wearer Guide
FREQUENT/PLANNED REPLACEMENT PATIENT INSTRUCTION / WEARER’S GUIDE
for the Qualimed Desio (polymacon ) Spherical and Toric Daily Wear Soft (hydrophilic) Tinted Contact Lens
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CAUTION: FEDERAL (USA) LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A LICENSED
- TABLE OF CONTENT
- Patient / Practitioner Information
- Introduction
- Wearing Restrictions and Indications
- Contraindications (REASONS NOT TO USE)
- Warnings
- Precautions
- Adverse
reactions Personal Cleanliness and Lens Handling- Before Handling Your Lens
- Handling and Placing the Lens on the
eye Removing the Lens- Caring for your Lens
- Basic Instructions
- Lens Deposits and Use of Enzymatic Cleaner
- Lens Case Cleaning and Maintenance
- Care for a Sticking (non-moving) Lens
- Care for a Dried out (dehydrated) dry Lens
- Chemical (Not Heat) Disinfection
- Emergencies
- When to call your
practitioner Instructions for Monovision Wearer- Recommended Lens Care Products
- Wearing Schedule
- Appointment Schedule
INTRODUCTION
With your decision to wear soft (hydrophilic) contact lens, you have joined a growing number of people who are discovering new pleasures from this important advance in vision correction.
Your frequent/planned replacement DESIO (
Although soft and pliable, your lens is strong and durable. The life of your frequent/planned replacement DESIO (
Read this Wearer’s Guide carefully. It contains the information you need to know to wear, handle, and care for your frequent/planned replacement DESIO (
WEARING RESTRICTIONS and INDICATIONS
The DESIO (
The DESIO (
Daily wear replacement schedules may vary from patient to patient and should be decided by eyecare practitioners in consultation with their patients.
- Frequent/Planned Replacement Wear
: Eyecare practitioners may prescribe any of the above lenses for frequent/planned replacement wear, with cleaning disinfection and scheduled replacement. When prescribed for frequent/planned replacement wear, the lens should be removed from your eyes for routine cleaning and disinfecting daily as prescribed by youreyecare practitioner.
DO NOT WEAR YOUR DESIO (
CONTRAINDICATIONS (REASONS NOT TO USE)
DO NOT USE the frequent/planned replacement DESIO (
- Acute and subacute inflammation or infection of the anterior chamber of the eye
- Any eye disease, injury, or abnormality that affects the cornea, conjunctiva, or eyelids
- Severe insufficiency of lacrimal secretion (dry eyes)
- Corneal hypoesthesia (reduced corneal sensitivity), if not-aphakic
- Any systemic disease that may affect the eye or be exaggerated by wearing
contact lens - Allergic reactions of ocular surfaces or adnexa that may be induced or exaggerated by wearing contact lens 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 your frequent/planned replacement DESIO (
polymacon ) Spherical and Toric Daily Wear Soft (hydrophilic) Contact Lenses - Any active corneal infection (bacterial, fungi, or viral)
- If eyes become red or irritated
- Patients unable to follow
lens care regimen or unable to obtain assistance to do so
WARNINGS
PROBLEMS WITH CONTACT LENSES AND LENS CARE PRODUCTS COULD RESULT IN SERIOUS INJURY TO THE EYE.
You should not reuse or “top off” old solution left in your lens case since solution reuse reduces effective lens disinfection and could lead to severe infection, vision loss or blindness. “Topping-Off” is the addition of
When disinfecting your lenses you should rub and rinse the lenses for the recommended amount of time to help prevent serious eye infections (see CARING FOR YOUR LENS for specific instructions).
You should never use water, saline solution, or rewetting drops to disinfect the lenses. These solutions will not disinfect the lenses. Not using the recommended disinfectant can lead to severe infection, vision loss or blindness.
You should not store your lenses or rinse your lens case with water or any non-sterile solution. You must only use fresh multi-purpose solution (or sterile saline solution) so your lenses or lens case
Water can harbor microorganisms that can lead to severe infection, vision loss or blindness. If your lenses have been
Using the multi-purpose solution beyond the discard date could result in contamination of the solution and can lead to severe infection, vision loss or blindness.
