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AOfA-pi

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correctionforthefirsttimeuntiltheyarefamiliarwiththevisionprovidedinvisu-allychallengingenvironments(e.g.,readingamenuinadim restaurant,drivingat night inrainy/foggyconditions,etc.).Duringthefittingprocess,it isnec-essaryforthepatient torealizethedisadvantagesaswellastheadvantagesof clearnearvisionandstraight aheadandupwardgazethat monovisioncontact lensesprovide.
B.Eye Selection
Generally,thenon-dominant eyeiscorrectedfornearvision.Thefollowingtwomethodsforeyedominancecanbeused.
1.OcularPreference Determination Methods
Method1: Determinewhicheyeisthe“sightingeye”.Havethepatientpoint toanobject at thefarendof theroom.Cover oneeye.Ifthepatient isstillpointingdirectlyat theobject,theeyebeingusedisthedominant (sighting)eye.Method2: Determinewhicheyewillaccepttheaddedpowerwiththeleastreductioninvision.Placeahand-heldtriallensequaltothespectaclenearADDinfrontofoneeyeandthentheotherwhilethedistancerefractiveerrorcorrectionisinplaceforbotheyes.DeterminewhetherthepatientfunctionsbestwiththenearADDlensovertherightorlefteye.Other methodsincludetherefractiveerrormethodandthevisualdemandsmethod.
2.Refractive ErrorMethod
For anisometropiccorrection,it isgenerallybest tofit themorehyperopic(lessmyopic)eyefor distanceandthemoremyopic(lesshyperopic)eyefor near.
3.VisualDemandsMethod
Consider thepatient’soccupationduringtheeyeselectionprocesstodeterminethecriticalvisionrequirements.If apatient’sgazefor neartasksisusuallyinonedirection,correct theeyeonthat sidefor near.Example:A secretarywhoplacescopytotheleft sideof thedeskwillfunctionbest withthenearlensontheleft eye.
C.SpecialFitting Characteristics1.UnilateralLensCorrection
Therearecircumstanceswhereonlyonecontact lensisrequired.Asanexample,anemmetropicpatient wouldonlyrequireanear lenswhileabilateralmyopemayonlyrequireadistancelens.Example:Apresbyopicemmetropicpatientwhorequiresa+1.75DADDwouldhavea+1.75Dlensontheneareyeandtheothereyeleft
 
IMPORTANT: Please read carefully andkeep this information for future use.This Package Insert and Fitting Guide is intended for theEye Care Professional, but should be made availableto patients upon request. The Eye Care Professionalshould provide the patient with the patient instructionsthat pertain to the patient's prescribed lens.
ACUVUE
®
OASYS
®
Brand Contact Lenseswith HYDRACLEAR
®
PLUSACUVUE
®
OASYS
®
Brand Contact Lensesfor ASTIGMATISM with HYDRACLEAR
®
PLUSACUVUE
®
OASYS
®
Brand Contact Lensesfor PRESBYOPIA with HYDRACLEAR
®
PLUS(senofilcon A)
Visibility Tinted with UV BlockerFor Daily and Extended Wear
Thefittingindicatesthefollowing:
RightEye 
Compensatethe10˚axisdrift byaddingittothemanifest refractionaxis.HereistheRxprescribed:O.D.–3.00–0.75x100
LeftEye 
Thelensonthelefteyeshowsgoodcentration,movement andaconsistenttendencyforthemarktodrift rightby10˚from the6o’clock positionfollowingaforcedblink.Sincethemanifest refractioncalledforapowerof –4.75D,adjust forthevertexdistanceandreducethesphereby0.25D andprescribethe–1.75Dcylinder.Compensateforthe10˚axisdrift bysubtractingit from themani-fest refraction.HereistheRxprescribed:O.S.–4.50–1.75x80If visionisacceptable,perform aslit lampexaminationtoassessadequatefit(centrationandmovement).Iffit isacceptable,dispensethelensesinstructingthepatienttoreturninoneweekforreassessment(seedispens-ingandfollowupinformationin
PATIENTMANAGEMENT
).
