CooperVision Vertex User manual

Part Number: PIB01024 Page 1 of 17
Revision B Revision Date: July 2018
INSTRUCTIONS FOR WEARERS MANUAL
Contact Lenses for Frequent Replacement Daily Wear
Vertex
Vertex Toric
Vertex Toric XR
(methafilcon A) Soft (Hydrophilic) Contact Lenses
CooperVision
®

Part Number: PIB01024 Page 2 of 17
Revision B Revision Date: July 2018
Table of Contents
INTRODUCTION........................................................................................................................... 3
WEARING RESTRICTIONS AND INDICATIONS..................................................................... 3
CONTRAINDICATIONS (REASONS NOT TO USE)................................................................. 4
WARNINGS................................................................................................................................... 5
PRECAUTIONS FOR FREQUENT REPLACEMENT WEAR.................................................... 5
ADVERSE REACTIONS............................................................................................................... 7
PERSONAL CLEANLINESS FOR LENS HANDLING............................................................... 8
1. Preparing the Lens for Wearing:............................................................................. 8
2. Handling the Lenses:............................................................................................... 8
3. Placing the Lens on the Eye:................................................................................... 8
4. Centering the Lens:................................................................................................. 9
5. Removing the Lens:................................................................................................ 9
CARING FOR YOUR LENSES (CLEANING, RINSING, DISINFECTING,
ENZYMING, STORAGE, AND REWETTING/LUBRICATING)................................. 10
1. Basic Instructions.................................................................................................. 10
2. Care for a Sticking (Nonmoving) Lens:................................................................ 13
3. Chemical Lens Disinfection (Including Hydrogen Peroxide)............................... 13
4. Lens Deposits and Use of Enzymatic Cleaning.................................................... 13
5. Lens Case Cleaning and Maintenance .................................................................. 14
6. Care for a Dried Out (Dehydrated) Lens:.............................................................. 14
7. Emergencies.......................................................................................................... 14
INSTRUCTIONS FOR THE MONOVISION WEARER............................................................ 14
PRESCRIBED WEARING SCHEDULE..................................................................................... 16
Check-Up Visits................................................................................................................ 17
APPOINTMENT SCHEDULE..................................................................................................... 17
CAUTION:Federal Law Prohibits Dispensing Without a Prescription

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INTRODUCTION
Your Vertex, Vertex Toric, or Vertex Toric XR contact lenses are made from a plastic material,
methafilcon A, which has the ability to absorb water, making it soft and pliable. When your eye care
practitioner prescribes your lenses for daily wear they are to be removed, discarded and replaced with
a new sterile one on a Frequent Planned Replacement schedule determined by your eye care
practitioner. To obtain maximum performance and satisfaction from your Vertex, Vertex Toric, or
Vertex Toric XR lenses, the procedures, methods and wearing schedule must always be followed.
Carefully read and follow specific directions and use for important safety information for each lens
care product. Discard the lens if the lens becomes damaged or you have reached the prescribed
wearing period recommended by your eye care practitioner. You should always have replacement
lenses or glasses available.
For your eye health, it is important to wear your lenses as prescribed by your eye care practitioner. It
is also important to keep your eye care practitioner fully aware of your medical history. Your eye
care practitioner will tailor a total program of care based on your specific needs. He or she will
review with you all instructions for lens handling, including how to safely and easily open the
package.
Benefits
Contact lenses provide vision correction.
If you lead an active lifestyle, contacts can provide:
•Close to natural vision
•Excellent peripheral vision for sports and driving
•Advantages for athletes and those with an active lifestyle
If your work or play in an environment in which glasses are not an option, contact lenses are an
alternative.
If you prefer the way you look without glasses, contact lenses can provide ease, and convenience.
Risks
Wearing contact lenses puts you at risk of several serious conditions including eye infections and
corneal ulcers. These conditions can develop very quickly and can be very serious. In rare cases,
these conditions can cause blindness. Other risks of contact lenses include pink eye (conjunctivitis),
corneal abrasions and eye irritation. For further detail, see WARNINGS and ADVERSE
REACTIONS.
If you are in doubt about any instructions, request clarification from your eye care
practitioner.
WEARING RESTRICTIONS AND INDICATIONS
1. Vertex lenses are indicated for daily wear between removals for cleaning and disinfecting as
recommended by the eye care practitioner. They are indicated for the correction of refractive
ametropia (myopia and hyperopia) in aphakic and not-aphakic persons with non-diseased

