2
INSTRUCTIONS FOR WEARERS
Patient Name
Date Dispensed
Dispensed Lens
Lens Type
Design
□
Daily Wear (DO NOT sleep in these lenses.)
Aspheric
□
Bifocal
□
Spherical
Material
Toric
□
Other
Lens Prescription
Eye
Base Curve
Power
Diameter
Color
Lot Number
Right
Left
Prescribed By
Dr.
Address
Phone
My cleaning and disinfecting system is:
_
Convention:
Reference to FluoroPerm
®
rigid gas permeable contact lenses indicates all four materials –
FluoroPerm
®
30 (paflufocon C), FluoroPerm
®
60 (paflufocon B), FluoroPerm
®
92 (paflufocon A), and
FluoroPerm
®
151 (paflufocon D).
Convention:
Reference to Paragon HDS
®
rigid gas permeable contact lenses indicates all three materials –
Paragon HDS
®
(paflufocon B), Paragon Thin
™
(paflufocon C) and Paragon HDS
®
100 (paflufocon D).
Your FluoroPerm
®
/ HDS
®
rigid gas permeable contact lens may be tinted as a handling aid for locating the
lens. These products may be plasma treated.
FluoroPerm
®
/ HDS
®
rigid gas permeable contact lenses are available with an ultraviolet absorber. The
ultraviolet absorber, Acrymer™ 282, has been integrated as an additive within the Paragon HDS
®
, Paragon
Thin™, FluoroPerm
®
92, FluoroPerm
®
60 and FluoroPerm
®
30 polymer matrix and blocks up to 96% of
light from 280 to 380 nm. Acrymer™ is 4-methacryloxy-2-hydroxybenzophenone.