IV.MULTIFOCAL FITTINGGUIDELINES
A.PresbyopicNeedsAssessment&PatientEducation
Multifocalcontact lensesmayproducecompromisetovisionundercertaincir-cumstancesandthepatientshouldunderstandthat theymightnot findtheirvisionacceptableinspecific situations(i.e.,readingamenuinadim restaurant,drivingat night inrainy/foggyconditions,etc.). Therefore,cautionshouldbeexercisedwhenthepatient iswearingthecorrectionforthefirst timeuntiltheyarefamiliarwiththevisionprovidedinvisuallychallengingenvironments.Occupationalandenvironmentalvisualdemandsshouldbeconsidered.If thepatient requirescriticalvisualacuityandstereopsis,it shouldbedeterminedbytrialwhetherthispatient canfunctionadequatelywiththe
 ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
.The
 ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
wearmaynot beoptimalforsuchactivitiesas:1.visuallydemandingsituationssuchasoperatingpotentiallydangerousmachineryorperformingotherpotentiallyhazardousactivities;and2.drivingautomobiles(e.g.,drivingat night).Patientswhocannot passtheirstatedriverslicenserequirementswiththe
 ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
shouldbeadvisedtonot drivewiththiscorrection,OR mayrequirethat additionalover-correctionbeprescribed.
 ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
arenot recommend-edforpatientswhohave–1.00D orgreaterofrefractivecylinderasthislevelofuncorrectedcylindermayleadtoadditionalvisualcompromise.The
 ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
comeinthefollowingADD powers:Lens“LOW”=“low”nearADD lens(Max+1.25ADD)Lens“MID”= “medium”nearADD lens (Max+1.75ADD)Lens“HGH”= “high”nearADD lens (Max+2.50ADD)
B.The
ACUVUE
®
OASYS
®
Brand ContactLenses
forPRESBYOPIA
ContactFitting Instructions
Step1Determine:- Eyedominance(themethodsdescribedinMONOVISIONSPHEREAND TORIC FITTINGGUIDELINES maybeused)- Sphericalequivalent distanceprescription(vertexcorrectedif neces-saryandroundedtolessminusif betweenpowers)- NearADDStep2Selecttheinitialtriallensasfollows:- Foreacheyeselect thetriallensdistancepowerthat isclosest tothepatient’sdistancesphericalequivalent.Selectthenearpowerof thelensbasedonthepatientsADD rangeasfollows: ADD: +0.75to+1.25usea“LOW”nearADD lensoneacheye ADD: +1.50to+1.75usea“MID”nearADD lensoneacheye ADD: +2.00to+2.50usea“HGH”nearADD lensoneacheyeStep3Allowthelenstosettleforaminimum 10minutes.Step4- Assessdistanceandnearvisionbinocularlyandmonocularly.- Demonstratethevisionundervariouslightingconditions(normalanddecreasedillumination)andat distance,intermediateandnear.- Makeadjustmentsinpowerasnecessary(see
MultifocalTroubleshooting
below).Theuseof hand-heldtriallensesisrecommended.- Ifdistanceandnearvisionareacceptable,perform aslit lampexami-nationtoassessadequatefit (centrationandmovement).If fit isacceptable,dispensethelensesinstructingthepatient toreturninoneweekforreassessment (seedispensingandfollowupinformationinPATIENTMANAGEMENT).
C.MultifocalTroubleshooting
UnacceptableNearVision:Determinetheamount ofadditionalplus,orlessminus,overoneorbotheyesthat isacceptablewhilecheckingtheeffect ondistanceandnearvision. If visionisstillnotacceptablechangethenon-dominant eyetothenext highest ADD power.UnacceptableDistanceVision:Determinetheamount of additionalminus,orlessplus,overoneorbotheyesthat isacceptablewhilecheckingtheeffect ondistanceandnearvision. If visionisstillnot acceptablechangethedominant eyetothenext lowest ADD power. Ifthepatient iswearingtwolowADD lenseschangethedominant eyetoaspherelenswithapowerequaltothesphericalequivalent distanceprescription.UnacceptableDistanceandNearVision:Determinetheamount of additionalplusand/orminusoveroneorbotheyesthatisacceptablewhilecheckingtheeffect ondistanceandnearvision. If additionalplusand/orminusisnot requiredchangethelenspowerinthedominant eyetothenext lowest ADD powerandthelenspowerinthenon-dominant eyetothenext highest ADD powerif applicable.