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eyes. The lenses may be worn by persons who exhibit astigmatism of 2.00 diopters or less
that does not interfere with visual acuity.
2. Vertex Toric and Vertex Toric XR lenses are indicated for daily wear between removals for
cleaning and disinfecting as recommended by the eye care practitioner. They are indicated for
the correction of refractive ametropia (myopia and hyperopia) in aphakic and not-aphakic
persons with non-diseased eyes. The lenses may be worn by persons who exhibit astigmatism
of 12.00 diopters or less.
Your Vertex, Vertex Toric, or Vertex Toric XR lenses have been prescribed for frequent
replacement wear and should be removed from your eyes and discarded as recommended by
your eye care practitioner.
If prescribed for daily wear, DO NOT WEAR YOUR VERTEX, VERTEX TORIC, OR
VERTEX TORIC XR LENSES WHILE SLEEPING.
Note: Only chemical disinfection may be used with Vertex, Vertex Toric, and Vertex Toric XR
lenses.
CONTRAINDICATIONS (REASONS NOT TO USE)
DO NOT USE the Vertex, Vertex Toric, and Vertex Toric XR contact lenses 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 which affects the cornea, conjunctiva, or eyelids.
• Severe insufficiency of lacrimal secretion (dry eyes).
• Corneal hypoesthesia (reduce corneal sensitivity), if not-aphakic.
• Any systemic disease that may affect the eye or be exaggerated by wearing contact lenses.
• Allergic reactions of ocular surfaces or adnexa that may be induced or exaggerated by
wearing contact lenses or use of contact lens solutions.
• Allergy to any ingredient, such as mercury or thimerosal, in a solution which is to be used to
care for Vertex, Vertex Toric, and Vertex Toric XR contact lenses.
• Any active corneal infection (bacteria, fungal, or viral).
• If eyes become red or irritated.
• You are unable to follow lens care regimen or unable to obtain assistance to do so.

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WARNINGS
You should be advised of the following warnings pertaining to contact lens wear:
oProblems with contact lenses and lens care products could result in serious injury to
the eye. It is essential that you follow your eye care practitioner's directions and all
labeling instructions for proper use of lenses and lens care products, including the
lens case. Fill your lens case with fresh solution every time you store your lenses, and
never re-use solution. Additionally, you should clean and rinse your lens case
between uses as recommended by your eye care practitioner. Eye problems,
including corneal ulcers, can develop rapidly and lead to loss of vision.
oDaily wear lenses are not indicated for overnight wear, you must not wear your
lenses while sleeping. Clinical studies have shown that the risk of serious adverse
reactions is increased when these lenses are worn overnight.
oStudies have shown that contact lens wearers who are smokers have a higher
incidence of adverse reactions than nonsmokers.
oIf you experience eye discomfort, excessive tearing, vision changes or redness of the
eye, you should immediately remove your lensesand promptly contact your eye
care practitioner.
PRECAUTIONS FOR FREQUENT REPLACEMENT WEAR
• Different solutions cannot always be used together, and not all solutions are safe for use with
all lenses. Use only the solutions recommended by your eye care practitioner.
oNever use solutions recommended for conventional hard contact lenses only.
•Use only chemical (not heat) disinfection with Vertex, Vertex Toric, and Vertex
Toric XR lenses. Heat disinfection should not be used. Repeated heat disinfection
will cause irreversible damage to Vertex, Vertex Toric, and Vertex Toric XR
lenses.
oAlways use fresh, unexpired lens care solutions.
oAlways follow directions in the package inserts for the use of contact lens solutions.
oSterile unpreserved solutions, when used, should be discarded after the time specified
in the labeling directions.
oDo not use saliva or anything other than the recommended solutions for lubricating
or wetting lenses. Do not put the lenses in your mouth.
oAlways keep the lenses completely immersed in the recommended storage solution
when the lenses are not being worn (stored). Prolonged periods of drying may
damage the lenses. Follow the lens care directions for Care for a Dried Out
(Dehydrated) Lens if the lens surface does become dried out.

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• If the lens sticks (stops moving) on the eye, follow the recommended directions on Care for
a Sticking 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
practitioner.
• Always wash and rinse your hands before handling the 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-based cosmetics are less likely to damage lenses than oil-
based products.
• Do not touch contact lenses with the fingers or hands if the hands are not free of foreign
materials, as lens damage may occur.
• Carefully follow the handling, insertion, removal, cleaning, disinfecting, storing and
wearing instructions in this booklet and those prescribed by your eye care practitioner.
• Never wear lenses beyond the period recommended by your eye care practitioner.
• If aerosol products such as hair spray are used while wearing lenses, exercise caution and
keep eyes closed until the spray has settled.
• Always handle lenses carefully and avoid dropping them.
• Avoid all harmful or irritating vapors and fumes while wearing lenses.
• Ask your eye care practitioner about wearing lenses during sporting activities.
• Inform your doctor (health care practitioner) that you wear contact lenses.
• Never use tweezers or other tools to remove lenses from the lens container unless specifically
indicated for that use. Pour the lens into the hand.
• Do not touch the lens with fingernails.
• Always contact your eye care practitioner before using any medicine in the eyes.
• Always inform your employer that you wear contact lenses. Some jobs may require use of
eye protection equipment or may require that you do not wear contact lenses.
• As with any contact lens, follow-up visits are necessary to assure the continuing health of
your eyes. Your eye care practitioner will recommend a follow-up schedule.
Lens Case Precautions:
•Bacteria can grow in contact lens cases. It is important to properly use, clean and replace
your cases at regular intervals recommended by the lens case manufacturer or your eye care
practitioner.