EYE PROBLEMS, INCLUDING CORNEAL ULCERS, CAN DEVELOP RAPIDLY AND LEAD TO LOSS OF VISION; IF YOU EXPERIENCE:
- Eye Discomfort
- Excessive Tearing
- Vision Changes
- Loss of Vision
- Eye Redness
- Or Other Eye Problems
YOU SHOULD IMMEDIATELY REMOVE THE
Daily wear lenses are not indicated for overnight wear, therefore, you are instructed not to wear lenses while sleeping. Clinical studies have shown that the risk of serious adverse reactions is increased when these lenses are worn overnight.
Studies have shown that contact lens wearers who are smokers have a higher incidence of adverse reactions than nonsmokers – You must see your eyecare practitioner as directed
PRECAUTIONS
- If the lens sticks (stops moving) on the eye, follow the recommended directions on (care for sticking non-moving lens). The lens should move freely on the eye for the continued health of the eye. If non-movement of the lens continues, you should IMMEDIATELY consult your
eyecare practitioner - Always wash and rinse hands before handling
lens . Do not get cosmetics, lotions, soaps, creams, deodorants, or sprays in the eyes or on the lens. It is best to put on lens before putting on makeup. Water-base cosmetics are less likely to damage lens than oil-base - Do not touch contact lens with the fingers or hands if the hands are not free of foreign materials, as microscope scratches of the lens may occur, causing distorted vision and/or injury to the eye
- Never wear lens beyond the period recommended by the eyecare practitioner
- If aerosol products such as hair spray are used while wearing lens, exercise caution and keep eyes closed until the spray has settled
- Always handle lens carefully and avoid dropping them
- Do not expose your contact lenses to water while you are wearing them
- Avoid all harmful or irritating vapors and fumes while wearing lens
- Ask your
eyecare practitioner about wearing your lens during sporting activities - Inform the doctor (health care practitioner) about you being a contact lens wearer
- Never use tweezers or other tools to remove
lens from your lens container unless specifically indicated for that use. Pour the lens into your hand - Do not touch the lens with your fingernails
- Always contact your eyecare practitioner before using any medicine or medications 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 lens - As with any contact lens, follow-up visits are necessary to assure the continuing health of your eyes. You should be instructed as to a recommended follow-up schedule
- Different solutions cannot always be used together, and not all solutions are safe for use with all lens. Use only recommended solutions that are fresh and sterile. Never use solutions recommended for conventional hard contact lens only. Chemical disinfection solutions should not be used with heat unless specifically indicated on product labeling for use in both heat and chemical disinfection. Always use FRESH, STERILE UNEXPIRED lens care solutions. Always follow directions
in the package inserts for the use of contact lens solutions. Sterile unpreserved solutions, when used, should be discarded after the time specified in the labeling directions - Do not use saliva or anything other than the recommended solution for
lubricating or rewetting lens. Always keep the lens completely immersed in the recommended storage solution when the lens is not being worn (stored). Prolonged periods of drying will damage the lens. Follow the lens care directions for (Care for a Dried Out Dehydrated Dry Lens) if the lens surface does become dried out - Carefully follow the handling, insertion, removal, cleaning, disinfection, storing and wearing instructions in your instructions for the DESIO (
polymacon ) Spherical and Toric Daily Wear Soft (hydrophilic) Contact Lenses and those prescribed by the eyecare practitioner - Always discard your lenses after the recommended wearing schedule prescribed by your eyecare
practicioner
ADVERSE REACTIONS
The following problems may occur:
- Eyes stinging, burning, itching (irritation), or other eye pain
- Comfort is less than when
lens was first placed oneye - Feeling that something is in the eye such as a foreign body or scratched area
- Excessive watering (tearing) of the eye
- Unusual eye secretions
- Redness of the eye
- 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, IMMEDIATELY REMOVE YOUR LENS.
If discomfort or problems stop following lens removal, then look closely at your 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
When any of the above problems occur, a serious condition such as infection, corneal ulcer, neovascularization, or iritis may be present. The patient should be instructed to KEEP LENS OFF YOUR EYE AND SEEK IMMEDIATE PROFESSIONAL IDENTIFICATION of the problem and prompt treatment to avoid serious eye damage.