V.MONOVISION(
SPHERICALANDTORICFITTING GUIDELINES)
A.PatientSelectionMonovision NeedsAssessment
Foragoodprognosis,thepatient shouldhaveadequatelycorrecteddistanceandnearvisualacuityineacheye.Theamblyopicpatient orthepatient withsignificant astigmatism (greaterthan1.00D)inoneeyemaynotbeagoodcandidateformonovisioncorrectionwiththe
 ACUVUE
®
OASYS
®
BrandContactLenses,theACUVUE
®
OASYS
®
BrandContactLenses
forASTIGMATISM
ortheACUVUE
®
OASYS
®
BrandContactLenses
forPRESBYOPIA
.Occupationalandenvironmentalvisualdemandsshouldbeconsidered.Ifthepatientrequirescriticalvision(visualacuityandstereopsis),itshouldbedeterminedbytrialwhetherthispatientcanfunctionadequatelywithmonovisioncorrection.Monovisioncontactlenswearmaynotbeoptimalforsuchactivitiesas:(a)visuallydemandingsituationssuchasoperatingpotentiallydangerousmachineryorperformingotherpotentiallyhazardousactivities;and(b)drivingautomobiles(e.g.,drivingat night).Patientswhocannot passtheirstatedriverslicenserequirementswithmonovisioncorrectionshouldbeadvisedtonot drivewiththiscorrection,OR mayrequirethat additionalover-correctionbeprescribed.
PatientEducation
 Allpatientsdonotfunctionequallywellwithmonovisioncorrection.Patientsmaynotperformaswellforcertaintaskswiththiscorrectionastheyhavewithspecta-cles(multifocal,bifocal,trifocal,readers,progressives).Eachpatientshouldunder-standthatMonovision,aswellasotherpresbyopicalternatives,cancreateavisioncompromisethatmayreducevisualacuityanddepthperceptionfordistanceandneartasks.Therefore,cautionshouldbeexercisedwhenthepatientiswearingthewithoutalens. Apresbyopicpatientrequiringa+1.50DADDwhois–2.50Dmyopicintherighteyeand–1.50Dmyopicinthelefteyemayhavetherighteyecorrectedfordistanceandtheleftuncorrectedfornear.
2.NearADDDetermination
 Alwaysprescribethelenspowerfortheneareyethatprovidesoptimalnearacuityatthemidpointofthepatient’shabitualreadingdistance.However,whenmorethanonepowerprovidesoptimalreadingperformance,prescribetheleastplus(mostminus)ofthepowers.
3.TrialLensFitting
 A trialfittingisperformedintheofficetoallowthepatient toexperiencemonovisioncorrection.Lensesarefit accordingtotheGeneralFittingInstructionsfor basecurveselectioninthisPackageInsert.Casehistoryandstandardclinicalevaluationprocedureshouldbeusedtodeter-minetheprognosis.Determinethedistancecorrectionandthenearcorrection.NextdeterminethenearADD.Withtriallensesoftheproperpowerinplace,observethereactiontothismodeofcorrection. Allowthelensestosettlefor about 20minuteswiththecorrect power lensesinplace.Walkacrosstheroom andhavethepatient lookat you.Assessthepatient’sreactiontodistancevisionunder thesecircumstances.Thenhavethepatient lookat familiar near objectssuchasawatchfaceor fingernails.Againassessthereaction.Asthepatient continuestolookaroundtheroom at bothnear anddistanceobjects,observethereactions.Onlyafter thesevisiontestsarecompletedshouldthepatient beaskedtoreadprint.Evaluatethepatient’sreactiontolargeprint (e.g.,typewrittencopy)at first andthengraduatetonewsprint andfinallysmaller typesizes. After thepatient’sperformanceunder theaboveconditionsiscompleted,testsof visualacuityandreadingabilityunder conditionsof moderatelydim illumi-nationshouldbeattempted. Aninitialunfavorableresponseintheoffice,whileindicativeof aguardedprognosis,shouldnot immediatelyruleout amoreextensivetrialunder theusualconditionsinwhichapatient functions.
4.Adaptation
 Visuallydemandingsituationsshouldbeavoidedduringtheinitialwearingperiod.A patient mayat first experiencesomemildblurredvision,dizziness,headachesandafeelingof slight imbalance.Youshouldexplaintheadaptationalsymptomstothepatient.Thesesymptomsmaylast for abriefminuteor for severalweeks.Thelonger thesesymptomspersist,thepoorertheprognosisfor successfuladaptation.Tohelpintheadaptationprocess,thepatientcanbeadvisedtofirstusethelensesinacomfortablefamiliarenvironmentsuchasinthehome.Somepatientsfeelthat automobiledrivingperformancemaynot beoptimalduringtheadaptationprocess.Thisisparticularlytruewhendrivingat night.Beforedrivingamotor vehicle,it mayberecommendedthat thepatient beapassenger first tomakesurethat their visionissatisfactoryfor operatinganautomobile.Duringthefirst severalweeksof wear (whenadaptationisoccurring),it maybeadvisablefor thepatient toonlydriveduringoptimaldrivingconditions.After adaptationandsuccesswiththeseactivities,thepatient shouldbeabletodriveunder other conditionswithcaution.
OtherSuggestions
Thesuccessof themonovisiontechniquemaybefurther improvedbyhavingyour patient followthesuggestionsbelow:Haveathirdcontact lens(distancepower)tousewhencriticaldistanceviewingisneeded.• Haveathirdcontact lens(near power)tousewhencriticalnear viewingisneeded.Havingsupplementalspectaclestowear over themonovisioncontactlensesfor specificvisualtasksmayimprovethesuccessof monovisioncorrection.Thisisparticularlyapplicablefor thosepatientswhocannotmeetstatelicensingrequirementswithamonovisioncorrection.• Makeuseof proper illuminationwhencarryingout visualtasks.Monovisionfittingcanbeimprovedbythefollowingsuggestions:Reversethedistanceandneareyesifapatientishavingtroubleadapting.Refinethelenspowersif thereistroublewithadaptation.Accuratelenspower iscriticalfor presbyopicpatients.• Emphasizethebenefitsof clear near visionandstraight aheadandupwardgazewithmonovision.Thedecisiontofit apatient withamonovisioncorrectionismostappropriatelyleft totheEyeCareProfessionalinconjunctionwiththepatient after carefullyconsideringthepatient’sneeds.
Allpatientsshould be supplied with a copyofthe “ACUVUE
®
OASYS
®
Brand ContactLenses
with HYDRACLEAR
®
PLUS
(senofilcon A)
,theACUVUE
®
OASYS
®
Brand ContactLensesforASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilcon A)
orthe ACUVUE
®
OASYS
®
BrandContactLensesforPRESBYOPIA
with HYDRACLEAR
®
PLUS
(senofil-con A)
PatientInstruction Guide”.
4.Withthebiomicroscope,judgethelensfittingcharacteristics(asdescribedintheGeneralFittingGuidelines)andevaluatethelenssurfacefordepositsanddamage.
5.Followinglensremoval,examinethecorneaandconjunctivawiththebiomicroscopeandfluorescein(unlesscontraindicated).•Thepresenceofverticalcornealstriaeintheposteriorcentralcorneaand/orcornealneovascularizationisindicativeofexcessivecornealedema.•Thepresenceofcornealstainingand/orlimbal-conjunctivalhyper-emiacanbeindicativeofanuncleanlens,areactiontosolutionpreservatives,excessivelenswearand/orapoorlyfittinglens.•Papillaryconjunctivalchangesmaybeindicativeofanuncleanand/ordamagedlens.6.Periodicallyperformkeratometryandspectaclerefractions.Thevaluesshouldberecordedandcomparedtothebaselinemeasurements.