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Who Should Know That You Are Wearing Contact Lenses:
•Inform your doctor (health care practitioner) that you wear contact lenses.
•Always inform your employer that you wear contact lenses. Some jobs may require use
of eye protection equipment or may restrict contact lens wear.
•Always contact your eye care practitioner before using any medicine in your eyes.
Other Topics to Discuss with Your Eye Care Practitioner:
•Follow-up visits are necessary to assure the continued health of your eyes. You should
be instructed to a recommended follow-up schedule.
ADVERSE REACTIONS
Be aware the following problems may occur when wearing contact lenses:
• Eyes stinging, burning, itching (irritation), or other eye pain
• Comfort is less than when lens was first placed on eye
• Feeling that something is in the eye such as a foreign body or 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 problems, 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. 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 the lens appears undamaged, you should thoroughly clean, rinse and
disinfect the lenses, then reinsert them. After reinsertion, if the problem continues, you
should immediately remove the lenses and consult your eye care practitioner.
After reinsertion, if the problem continues, you should keep the lens off the eye and seek

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immediate professional identification of the problem and prompt treatment to avoid serious eye
damage. Your eye care practitioner will examine your eyes, to be certain that a serious condition such
as infection, corneal ulcer, neovascularization, or iritis is not present.
PERSONAL CLEANLINESS FOR LENS HANDLING
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.
• Remove the lens from its storage case and examine it to be sure that it is moist, clean,
clear, and free of any nicks or tears.
• Rinse the lens thoroughly with fresh, sterile saline solution before placing it on your
eye.
3. Placing the Lens on the Eye:
• Position the lens on the tip of the index finger of your dominant hand. With the
middle finger of the same hand, pull the lower eyelid down. Use the middle finger of
the other hand to gently raise the upper eyelid by lifting the lid just above the
eyelashes.
• Look straight ahead and gently place the lens on your eye.

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• Slowly release the lids, close your eyes, and then open them slowly. The lens should
center automatically.
• Repeat the procedure for the other eye.
There are other methods of lens placement. If the above method is difficult for you, your eye
care practitioner 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 practitioner.
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.
a. Close your eyelids and gently massage the lens into place through the closed lids
using your index finger.
b. Gently push the off-centered lens onto the cornea while the eye is open using finger
pressure on the edge of the upper or lower eyelid.
5. Removing the Lens:
CAUTION: Always be sure that the lens is centered on the cornea before attempting to remove it.
Determine this by covering the other eye. If the vision is blurred, the lenses is either on the white part
of the eye or it is not on the eye at all. To locate the lens, inspect the upper area of the eye by looking
down into a mirror while pulling the upper lid up. Then, inspect the lower area by pulling the lower
lid down.
Wash, rinse, and dry your hands thoroughly with mild soap, rinse completely, and dry with a lint-free

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towel before touching lenses. Have your storage container or carrying case ready to put the lenses in
upon removal.
a. Look straight ahead and up slightly. With the middle finger of your dominant hand,
pull the lower lid down slightly.
b. Gently pinch the lens between the index finger and thumb of your dominant hand.
c. Gently pull the lens away from the eye.
d. Repeat the procedure for the other lens.
e. Follow the required lens care procedures described under the heading, CARING FOR
YOUR LENSES (CLEANING, RINSING, DISINFECTING, ENZYMING,
STORAGE, AND REWETTING/LUBRICATING).
NOTE: If this method of removing your lenses is difficult for you, your eye care practitioner
will provide you with an alternate method.
CARING FOR YOUR LENSES (CLEANING, RINSING,
DISINFECTING, ENZYMING, STORAGE, AND
REWETTING/LUBRICATING)
1. Basic Instructions
For continued safe and comfortable wearing of your lenses, it is important that you first clean and
rinse, then disinfect and neutralize (for hydrogen peroxide systems) your lenses after each removal,
using the care regimen recommended by your eye care practitioner. Cleaning and rinsing are
necessary to remove mucus, secretions, films, or deposits which may have accumulated during
wearing. The ideal time to clean your lenses is immediately after removing them. Disinfecting is
necessary to destroy harmful germs.
You should adhere to a recommended care regimen. Failure to follow the regimen may result in
development of serious ocular complications as discussed in the WARNINGS section above.
If you will not or cannot adhere to a recommended care regimen for your lenses, or are unable to
place and remove lenses or have someone available to place and remove them, you should not attempt
to get and wear contact lenses.
When you first get your lenses, be sure you are able to put the lenses on and remove them while you
are in your eye care practitioner's office. At that time you will be provided with a recommended
cleaning and disinfecting regimen and instructions and warnings for lens care, handling, cleaning, and
disinfection. Your eye care practitioner should instruct you about appropriate and adequate
procedures and products for your use, and provide you with a copy of the Patient Instructions for
Vertex, Vertex Toric, and Vertex Toric XR contact lenses.
For safe contact lens wear, you should know and always practice your lens care routine: