under no circumstances should tap
water be used for rinsing.
Gently separate the basket from the basket assembly by pulling the tab
located near the arbor so that the basket is horizontal.
Place the right device, bowl side up, into the white basket (see photo at
right for correct placement). While keeping the basket horizontal, bring
the basket assembly down onto the basket. To avoid damaging or
losing your PROSE devices, DO NOT attempt to bring the
basket up to the basket assembly.
Repeat for the left device and place into the empty basket.
Fill the PROSE disinfection case with Clear Care solution to the fill line.
It is ok if the neutralization disc floats up to the top – the basket will push it back down.
Place the basket assembly in the case and secure the cover. DO NOT over tighten the
cover because the threads may split and break. It is ok if the disc does not sit flat at the
bottom of the case. It will still work properly, even if it is wedged on the side of the case.
To properly allow the Clear Care solution to neutralize, devices must remain in the case
for AT LEAST six hours. NOTE: If you must remove the devices before the disinfec-
tion process has ended, rinse them thoroughly with the saline, prescribed for you. Then
soak devices in fresh saline, in a clean contact lens case for at least 5 minutes.
Repeat with fresh saline solution for an additional 5-minute soak. Rinse again with
preservative-free saline before re-applying to your eye. Clean the white contact lens
case with an alcohol wipe and air dry.
Nightly Disinfection Protocol for Your PROSE Device
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BostonSight PROSE Device Use and Care Guide16

disinfection and care a.m.
You will need to have 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
After thoroughly washing and drying your hands with non-moisturizing soap and water,
remove your device from the PROSE disinfection case.
While holding a cleaned and disinfected PROSE device gently by the edges, briefly rinse
with preservative-free saline, prescribed for you. Under no circumstances should tap
water be used for rinsing.
Apply device(s) to the eye(s) using your preferred application technique.
After each use, empty the PROSE disinfection case (being careful not to lose the neutralization
disc) and leave it open to air dry. NEVER clean the PROSE disinfection case with alcohol.
NOTE: If you experience a slight stinging sensation upon application of the device in the
morning, remove your device from your eye immediately and rinse your eye thoroughly
with preservative-free saline, prescribed for you. Do this until the stinging sensation
dissipates. Rinse your device(s) thoroughly with preservative-free saline and then soak
them in fresh saline solution for at least 5 minutes before re-applying to your eye. When
this occurs, it is likely an indication that the Clear Care catalyst needs to be replaced.
WARNING
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.
Morning Protocol for the Application of Your PROSE Device
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BostonSight PROSE Device Use and Care Guide 17

faq - PROSE device use
Q: What are the daily essentials of my PROSE device(s)? Is there a smaller carrying case
available than the one provided?
Daily Essentials include:
• Preservative-free saline, prescribed for you
• One clean contact lens case
• One application plunger
• One removal plunger
A small digital camera case or makeup bag, available at any major department store, should
fit your daily essentials.
Q: What kind of eye make-up can I use while wearing my BostonSight® PROSE device(s)?
Please visit our website for a list of make-up options that are complimentary to PROSE
device wear.
http://www.bostonsight.org/content/editor/File/Contact-lens-complimentary-make-up.pdf
Q: I have two PROSE devices. How can I distinguish between the left and the right device?
For patients with prosthetic 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 PROSE
device has one or two black dots, the device should be applied with the dot(s) oriented at
the 12 o’clock position, unless instructed otherwise by your doctor.
Q: Can I sleep or nap in my PROSE device(s)?
You can nap for a maximum of 30 minutes. Do NOT sleep with your PROSE devices, as this can
greatly increase the risk of an eye infection.
Q: What should I do with my PROSE device(s) if I remove them for a short period of time to
shower, swim, or nap?
Any plasma-treated PROSE device should be stored in a dry white screw top contact lens
case. Hydra-PEG PROSE device(s) should be stored soaking in Unique pH, Boston Simplus,
or Tangible Clean in a white screw top contact lens case. Before re-applying, the PROSE
device(s) should be cleaned with your daily cleaner and rinsed well with preservative-free
saline, prescribed for you. The case should then be emptied, wiped out with an alcohol prep
pad, and allowed to air dry.
Q: Can I swim or shower while wearing the PROSE device(s)?
No, you cannot swim or shower while wearing PROSE devices. Exposure to impure and non-
sterile water (tap, lake, pool, etc) while wearing your PROSE device increases your risk of a
sight-threatening infection. For any further specific questions regarding this, please speak to your
PROSE doctor.
BostonSight PROSE Device Use and Care Guide18

faq - PROSE device use
Q: I just received my PROSE device(s) in the mail. How do I prepare them for application?
Prosthetic devices will be shipped wet in a case. Upon receiving your device(s), please follow
the steps below:
1. Wash your hands thoroughly with non-moisturizing soap and water before handling your
PROSE devices.
2. Clean your PROSE device(s) as instructed below:
• Place one PROSE device in the palm of your hand.
• Place one or two drops of Optimum ESC, MiraFlow Extra-Strength Daily Cleaner, Unique
pH, or Boston Simplus (for plasma treated devices) or Unique pH, Boston Simplus, or
Tangible Clean (for Hydra-Peg treated devices) on the outside surface of the PROSE
device and rub for 15 seconds. Flip the PROSE device over, place another one or two
drops of one of the above solutions and rub the inside surface for 15 seconds.
3. While handling your PROSE device gently by the edges, rinse with the sterile,
preservative-free saline, prescribed for you.
4. Your PROSE device(s) are ready for application.
Q: My condition causes mucus to accumulate on the outside of my PROSE device(s).
What can I do?
For any plasma-treated PROSE device, you can use a few drops of sterile preservative-free
saline, prescribed for you, on the end of a Q-tip to “squeegee” the outside surface of the device.
Alternatively, PROSE devices can be refreshed: remove, clean with your daily cleaner, rinse
thoroughly with preservative-free saline, and reapply.
Under no circumstances should tap water be used for rinsing.
Any Hydra-PEG treated PROSE device can be refreshed; removed, cleaned with Hydra-PEG
approved daily cleaner, rinsed thoroughly with preservative-free saline, and reapplied. Do not
“squeegee” a Hydra-PEG device since this could damage integrity of coating.
Q: I use medicated eye drops and wear PROSE devices. How do I use the drops?
If the medication is used once or twice per day, put the eye drop in before PROSE device
application and after device removal, making sure to wait 10-15 minutes prior to application of
PROSE device. If the medication is three times per day or more, then consult with your primary
eye care provider to determine whether it is acceptable to apply drops while wearing the PROSE
device, as the absorption is compromised.
BostonSight PROSE Device Use and Care Guide 19

faq - traveling with PROSE devices
Q: I am traveling to ________ country/non-US city. Can you please tell me where there is a
pharmacy where I can buy the solutions I need for my PROSE device(s)?
Unfortunately, we have no way of knowing which solutions are available in which countries.
We recommend that for extended trips, you either pack the solutions that you will need and
ship them to yourself at your destination or order some supplies from a US distributor for
delivery to your destination address.
Q: What solutions can I take on an airplane?
You can carry on all necessary solutions except 3% hydrogen peroxide and Clear Care
which are not allowed on an aircraft under any circumstances. These must be packed in
your checked luggage. We will provide you with a medical necessity letter addressed to the
Transportation Security Administration (TSA) detailing what you should be allowed to bring
onto the airplane due to medical reasons.
BostonSight PROSE Device Use and Care Guide20