Ifanyobservationsareabnormal,useprofessionaljudgmenttoalleviatetheproblemandrestoretheeyetooptimalconditions.Ifthecriteriaforsuccessfulfitarenotsatisfiedduringanyfollow-upexaminations,repeatthepatient’strialfittingprocedureandrefitthepatient.WEARINGSCHEDULE
ThewearingandreplacementschedulesshouldbedeterminedbytheEyeCareProfessional.Patientstendtooverwearthelensesinitially.TheEyeCareProfessionalshouldemphasizetheimportanceofadheringtotheinitialmaximumwearingschedule.Regularcheckups,asdeterminedbytheEyeCareProfessional,arealsoextremelyimportant.
DailyWear(lessthan 24 hours,whileawake)
• For DailyWear,VISTAKON
®
recommendsthat theACUVUE
®
OASYS
®
BrandContact Lenseswith HYDRACLEAR
®
PLUS
(senofilconA),ACUVUE
®
OASYS
®
Brand Contact Lenses
forASTIGMATISM
with HYDRACLEAR
®
PLUS
(senofilcon A)orACUVUE
®
OASYS
®
BrandContactLenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)prescribedforfrequentreplacementwear bediscarded and replaced with anewlensevery2weeks. However,theEyeCareProfessionalisencouraged todeterminean appropriatelensreplacement schedulebased upon theresponseof thepatient.
•When prescribed fordisposablewear, the
 ACUVUE
®
OASYS
®
BrandContactLenseswith HYDRACLEAR
®
PLUS
(senofilconA),ACUVUE
®
OASYS
®
BrandContact Lenses
forASTIGMATISM
with HYDRACLEAR
®
PLUS
(senofilconA)and ACUVUE
®
OASYS
®
BrandContactLenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)
shouldbediscardeduponremoval.Johnson&JohnsonVisionCare,Inc.7500 Centurion ParkwayJacksonville, FL 32256USATel: 1-800-843-2020
www.acuvue.com
©Johnson&JohnsonVisionCare,Inc.2012PrintedinU.S.A.Revisiondate4/12Revisionnumber:AO-04-12-00
20400830
axes,such as when the diagnostic lens axis is different from the patient’srefractive axis,it is not advisable to over-refract because of the difficultyin computing the resultant power.In fitting contact lenses,it is customary to prescribe the full power in thesphere.Inthecylinder,however,anylensrotationisvisuallydisturbingtothepatient,soit’smorepracticaltoprescribeasweakacylinderaspossible.So,here is how to determine the final lens power.
Forthe Sphere:
IfspherealoneorcombinedsphereandcylinderRx>±4.00D,compen-sateforvertexdistance.IfspherealoneorcombinedsphereandcylinderRx<±4.00D,vertexcompensationisnotnecessary.
For the Cylinder:
AdjusttheaxisbythedriftangleusingLARS.Chooseacylinderthatis>0.25Dfromtherefractivecylinder.
Case ExamplesExample 1
Manifest(spectacle)refraction:O.D.–2.50-1.25x18020/20O.S.–2.00-1.00x18020/20Chooseadiagnosticlensforeacheyewithanaxisascloseto180˚aspossible.Placethelensoneacheyeandallowaminimumof3minutesforittoequilibrate,basedonthepatient’sini-tialresponsetothelens.Checktheorientationoftheaxismark.Ifthebottomaxismarkisinthe6o’clockpositiononbotheyes,choosetheappropriatecylinderaslistedpreviously.HereistheRxPrescribed/Ordered:O.D.-2.50-1.25x180O.S.–2.00-0.75x180
Example 2
Manifest (spectacle) refraction:O.D. –3.00 -1.00 x 90 20/20O.S. –4.75 -2.00 x 90 20/20
Choosediagnosticlensesof–3.00–0.75x90fortherighteyeand–4.50-1.75x90forthelefteye,thenearestlensesavailabletothesphericalpowerandaxisneeded.Placethelensoneacheyeandallowaminimumof3min-utesforittoequilibrate.Theorientationmarkontherightlensrotatesleftfromthe6o’clockpositionby10˚.