PERSONAL CLEANLINESS and LENS HANDLING
- Before Handling Your Lens
- Cleanliness is the first and most important aspect of proper contact lens
care Before handling your lens, always wash and rinse your hands thoroughly and dry them with a lint-free towel. Do not use soaps, lotions, cold creams, or perfumes which leave a residue on your hands. Avoid using medications, creams, deodorants, make-up,after shave lotions, or similar items prior to touching your lens. When hair spray is used, the
eye must be kept closed until the spray has settled. Take care in handling your lens. Always avoid touching your lens with your fingernails or other sharp objects. NEVER WORK DIRECTLY OVER A SINK WITH THE DRAIN OPEN, AS THE LENS MAY BE LOST- Handling and Placing the Lens on the
eye To avoid the possibility of lens mix-ups, always start with the same lensfirst Remove the lens from its storage case and examine it to be sure that it is moist, clean, clear, and free of any nicks ortears Before inserting the lens, rinse well with fresh, sterile rinsing solution. Then place the lens on the tip of the index finger of your dominanthand While positioned on your index finger, check to ensure the lens has not turned inside out. To check this, look at the profile of the lens against a light background. If the edge profile appears convex and bowl-shaped, then it is correct. If the lens is inverted, it will flare out at the edge. If the lens is inverted, simply reverse it by using light fingertip pressure. Be sure to avoid damaging the lens with yourfingernails Look straight ahead and raise the upper lid with your other indexfinger Then look down, keep both eyes open and place the lens on the upper white part of theeye Slowly release upper lid, and gently close youreye The lens should center automatically, or it can be moved on center by gentle fingertip pressure through thelids Repeat the above procedure for the secondlens If the lens appears to be stuck on your eye, apply a few drops of a recommended lubricating or rewetting solution to the eye and blink a few times. If the lens does not move freely on your eye, contact youreyecare practitioner for furtherinstructions There is no single “right way” of putting onlens . If you find this method of lens placement difficult, youreyecare practitioner will suggest another method or provide additionalinformation 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 on the eye, follow the procedure below. Using your index finger, gently apply pressure to the lens and slide it back into the cornea. If the lens gets under the upper lid, gently massage the upper lid while looking down and move the lens toward thecornea Removing the Lens-
Preparation
- Wash and rinse your hands thoroughly
- Dry hands with a lint-free towel
- Check that the lens is centered on the cornea before attempting to remove the lens. Check your vision by covering one eye. If vision is blurry, the lens is off-center. Re-center the lens before attempting to remove
it
-
Removal - To avoid the possibility of lens mix-ups, always begin with the same lens
- Look up and keep both eyes open
- Using the middle finger of your dominant hand, gently pull down the lower lid of the first eye. Using the tip of your index finger of the same hand, touch the lens and slide it onto the white of the eye
- Gently “pinch” the lens between the index finger and the thumb and remove
- Repeat the procedure for the second eye
- If the lens cannot be easily moved, apply a few drops of lubricating or rewetting solution to the eye, blink a few times, and when the lens moves freely on the eye, remove in the manner described above. If the lens still cannot be moved, contact your
eyecare practitioner for further instruction - Upon removal, clean each lens with a contact lens cleaner per the procedures described under the heading, CARING FOR YOUR LENS. Rinse well with rinsing solution and place in the lens storage case filled with fresh storage
solution
IMPORTANT : Always avoid touching your lens with your fingernails. Use only your fingertips. If you find this method difficult, youreyecare practitioner will suggest another method or provide additionalinstruction If the lens is chipped or torn, do not put the lens back on your eye. Return the lens to the storage case with fresh solution and contact youreyecare practitioner
Caring for your Lens
- Basic
