______________________________________________ __________________________ Signature Date Disclosure: This document discloses the risk of harm, including but not limited to loss of vision, or blindness which may occur with the improper use of contact lenses and contact lens solution. There are a number of reasons not to wear your contact lenses.
Contact lens wear should be avoided if any of the following conditions exist:
- Inflammation of the eye - Any eye condition which affects the cornea or conjunctiva - Excessively dry eyes - Reduced sensitivity of the eye to touch or pain - Any systemic disease or condition which affects the eye or is exaggerated by contact lens wear - Eye irritation due to or made worse by wearing contact lenses, including contact lens solutions containing chemicals or preservatives to which you may be sensitive - Any medication which recommends discontinuing contact lens wear (e.g. Acutane) - Unwillingness of the patient to comply with the prescribed wearing schedule
Improper use of contact lenses or continued use with a problem, such as those listed above, can lead to rapid and, occasionally, permanent loss of vision. Improper wear of contact lenses increases your risk of a corneal infection and possible subsequent scarring of the cornea. The risk of a corneal infection is greater with extended wear lens users than daily wear lens users. The chances of developing a corneal infection are much greater if lenses are not removed for sleep. There is a direct relationship between the length of time between contact lens removal and the risk of corneal infection.
To help assure the most pleasant and safe contact lens wear, the following precautions should be observed:
- Promptly remove your lenses if they become uncomfortable - Replace any lenses that become dehydrated or damaged - Avoid contamination of your lenses with cosmetics, lotions, soaps, chemicals, etc. by washing your hands prior to handling your contact lenses - Avoid the use of aerosol products while wearing contact lenses. Spray residue may contaminate your contact lenses - Avoid wearing contact lenses in the presence of irritating fumes or vapors - Remove your contact lenses before swimming or getting into a hot tub. Eye infections are easily contracted under these conditions - Some medications, including those to treat colds, allergies, muscle relaxants, high blood pressure, motion sickness, and anxiety may cause blurred vision and dryness of the eyes. Additional lubricating drops, reduced contact lens wear time or temporary discontinuance of lens wear many be advisable - Use of oral contraceptives may reduce lens tolerance