VTI NaturalVue etafilcon A User manual

LBL-NVU-PIB r3, Patient Instruction Booklet Page 1 of 10
PATIENT INSTRUCTION BOOKLET
NaturalVue (etafilcon A) Daily Disposable Soft (Hydrophilic) Contact Lenses for
Daily Wear
CAUTION: FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A LICENSED
PRACTITIONER
TABLE OF CONTENTS
INTRODUCTION .............................................................................................................................2
WEARING RESTRICTIONS AND INDICATIONS ............................................................................2
CONTRAINDICATIONS (REASONS NOT TO USE)........................................................................3
WARNINGS.....................................................................................................................................3
PRECAUTIONS...............................................................................................................................4
ADVERSE REACTIONS (PROBLEMS AND WHAT TO DO) ...........................................................5
PERSONAL CLEANLINESS AND LENS HANDLING......................................................................6
PREPARING THE LENS FORWEARING..............................................................6
HANDLING THE LENSES......................................................................................6
PLACING THE LENS ON THE EYE .......................................................................7
CENTERING THE LENS........................................................................................7
REMOVING THE LENS..........................................................................................8
WEARING SCHEDULE ...................................................................................................................8
CARE FOR A STICKING (NON-MOVING) LENS ............................................................................8
CARE FOR A DEHYDRATED LENS................................................................................................8
EMERGENCIES ..............................................................................................................................8
INSTRUCTIONS FOR THE MONOVISION WEARER .....................................................................8
INSTRUCTIONS FOR THE MULTIFOCAL OR MULTIFOCAL TORIC WEARER ............................9

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INTRODUCTION
Congratulations on choosing the NaturalVue (etafilcon A) Daily Disposable Soft (Hydrophilic)
Contact Lenses for Daily Wear with UV Blocker. Your NaturalVue (etafilcon A) Contact Lenses
are made from etafilcon A with a water content of 58% by weight.
Please read this Patient Instruction Booklet carefully. It contains the information you need to
know to wear, handle, and care for your NaturalVue (etafilcon A) Contact Lenses. It is
essential to your safety that you read and understand the information in this booklet, and have
your Eye Care Professional answer any questions. Please keep this booklet for future
reference.
Your NaturalVue (etafilcon A) Contact Lenses are single-use devices, and once removed, they
are to be discarded and replaced with a new sterile pair. Your lenses are not intended to be
cleaned and disinfected. You should always carry a spare pair of lenses. If you have any
questions, always ask your Eye Care Professional.
For your eye health, it is important to wear your lenses as prescribed by your Eye Care
Professional. Your Eye Care Professional should be kept fully aware of your medical history.
Your Eye Care Professional 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. You will receive instruction how to properly insert and remove lenses. This
booklet will reinforce those instructions. Discard and replace your contact lenses with a new
sterile pair, as prescribed by your Eye Care Professional.
WEARING RESTRICTIONS AND INDICATIONS
Sphere and Asphere
NaturalVue (etafilcon A) Sphere and Asphere Daily Disposable Soft (Hydrophilic) Contact
Lenses for Daily Wear are indicated for daily wear for the correction of ametropia (myopia and
hyperopia) in aphakic and/or non-aphakic persons with non-diseased eyes in powers from
+20.00 to -20.00 diopters. The lenses may be worn by persons who exhibit astigmatism of
2.00 diopters or less that does not interfere with visual acuity.
Toric
NaturalVue (etafilcon A) Toric Daily Disposable Soft (Hydrophilic) Contact Lenses for Daily
Wear are indicated for daily wear for the correction of ametropia (myopia or hyperopia with
astigmatism) in aphakic and/or non-aphakic persons with non-diseased eyes in powers from
-20.00 to +20.00 diopters and astigmatic corrections from -0.25 to -10.00 diopters
Multifocal
NaturalVue (etafilcon A) Multifocal Daily Disposable Soft (Hydrophilic) Contact Lenses for
Daily Wear are indicated for daily wear for the correction of refractive ametropia (myopia and
hyperopia), and/or presbyopia in aphakic and/or non-aphakic persons with non-diseased eyes
in powers from -20.00 to +20.00 diopters and with non-diseased eyes who may require a
reading addition of up to +3.00D. The lenses may be worn by persons who exhibit
astigmatism of 2.00 diopters or less that does not interfere with visual acuity.
Multifocal Toric
NaturalVue (etafilcon A) Multifocal Toric Daily Disposable Soft (Hydrophilic) Contact Lenses
for Daily Wear are indicated for daily wear for the correction of refractive ametropia (myopia