Instructions For continued safe and comfortable wearing of your lens, it is important that you first clean andrinse , then disinfect your lens after each removal, using the care regimen recommended by youreyecare practitioner. Cleaning and rinsing are necessary to remove mucus, secretions, films, or deposits, which may have accumulated 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 warning sectionabove If you require only vision correction, but will not or cannot adhere to a recommended care regimen for your lens, or are unable to place and remove your lens or have someone available to place and remove them, you should not attempt to get and wear contactlens When you first get your lens, be sure you have to put the lens on and remove them while you are in your eyecare practitioner’s office. At that time you will be provided with a recommended cleaning and disinfection regimen and instructions and warnings for lens care, handling, cleaning, and disinfection. Your eyecare practitioner should instruct you about appropriate and adequate procedures and products for your use, and provide you with a copy of the Frequent/Planned Replacement Patient Instruction/Wearer’s Guide for the DESIO (polymacon ) Spherical and Toric Daily Wear Soft (hydrophilic) Contact Lenses-
For safe contact lens wear, you should know and always practice your lens care routine:
- Always wash, rinse, and dry hands before handling contact lens
- Always use fresh, sterile unexpired lens care solutions
- Use
recommended system of lens care and carefully follow instructions on solution labeling - Different solutions cannot always be used together, and not all solutions are safe for use with all lens. DO NOT ALTERNATE OR MIX LENS CARE SYSTEMS UNLESS INDICATED ON SOLUTION LABELING
- Do not use saliva or anything other than the recommended solutions for
lubricating or rewetting lens. Do not putlens in the mouth - Never rinse your lens in water from the tap! Tap water contains many impurities that can contaminate or damage your lens and may lead to eye infection or injury and you might lose the lens down the drain
- our eyecare practitioner should recommend a care system that is appropriate for the frequent/planned replacement DESIO (
polymacon ) Spherical and Toric Daily Wear Soft (hydrophilic) Contact Lenses. Each lens care product contains specific directions for use and important safety information, which should be read and carefully followed - Clean one lens first (always the same lens first to avoid mix-ups), rinse the lens thoroughly with recommended rinsing or disinfecting solution to remove the cleaning solution, mucus, and film from the lens surface, and put
lens into correct chamber of the lens storage case. Then repeat the procedure for the second lens - After cleaning, disinfect lens using the system recommended by the
manufacture and/or youreyecare practitioner - To store lens, use only fresh multi-purpose (contact lens disinfecting) solution each time you soak (store) your lenses. Disinfect and leave them in the closed/unopened case until ready to wear. If lens
are not to be used immediately following disinfection, you should consult the package insert or youreyecare practitioner for information onstorage oflens - Always keep your lens completely immersed in a recommended disinfecting/conditioning solution when the lens
are not being worn. If you discontinue wearing yourlens, but plan to begin wearing them after a few weeks, ask youreyecare practitioner for a recommendation on how to store your lens - Frequent/Planned Replacement DESIO (
polymacon ) Spherical and Toric Daily Wear Soft (hydrophilic) Contact Lens can be disinfected using a chemical (NOT HEAT) disinfecting system - Contact lens cases can be a source of bacteria growth. After removing the lens from the case, empty and rinse the lens storage case with
solution as recommended by the lens casemanufacture ; then allow the lens case to air dry. When the case is used again, refill it with storage solution. Replace lens case at regular intervals as recommended by the lens casemanufacture or youreyecare practitioner - our eyecare practitioner may recommend a lubricating/rewetting solution for your use. Lubricating/Rewetting solutions can be used to wet (lubricate) your lens while you are wearing them to make them more comfortable
- Lenses prescribed for frequent/planned replacement should be thrown away after the recommended wearing period prescribed by your eyecare
practitioner
Lens Deposits and Use of Enzymatic Cleaner- Enzyme cleaning may be recommended by the eyecare practitioner. Enzyme cleaning removes protein deposits on the lens. These deposits cannot be removed with regular cleaners. Removing protein deposits is important for the well-being of the patient’s
lens and eyes. If these deposits are not removed, they can damage the lens and cause irritation. Enzyme cleaning does NOT replace routine cleaning and disinfecting. For enzyme cleaning, the patient should carefully follow the instructions in the enzymatic cleaninglabeling Lens Case Cleaning and Maintenance- Rinse your lens case with sterile contact lens solution (never use tap water) and leave the lens case open to dry after each use. Turn the case over and shake any excess solution out of the case. Be sure that no residual solution remains in the case before you allow it to air dry
