Bausch & Lomb Biotrue ONEday for Presbyopia - Manual (Page 3)

6. Adaptation
Visually demanding situations should be avoided during the initial wearing period. A
patient may at first experience some mild blurred vision, dizziness, headaches, and
a feeling of slight imbalance. You should explain the adaptational symptoms to the
patient. These symptoms may last for a brief minute or for several weeks. The longer
these symptoms persist, the poorer the prognosis for successful adaptation.
To help in the adaptation process the patient can be advised to first use the lenses in
a comfortable familiar environment such as in the home.
Some patients feel that automobile driving performance may not be optimal during
the adaptation process. This is particularly true when driving at night. Before driving
a motor vehicle, it may be recommended that the patient be a passenger first to
make sure that their vision is satisfactory for operating an automobile. During the first
several weeks of wear (when adaptation is occurring), it may be advisable for the
patient to only drive during optimal driving conditions. After adaptation and success
with these activities, the patient should be able to drive under other conditions with
caution.
7. Other Suggestions
The success of the monovision technique may be further improved by having your
patient follow the suggestions below.
• Having a third contact lens (distance power) to use when critical distance
viewing is needed.
• Having a third contact lens (near power) to use when critical near viewing
is needed.
• Having supplemental spectacles to wear over the monovision contact lenses
for specific visual tasks may improve the success of monovision correction. This
is particularly applicable for those patients who cannot meet state licensing
requirements with a monovision correction.
• Make use of proper illumination when carrying out visual tasks.
Success in fitting monovision can be improved by the following suggestions:
• Reverse the distance and near eyes if a patient is having trouble adapting.
• Refine the lens powers if there is trouble with adaptation. Accurate lens power is
critical for presbyopic patients.
• Emphasize the benefits of the clear near vision in straight ahead and upward
gaze with monovision.
• The decision to fit a patient with a monovision correction is most
appropriately left to the eye care professional in conjunction with the
patient after carefully considering the patient’s needs.
• All patients should be supplied with a copy of the Bausch + Lomb Biotrue™
ONEday (nesofilcon A) Contact Lens Patient Information Booklet.
HANDlING Of lENSES
Patient Lens Care Direction
When lenses are dispensed, the patient should be provided with appropriate and
adequate instructions and warnings for lens care handling. The eye care professional
should recommend appropriate and adequate procedures for each individual
patient in accordance with the particular lens wearing schedule.
CARE fOR A STICKING
(NONMOVING) lENS
If the lens sticks (stops moving), the patient should be instructed to use a lubricating
or rewetting solution in their eye. The patient should be instructed to not use plain
water, or anything other than the recommended solutions. The patient should be
instructed to contact the eye care professional if the lens does not begin to move
upon blinking after several applications of the solution, and to not attempt to remove
the lens except on the advice of the eye care professional.
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 REMOVED LENSES
PROMPTLY. CONTACT YOUR EYE CARE PROFESSIONAL OR VISIT A
HOSPITAL EMERGENCY ROOM WITHOUT DELAY.
REPORTING Of ADVERSE REACTIONS
All serious adverse experiences and adverse reactions observed in patients wearing
Bausch + Lomb Biotrue™ ONEday (nesofilcon A) Contact Lenses or experienced
with the lenses should be reported to:
Bausch & Lomb Incorporated
Rochester, New York 14609
Toll Free Telephone Number
In the Continental U.S., Alaska, Hawaii
1-800-553-5340
In Canada
1-888-459-5000 (Option 1 - English, Option 2 - French)
HOW SuPPlIED
Each sterile lens is supplied in a plastic package containing borate buffered saline
solution with poloxamine. Each container is marked with the manufacturing lot
number of the lens, diopter power, and expiration date.
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