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and hyperopia), and/or presbyopia in aphakic and/or non-aphakic persons with non-diseased
eyes in powers from -20.00 to +20.00 diopters and with non-diseased eyes who may require a
reading addition of up to +3.00D. The lenses may be worn by persons who exhibit
astigmatism of 10.00 diopters or less.
NaturalVue (etafilcon A) Daily Disposable Soft (Hydrophilic) Contact Lenses for Daily Wear
help protect against transmission of harmful UV radiation to the cornea and into the eye.
The lenses are intended for single-use disposable wear.
DO NOT WEAR YOUR CONTACT LENSES WHILE SLEEPING.
CONTRAINDICATIONS (REASONS NOT TO USE)
DO NOT USE your contact lenses when any of the following conditions exist:
• Acute and subacute inflammation or infection of the anterior chamber of your eye.
• Any eye disease, injury, or abnormality that affects your cornea, conjunctiva, or eyelids.
• Severe insufficiency of lacrimal secretion (dry eyes).
• Corneal hypoesthesia (reduced corneal sensitivity).
• Any systemic disease that may affect your 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 your eyes become red or irritated.
• Use of any medication that is contraindicated or interferes with your contact lens wear,
including ocular medications.
• Allergy to any ingredient in your contact lens material.
• History of recurrent eye or eyelid infections, adverse effects associated with your contact
lens wear, intolerance or an unusual response to your contact lens wear.
• You are unable or unwilling to follow your Eye Care Professionals’ directions for removal and
disposal of your lenses or unable to obtain assistance to do so.
WARNINGS
The following warnings pertaining to advice given to you regarding contact lens wear:
• Problems with your contact lenses could result in serious injury to your eye. It is essential
that your follow your Eye Care Professional’s directions and all labeling instructions for proper
use.
• Eye problems, including a sore or lesion on the cornea (corneal ulcers), can develop rapidly
and lead to loss of your vision.
• The risk of an infected sore or lesion on the cornea (ulcerative keratitis) is greater for people
who wear extended wear contact lenses than for those who wear daily wear lenses.
• When daily wear users wear their lenses overnight (outside the approved use), the risk of an
infected sore or lesion on the cornea (ulcerative keratitis) is greater than among those who do
not wear them while sleeping.
• The overall risk of ulcerative keratitis may be reduced by carefully following directions for
lens care, including cleaning the lens case.
• The risk of ulcerative keratitis among contact lens users who smoke is greater than among
non-smokers.
• If you experience eye discomfort, excessive tearing, vision changes, redness of the eye or
other problems, you should immediately remove your lenses and promptly contact your Eye