- Replace your lens case at least once every 3 months. Contact lens cases can be a source of bacterial
growth Care for a Sticking (non-moving) Lens- If the lens sticks (cannot be removed), you should apply 3 to 4 drops of the recommended lubricating or rewetting solution directly to the eye and wait until the lens begins to move freely on the eye before removing it. If non-movement of the lens continues after 15 minutes, you should IMMEDIATELY consult your eyecare
practitioner Care for a Dried out (dehydrated) dry Lens- If for some reason your lens dry out completely: a minimum of handling is important as they are very brittle in the dehydrated state. Carefully place them in rinsing or storage solution for a minimum of thirty minutes during which time they will become soft and flexible. Then follow the cleaning, rinsing, and disinfecting procedures, including soaking the lens in storage and disinfection solution for four hours before wearing
again Chemical (Not Heat) Disinfection- Wash and rinse your hands thoroughly BEFORE HANDLING LENS
- After removal of
lens , CLEAN the lens by applying three drops of cleaner to each surface. You should rub and rinse the lenses for 15-20 seconds or more and then repeat with the second side for a total of 2 times 30 seconds or more. Follow the complete recommended lens rubbing and rinsing times in the labeling to adequately disinfect the lenses and reduce the risk of contact lensinfection AFTER CLEANING, thoroughly rinse both surfaces of the lens with a steady stream of fresh, sterile rinsing solution for approximately 10 seconds- Fill contact lens carrying case with the recommended disinfection and storage solution and place lens in the proper cells and soak as recommend in solution labeling
Note: DO NOT HEAT THE DISINFECTION SOLUTION AND LENS.
Caution: Lenses that are chemically disinfected may absorb ingredients from the disinfecting solution which may be irritating to the eyes. A thorough rinse in fresh, sterile rinsing solution prior to placement on the eye should reduce the potential for irritation.
DISCARD DATE (for care products)
Discard any remaining solution ninety (90) days after opening
EMERGENCIES
If any chemicals of any kind (household products, gardening solutions, laboratory chemicals, etc.) are splashed into the eyes, you should FLUSH EYES IMMEDIATELY WITH TAP WATER AND IMMEDIATELY CONTACT YOUR EYECARE PRACTITIONER OR VISIT A HOSPITAL EMERGENCY ROOM WITHOUT DELAY
When to call your practitioner
Certain symptoms may be early indicators of potentially serious problems. A careful examination of your lens, and professional examination of your
- Your eye becomes red and feels irritated or “gritty”
- You notice a change in your vision or see rainbows or halos around objects
- You experience discomfort and/or sensitivity to lights
A good general policy is: “IF IN DOUBT … TAKE THE LENS OUT” and contact your
Learn and Use Proper lens Care Habits:
- Follow Instructions
- Handle Lens Properly
- Learn How to Put On and Take Off Your Lens
- Keep Your Lens Clean
- Disinfection is a Necessary Security
Instructions for 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
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.
If you require very sharp near vision during prolonged close work, you may want to have additional lenses prescribed so that both eyes are corrected for near when sharp near vision binocular vision is required.
Some monovision patients require supplemental spectacles to wear over the monovision contact lens 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
Recommended Lens Care Products
The eyecare practitioner should recommend a care system that is appropriate for the frequent/planned replacement DESIO (
- Daily Cleaner
- Opti-Free Daily Cleaner by Alcon by Alcon
- Rinsing Solution
- Opti-Free Replenish by Alcon
- Disinfecting Solution
- Opti-Free Replenish by Alcon
- Lubricant/Rewetting Drops
- Opti-Free Express by Alcon
- Enzymatic Cleaner
- Opti-Free Supralens by Alcon
- Oxidation Systems
- ClearCare Hydrogen Peroxide by Ciba Vision
- 3% H2O2 with neutralizing disc
Wearing Schedule
THE WEARING AND REPLACEMENT SCHEDULES SHOULD BE DETERMINED BY YOUR EYECARE PRACTITIONER.
The DESIO (
DAY | HOURS |
---|---|
1 | 6 |
2 | 8 |
3 | 10 |
4 | 12 |
5 | 14 |
6 | All Waking Hours * |
STUDIES HAVE NOT BEEN COMPLETED TO SHOW THAT THE THE DESIO (
Appointment Schedule
You can keep track
IMPORTANT: In the event that you experience any difficulty wearing your lens or you do not understand the instructions given you, DO NOT WAIT for your next appointment. TELEPHONE YOUR EYECARE PRACTITIONER IMMEDIATELY.