PATIENT MANAGEMENT
Dispensing VisitPROVIDETHEPATIENTWITHACOPYOFTHEACUVUE
®
OASYS
®
BrandContactLenseswithHYDRACLEAR
®
PLUS
(senofilconA),ACUVUE
®
OASYS
®
BrandContactLenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)orACUVUE
®
OASYS
®
BrandContactLenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)PATIENTINSTRUCTIONGUIDE.REVIEWTHESEINSTRUC-TIONSWITHTHEPATIENTSOTHATHEORSHECLEARLYUNDERSTANDSTHEPRESCRIBEDWEARINGANDREPLACEMENTSCHEDULE(DISPOSABLEORFREQUENTREPLACEMENT).
• Recommend an appropriate cleaning and disinfecting system and providethe patient with instructions regarding proper lens care.Chemical orhydrogen peroxide disinfection is recommended.• Schedule a follow-up examination.
Follow-up Examinations
• Follow-upcare(necessarytoensurecontinuedsuccessfulcontactlenswear)shouldincluderoutineperiodicprogressexaminations,managementofspecificproblems,ifany,andareviewwiththepatientofthewearschedule,lensreplacementscheduleandproperlenscareandhandlingprocedures.• Recommended Follow-up Examination Schedule for ACUVUE
®
OASYS
®
Brand Contact Lenses with HYDRACLEAR
®
PLUS
(senofilcon A),ACUVUE
®
OASYS
®
BrandContactLenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)or ACUVUE
®
OASYS
®
Brand Contact Lenses
forPRESBYOPIA
with HYDRACLEAR
®
PLUS
(senofilcon A) (complications andspecific problems should be managed on an individual patient basis):1.One week from the initial lens dispensing to patient2.One month post-dispensing3.Every three to six months thereafterNOTE:More frequent or additional follow-up visits may berecommended for patients on an extended wear schedule.Preferably,atthefollow-upvisits,lensesshouldbewornforatleastsixhours.Ifthelensesarebeingwornforcontinuouswear,theexaminationshouldbeperformedasearlyaspossibleonthemorningfollowingovernightwear.• Recommended Procedures for Follow-Up Visits:1.Solicit and record patient’s symptoms,if any.2.Measure visual acuity monocularly and binocularly at distance and nearwith the contact lenses.3.Perform an over-refraction at distance and near to check for residualrefractive error.
The maximum suggested wearing time for these lenses is:
DAYHOURS16-828-10310-12412-145 and afterall waking hours
Extended Wear (greater than 24 hours, including while asleep)
TheEyeCareProfessionalshould determinethewearingandreplacement schedule,baseduponthepatient’shistoryandtheirocularexamination,aswellasthepracti-tioner’sexperienceandclinicaljudgment.• ACUVUE
®
OASYS
®
BrandContact LenseswithHYDRACLEAR
®
PLUS
(senofilconA), ACUVUE
®
OASYS
®
BrandContactLenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)or ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)havebeenapprovedforextendedwearforupto6nights/7daysof continuouswear.Not allpatientscanachievethemaxi-mum wear time.• Itisrecommendedthatthecontact lenswearerfirst beevaluatedonadailywearschedule. Ifsuccessful,thenagradualintroductionof extendedwearcanbefollowedasdeterminedbytheprescribingEyeCareProfessional.• Onceremoved,itisrecommendedthat thelensremainout of theeyeforaperiodofrestovernight orlonger anddiscardedinaccordancewiththeprescribedwearingschedule. TheEyeCareProfessionalshouldexaminethepatient duringtheearlystagesof extendedwear.
ForTherapeutic
lenswear,closesupervisionbytheEyeCareProfessionalisneces-sary.ACUVUE
®
OASYS
®
BrandContact LenseswithHYDRACLEAR
®
PLUS
(senofilcon A),ACUVUE
®
OASYS
®
BrandContact Lenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)or ACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)canbewornforextendedwearforupto6nights/7daysofcontinuouswear.TheEyeCareProfessionalshoulddeterminetheappropriatewearingtimeandprovidespecificinstructionstothepatient regardinglenscare,insertionandremoval.
