19
12
.
EYE CARE PRACTITIONER INFORMATION
To aid your ability to reach you eye care practitioner, please record the contact details below.
Dr: ______________________________________________________________
Address: ______________________________________________________________
Phone: ______________________________________________________________
Use the table below to record the number of hours you wear your lenses each day during the adaptation
period.
Day
Date Hours
Worn
Day
Date Hours
Worn
1
8
2
9
3
10
4
11
5
12
6
13
7
14
IMPORTANT:
In the event that you experience any difficulty wearing your lenses or you do not understand
the instructions given to you, DO NOT WAIT for your next appointment. TELEPHONE YOUR EYE CARE
PRACTITIONER IMMEDIATELY.
Notes_______________________________________________________________________________
____________________________________________________________________________________
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GLOSSARY OF TECHNICAL TERMS
Term Definition
Adnexa
Tissues surrounding the eyeball.
Ametropia
Abnormal vision requiring correction for proper focus.
Anterior chamber
Fluid-filled portion of the eye between the iris and
innermost corneal surface.