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Care Professional. It is recommended that you see your Eye Care Professional routinely as
directed.
WARNING:
UV absorbing contact lenses aren’t substitutes for protective UV absorbing eyewear, for
example UV absorbing goggles or sunglasses, because they don’t completely cover the eye
and surrounding area. You should continue to use UV absorbing eyewear as directed.
NOTE:Long term exposure to UV radiation is a part of the risk factors associated with
cataracts. Exposure is according to a number of factors, for instance environmental conditions
(altitude, geography, cloud cover) and personal factors (extent and nature of outdoor
activities). UV-absorbing contact lenses help provide protection against harmful UV radiation.
However, clinical studies have not been done to demonstrate that wearing UV-absorbing
contact lenses reduces the risk of developing cataracts or other eye disorders. Consult your
Eye Care Professional for more information.
Water Activity
Instruction for Use:
•Do not expose your contact lenses to water while you are wearing them.
WARNING:
Water can harbor microorganisms that can lead to severe infection, vision loss or
blindness. If your lenses have been submersed in water when swimming in pools, lakes or
oceans, you should discard them and replace them with a new pair. Ask your eyecare
practitioner (professional) for recommendations about wearing your lenses during any
activity involving water.
PRECAUTIONS
Special Precautions for Your Eye Care Professional:
• Due to the small number of patients enrolled in clinical investigation of lenses, all refractive
powers, design configurations, or lens parameters available in the lens material are not
evaluated in significant numbers. Consequently, when selecting an appropriate lens design
and parameters, your Eye Care Professional should consider all characteristics of the lens
that can affect lens performance and ocular health, including oxygen permeability, wettability,
central, and peripheral thickness, and optic zone diameter.
The potential impact of these factors on your ocular health should be carefully weighed
against your need for refractive correction; therefore, the continuing ocular health of you and
lens performance on your eye should be carefully monitored by your Eye Care Professional.
• Before leaving your Eye Care Professional’s office, you should be able to promptly remove
lenses or you should have somebody else available who can remove the lenses for you.
• Your Eye Care Professional should instruct you to remove your lenses immediately if your
eyes become red or irritated.
Your Eye Care Professional should carefully instruct you:
• If the lens sticks (stops moving) on your eye, follow the recommended directions. Your lens
should move freely on your eye for the continued health of your eye. If non-movement of your
lens continues, you should immediately consult your Eye Care Professional.
• Always wash and rinse your hands before handling your lenses. Do not get cosmetics,
lotions, soaps, creams, deodorants, aerosol products or hair sprays in your eyes or on your

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lenses. It is best to put on your lenses before putting on make-up. Water-base cosmetics are
less likely to damage lenses than oil-base products.
• Do not touch contact lenses with your fingers or hands if your hands are not free of foreign
materials, as microscopic scratches of the lenses may occur, causing distorted vision or injury
to your eye.
• Exposure to water while wearing contact lenses in activities such as swimming, water skiing,
and hot tubs may increase the risk of ocular infection. Ask your Eye Care Professional about
wearing contact lenses during sporting activities.
• Never wear your lenses beyond the period recommended by your Eye Care Professional.
• If aerosol products such as hair spray are used while wearing your lenses, exercise caution
and keep your eyes closed until the spray has settled.
• Always handle your lenses gently and avoid dropping them.
• Avoid all harmful or irritating vapors and fumes while wearing your lenses.
• Never use tweezers or other tools to remove your lenses from your lens blister pack unless
specifically indicated for that use. Pour the lens into your hand.
• Do not touch the lens with your fingernails.
• Always discard your lenses after the recommended wearing schedule prescribed by your
Eye Care Professional.
• Always contact your Eye Care Professional before using any medicine in your eyes.
• Always inform your employer of being a contact lens wearer. Some jobs may require use of
eye protection equipment or may require that you not wear contact lenses.
• As with any contact lens, follow-up visits are necessary to ensure the continuing health of
your eyes. You should be instructed as to a recommended follow-up schedule.
• You should never exceed the prescribed wearing schedule regardless of how comfortable
your lenses feel. Doing so increases the risk of adverse effects.
• Do not use your lenses past the expiration date.
• Certain medications may cause dryness of your eye, increased lens awareness, lens
intolerance, blurred vision or visual changes.
• Oral contraceptive users could develop visual change or change in lens tolerance when
using contact lenses.
• Do not use if the sterile blister package is opened or damaged.
• Never allow anyone to wear your lenses. They have been prescribed to fit your eyes and to
correct your vision to the degree necessary. Sharing lenses greatly increase the chance of
your eye infections.
ADVERSE REACTIONS (PROBLEMS AND WHAT TO DO)
You should be informed that the following problems may occur when wearing contact lenses:
• Your eye stinging, burning, itching (irritation), or other eye pain.
• Comfort is less compared to when lens was first placed on your eye.
• There may be feeling of something in your eye (foreign body, scratched area).
• Excessive watering (tearing) of your eyes.
• Unusual eye secretions.
• Redness of your eyes.
• Reduced sharpness of your vision (poor visual acuity).
• Blurred vision, rainbows, or halos around objects.
• Sensitivity to light (photophobia).
• Feeling of dryness.
• Foreign body sensation.