LENS CARE DIRECTIONS
Whenlensesaredispensed,theEyeCareProfessionalshouldprovidethepatient withappropriateandadequatewarningsandinstructionsinaccordancewiththeindividualpatient’slenstypeandwearingschedule. TheEyeCareProfessionalshouldrecom-mendanappropriatecaresystem tailoredtothepatient’sindividualrequirements.Forcompleteinformationconcerningcontact lenshandling,care,cleaning,disinfectingandstorage,refertotheACUVUE
®
OASYS
®
BrandContact LenseswithHYDRACLEAR
®
PLUS
(senofilconA),theACUVUE
®
OASYS
®
BrandContact Lenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)andtheACUVUE
®
OASYS
®
BrandContactLenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)PatientInstructionGuideforDisposable& Frequent Replacement Lenses.
For
 ACUVUE
®
OASYS
®
BrandContact LenseswithHYDRACLEAR
®
PLUS
(senofil-conA),ACUVUE
®
OASYS
®
BrandContact Lenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)andACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)
prescribed fordisposablewear
:TheEyeCareProfessionalshouldreviewwithpatientsthat nocleaningordisinfectionisneededwithdisposablelenses.Patientsshouldalwaysdisposeof lenseswhentheyareremovedandhavereplacement lensesorspectaclesavailable. Lensesshouldonlybecleaned,rinsedanddisinfectedonanemergencybasiswhenreplacement lensesorspectaclesarenot available.
For
 ACUVUE
®
OASYS
®
BrandContact LenseswithHYDRACLEAR
®
PLUS
(senofil-conA),ACUVUE
®
OASYS
®
BrandContact Lenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)andACUVUE
®
OASYS
®
BrandContact Lenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)
prescribed forfre-quentreplacementwear
:EyeCareProfessionalshouldreviewwiththepatient,lenscaredirectionsforcleaning,disinfectingandstoring,includingbothbasiclenscareinformationandspecificinstructionsonthelenscareregimenrecommendedforthepatient.
 
Care forsticking (non-moving)lenses
Ifthelenssticks(stopsmoving), thepatientshould beinstructed to applyafewdropsoftherecommended lubricating orrewetting solution directlytotheeyeand waituntil thelensbeginsto movefreelyon theeyebeforeremoving it. Ifnon-movementofthelenscontinuesafterafewminutes, thepatientshould immediatelyconsulttheEyeCareProfessional.
EMERGENCIES
Thepatient shouldbeinformedthat if chemicalsof anykind(householdproducts,gardeningsolutions,laboratorychemicals,etc.)aresplashedintotheeyes,thepatient should:FLUSHEYES IMMEDIATELYWITHTAPWATER ANDIMMEDIATELYCONTACTTHEEYECAREPROFESSIONALOR VISITA HOSPITALEMERGENCYROOMWITHOUTDELAY.
HOWSUPPLIED
Eachsterilelensissuppliedinafoil-sealedplasticpackagecontainingbufferedsalinesolutionwithmethylethercellulose.Theplasticpackageismarkedwithbasecurve,diopterpower,diameter,color(visibilitytint notedonvisibilitytintedproduct only),lot numberandexpirationdate. [ADD power,cylinderandaxiswillbeincludedasappropriate].
Johnson&JohnsonVisionCare,Inc.7500 Centurion ParkwayJacksonville, FL 32256USATel: 1-800-843-2020
www.acuvue.comREPORTINGOF ADVERSE REACTIONS
 AllseriousadverseexperiencesandadversereactionsobservedinpatientswearingACUVUE
®
OASYS
®
BrandContact LenseswithHYDRACLEAR
®
PLUS
(senofilconA),ACUVUE
®
OASYS
®
BrandContact Lenses
forASTIGMATISM
withHYDRACLEAR
®
PLUS
(senofilconA)or theACUVUE
®
OASYS
®
BrandContactLenses
forPRESBYOPIA
withHYDRACLEAR
®
PLUS
(senofilconA)or experi-encedwiththelensesshouldbereportedto:

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