Scleral Lens Instructions / package insert

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Materials and packaging:
EPSILON lenses are manufactured from Fluorosilicon with hydrophilic acrylate monomers (Contamac OPTIMUM EXTRA or BOSTON XO).
The lenses are packaged in appropriate cases from plastic material, manufactured for the purpose. There shipped in dry state or in storing solution for rigid materials.
Indicative use:
EPSILON lenses are indicated for daily use. They are indicated for any case that needs refractive correction and/or protection. In order to maintain the physiology status of the eyes, the wearing schedule must be determined by the contact lens fitter.
Fitting and wearing instructions
The fitting and use of EPSILON contact lenses should be performed only when the contact lens specialist, decides that is indicated. Follow with precaution the directions of use that lens specialist has explained, disregarding any information from non trained persons. The contact lens fitter is responsible for the cleaning, disinfecting and storing method that has to be used, as well as the wearing schedule and insertion/removal training of the contact lens user.

Important information
Lens care
Wash and dry well your hands before lens handling
Do not use soap that contains creams, lotion or oils, before the contact lens use.
Handle the lenses with care avoiding lens stress or damage. Thus do not touch the lenses with nails, or other instruments/tools that are not designed for contact lens handling.
Use the appropriate contact lens solutions for cleaning, disinfecting and storing the EPSILON lenses, according to the contact lens specialist’s instructions, respecting the expire date of the products.
Do not use tap or generally water to clean the lenses.
Clean and change the lens case according the contact lens fitter’s recommendations.
After care
Regular check should be made by eye specialists as optometrist, ophthalmologist, contact lens fitter as instructed by the eye care specialist.

Follow the wearing instruction given by the contact lens fitter as far as wearing schedule and contact lens solutions used.
Never use a damaged altered lens in any way.

Possible side effects
If any of the following occurs, immediately remove your lenses and contact your eye care specialist / ophthalmologist / optometrist.
Burning, itching, stinging
Discomfort leading to reduced wearing time.
Increased light sensitivity
Increased secretions and eye redness
Alteration of habitual visual acuity.

Version Date 15 – 9 – 2013/1

Scleral lens insertion:

Scleral lens video instructions from Scleral Lens Society:

Slide the lens gently out of the case and inspect it toward the light, ensuring that there are no heavy deposits or breaks.
There are a few ways of holding the lens prior to insertion on the eye. The most common ones are, the three finger method and the use of a large sucker.
When the lens is inserted is very important to have your face looking down, parallel to the table or floor and look straight down with both eyes wide open.
The scleral lens has to be filled with NON PRESERVED saline solution, before insertion.
Lift the upper eyelid with the middle finger of the other hand, from the one you hold the lens, pressing it towards the upper bone structure, behind the eyebrow and open the lower eyelid with one finger of the hand holding the lens.
Press the lens gently on the eye and lift the eyelids. The excess saline solution will fall off and the lens will position correctly.

Scleral lens removal:
Using the fingers:
Hold the lower eyelid with a finger, where the eyelashes are located.
Keep the other eyelid open with the other hand.
Have the mirror in front of youat upright position, looking at it. In such a way you will have more space outside the lens edge, to press the eyeball.
Press the eye towards the skull/eye, outside the lens diameter, bending the white part of the eye, to make air pass under the lens.
Looking downwards the lens will lift off the eye and will fall to a clean towel on the table.

Abbreviations of contact lens specifications
BC: Base curve
SPH: Spherical lens power
CYL: Cylinder power
AXIS: Axis
DIA: Diameter
MAT: Material
ADD: Addition
DETAILS: Customisation & Sagitta
S/R: Serial number