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If you notice any of the above, you should be instructed to:
• Immediately remove your lenses.
• Look closely at your lens. If your lens is in any way damaged, do not put your lens back on
your eye. If your lens has dirt, an eyelash, or other foreign body on it, you should thoroughly
clean, and rinse your lens; then reinsert it.
After reinsertion, if the problem continues, you should immediately remove your lenses and
consult your Eye Care Professional.
• If the above symptoms continue after removal of your lens, or upon insertion of a new lens,
you should immediately remove your lens and contact your Eye Care Professional.
• Your Eye Care Professional will examine your eyes, to be certain that a serious condition
such as infection, corneal ulcer, neovascularization, or iritis is not present.
Important Treatment Information for Adverse Reactions
Sight-threatening ocular complications associated with contact lens wear can develop rapidly,
and therefore early recognition and treatment of problems are critical. Infectious corneal
ulceration is one of the most serious potential complications, and may be ambiguous in its
early stage. Signs and symptoms of infectious corneal ulceration include discomfort, pain,
inflammation, purulent discharge, sensitivity to light, cells and flare and corneal infiltrates.
Initial symptoms of a minor abrasion and an early infected ulcer are sometimes similar.
Accordingly, such epithelial defect, if not treated properly, may develop into an infected ulcer.
In order to prevent serious progression of these conditions, your presenting symptoms of
abrasions or early ulcers should be evaluated as a potential medical emergency, treated
accordingly, and be referred to a corneal specialist when appropriate. Standard therapy for
corneal abrasions such as eye patching or the use of steroids or steroid/antibiotic
combinations may exacerbate the condition. If you are wearing a contact lens on your affected
eye when examined, your lens should be removed immediately.
PERSONAL CLEANLINESS AND LENS HANDLING
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 your lenses and interfere with
successful wearing.
• Handle your lenses with your fingertips, and be careful to avoid contact with your 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.
HANDLING THE LENSES
• Develop the habit of always working with the same lens first to avoid mix-ups.
• Remove your lens from its blister pack and examine it to be sure that it is moist, clean, clear,
and free of any nicks or tears.
• Verify that your lens is right side out. Place your lens on your right index finger and verify the
orientation correct (see Figures 1 and 2). Your lens should assume a natural, curved, bowl-like

LBL-NVU-PIB r3, Patient Instruction Booklet Page 7 of 10
shape (Figure 1). If your lens edges tend to point outward (Figure 2), your lens is inside out.
Figure 1 Figure 2
PLACING THE LENS ON THE EYE
To avoid confusion, make it a habit of inserting the same lens first. Check your lens is clean
and moist. Check your lens is not inside out. And then follow these steps to apply your lens to
your eye:
• Balance your lens on the tip of your forefinger.
• Pull the lower lid down with your middle finger of the same hand.
• Hold the upper lid firmly from above with your middle finger of the other hand. Make sure
your finger is placed just where your eyelid meets your eyelashes.
• Your eye is now wide open and the cornea exposed.
• Place your lens directly on your eye. Move your eyes around to help center your lens.
• Release the lower and then the upper lid. Look down and gently close the eyes. Rub the top
lid lightly to rub out any trapped air bubbles.
• If your lens is not properly centered on the cornea, gently manipulate by using your fingertips
and eyelids.
There are other methods of lens placement. If the above method is difficult for you, your Eye
Care Professional will provide you with an alternate method.
NOTE:If after placement of your lens, your vision is blurred, check for the following:
• Your lens is not centered on your eye (see “Centering the Lens”, next in this booklet).
• If your lens is centered, remove your lens (see “Removing the Lens” section) and check for
the following:
a. Cosmetics or oils on your lens. Dispose of your lens and apply a new fresh lens.
b. Your lens is on the wrong eye.
c. Your lens is inside-out (it may also not be as comfortable as normal).
If you find that your vision is still blurred after checking the above possibilities, remove your
lenses and consult your Eye Care Professional.
CENTERING THE LENS
Very rarely, a lens that is on the cornea will be displaced onto the white part of your eye during
lens wear. This can also occur during placement and removal of your lenses if the correct
techniques are not performed properly. To center your lens follow one of the procedures
below:
• Close your eyelids and gently massage your lens into place through the closed lids.
OR
• Gently manipulate the off-centered lens onto the cornea while your eye is opened using your
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finger pressure on the edge of the upper lid or lower lid.
REMOVING THE LENS
Always remove the same lens first.
• Wash, rinse and dry your hands thoroughly.
• Rewet your contact lens with a few drops of solution to help the lens slide off your eye,
especially if it is a little dry.
• Place index finger on your lens.
• Look up.
• Slide lens to white part of your eye using your index finger.
• Gently squeeze your lens between thumb and forefinger to remove your lens.
• Remove the other lens by following the same procedure.
• Daily disposable (single-use) lenses are discarded upon removal from your eye each day.
NOTE:If this method of removing your lens is difficult for you, your Eye Care Professional will
provide you with an alternate method.
WEARING SCHEDULE
NaturalVue Lenses are only indicated for daily wear (less than 24 hours, while awake).
NaturalVue Lenses should NOT be worn for 24 hours or greater, including while asleep, as
studies have not been completed to show that the lenses are safe to wear during sleep.
CARE FOR A STICKING (NON-MOVING) LENS
If a lens sticks (stops moving) on your eye, apply 3 to 4 drops of the recommended lubricating
or rewetting solution. You should wait until your lens begins to move freely on your eye before
removing it. If non-movement of your lens continues, you should IMMEDIATELY consult your
Eye Care Professional.
CARE FOR A DEHYDRATED LENS
If a soft, hydrophilic contact lens is exposed to air while off your eye, it may become dry and
brittle. Dehydrated contact lenses should be disposed of. Therefore, you should always have
a pair of new, sterile replacement contact lenses available for your use.
EMERGENCIES
If any 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 IMMEDIATELY CONTACT YOUR EYE
CARE PROFESSIONAL OR VISIT A HOSPITAL EMERGENCY ROOM WITHOUT DELAY.
INSTRUCTIONS FOR THE MONOVISION WEARER
• 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 it.
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

LBL-NVU-PIB r3, Patient Instruction Booklet Page 9 of 10
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.
• 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 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 MULTIFOCAL OR MULTIFOCAL TORIC WEARER
• You should be aware that as with any type of lens correction, there are advantages and
compromises to multifocal OR multifocal toric contact lens therapy. The benefit of clear near
vision in straight ahead and upward gaze that is available with multifocal OR multifocal toric
contact lenses 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 it.
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 multifocal or multifocal toric correction if you pass your state drivers license requirements
with multifocal or multifocal toric correction.
• Some multifocal or multifocal toric 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.
• Some multifocal or multifocal toric patients require supplemental spectacles to wear over the
multifocal or multifocal toric correction to provide the clearest vision for critical tasks. You

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should discuss this with your Eye Care Professional.
• It is important that you follow your Eye Care Professional’s suggestions for adaptation to
multifocal or multifocal toric contact lens therapy. You should discuss any concerns that you
may have during and after the adaptation period.
• The decision to be fit with multifocal or multifocal toric correction is most appropriately left to
the Eye Care Professional in conjunction with you, after carefully considering and discussing
your needs.
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.
Distributed by:
Visioneering Technologies, Inc.
10745 Westside Way, Suite 200
Alpharetta, GA 30009
Tel: 1-844-VTI-LENS
(1-844-884-5367) X 102 toll-free
www.vtivision.com
Manufactured by:
PEGAVISION Corp
2F-1 No.5, Shing Yeh St. Shan Ding Vil.
Kwei Shan Hsiang, Taoyuan Hsien 333,
Taiwan
Revision Date: September 2017