THE BENCHMARK IN CORNEAL RESHAPING

WELCOME TO THE BENCHMARK IN CORNEAL RESHAPING Paragon Vision Sciences, Inc. 947 East Impala Avenue Mesa, Arizona 85204 USA 800-528-8279 +1-480-892-7602 www.paragoncrt.com www.crtvision.com

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This exciting modality has been integrated into thousands of practices throughout the world. This booklet has been designed to help you integrate Paragon CRT into your practice. Before you proceed with fitting Paragon CRT, please take a few moments to read this information. TABLE OF CONTENTS 90-Day CRT Practice Integration Plan... 5 Service Fees for Paragon CRT... 8 Initial CRT Patient Selection... 9 CRT Consultation and Website Support... 11 Marketing CRT in Your Practice... 12 Consumer Marketing Material Order Form... 18 CRT Testimonial Authorization Form... 19 Thank You for Your Referral Letter... 20 CRT Informed Consent Document... 21 CRT Informed Consent Quiz... 22 Child Assessment Document... 23 CRT Staff Training... 24 CRT Staff Training / Frequently Asked Questions... 30 Authorized CRT Distributors... 33 PAGE Look for this Reminder Icon throughout this booklet for tips. 3

I want to personally thank you for integrating Paragon CRT in your practice. It s an exciting time to get involved in one of the fastest growing modalities in the global contact lens market. Corneal reshaping is quickly entering the mainstream of contact lens fitting, and thousands of practices around the world have begun capturing new market share, while enjoying the incremental revenue that CRT can provide. With mainstream practices focusing on increased profit-per-patient, CRT provides a seamless way to achieve higher profit margins while minimizing chair time. There are two key areas where CRT is making a strong impact: First, tweens and teens, referred to as the 8-to-18 market, need the freedom to be children. During school and daytime activities, contact lenses and glasses can get in a child s way of learning and playing. With CRT, mom and dad have comfort knowing their children are seeing well at school, versus wondering if they are wearing or breaking their glasses, or losing contact lenses. Parents also have the convenience to help manage the care and handling of CRT lenses at home, just before bedtime and upon awakening. Second, soft contact lens wearers that are experiencing discomfort, manifested as feelings of dryness or scratchiness. This group is struggling with daytime discomfort, but continue making every attempt to not return to wearing glasses. By providing total freedom from contacts during waking hours, CRT is simply removing the problem; lens discomfort. Having no lenses on eyes during waking hours allows patients a healthy 16 hours of unobstructed access to oxygen. Paragon recently conducted a survey regarding chair time and the use of staff members when fitting CRT. Of the surveyed CRT Certified Practitioners: - 70% require 30-60 minutes for an initial CRT fitting visit. - 93% take between 15 to 30 minutes for each CRT follow-up appointment. - 78% report using a technician to assist on CRT fitting. - 50% use a technician for lens insertion. The processes and programs defined in this manual have been implemented, tested and proven effective in practices of varying sizes and in various stages of growth around the world. Reviewing this information will not only assist you in the timely integration of CRT, but can increase patient satisfaction and enhance the overall growth of your practice. I sincerely thank you for your interest in CRT and welcome you to the world of corneal reshaping. Best regards, Joe Sicari, President & CEO Paragon Vision Sciences - Paragon CRT 4

90-Day Practice Integration Plan To easily implement CRT into your practice, we recommend the following steps within the first 90 days. IDENTIFY THE METHOD BY WHICH YOU WILL BE FITTING CRT IN YOUR PRACTICE 100-Lens CRT Diagnostic Dispensing System If you purchased the 100-Lens Diagnostic Dispensing System, review the Paragon CRT Certification and Information Guide. This guide is provided with your Diagnostic Dispensing System for fitting instructions and fluorescein pattern guidelines. In addition, you have the following tools to assist you in fitting Paragon CRT lenses: Paragon CRT Lens Selector Slide Rule used to find the starting point of the fit Paragon CRT Yellow Slit Lamp Filter used to evaluate the initial CRT lens fluorescein pattern Quick Start Reference Card used to further evaluate the fit of the lens by using simulated fluorescein patterns and corresponding topography maps Paragon CRT Fitting & Troubleshooting Card helps with fitting adjustments DMV Classic Lens Remover for CRT lens removal Checklist for CRT Initial Evaluation/Dispensing Exam sheets a checklist to aid in exam documentation If you purchased the 100-Lens Diagnostic Dispensing System, review the Practice Management Kit This kit contains marketing tools that can be used to inform patients about CRT: Welcome Book One Book My Children Are Nearsighted Too Written by Nick Despotidis, OD Resource Guide/Certification & Information Guide In-office Continual Play Consumer DVD 8-to-18 Consumer Brochures and Brochure Stand 8-to-18 Consumer Recall Cards Contacts & Lifestyle Consumer Brochures and Brochure Stand Contacts & Lifestyle Consumer Recall Cards CRT Corneal Science Poster Patient Brochure Considering Contact Lens CRT Care Credit Information Contact your Authorized Paragon CRT Laboratory or Paragon Customer Service at 1-800-528-8279 to order additional literature. (North American Only) Take advantage of your two free staff member fits (4 lenses total) This is another way to gain valuable fitting experience during the first 90 days after you receive your CRT Diagnostic Dispensing System (DDS), or begin fitting with CRT SureFIT. Having a successful Paragon CRT wearer on staff can also be an excellent reference to potential CRT patients. We strongly recommend maintaining a full and complete CRT Diagnostic Dispensing Set. Doing so increases your ability to fit a patient and start treatment immediately on their first visit, potentially decreasing chair time while increasing patient satisfaction. 5

90-Day Practice Integration Plan CRT SureFIT 1-Day Fitting and Dispensing System If you chose CRT SureFIT as your method of fitting, review the Paragon CRT Certification and Information Guide. This resource will provide you with basic fitting instructions and fluorescein pattern guidelines. If you opted to purchase the Paragon CRT Technical Kit, you have the following tools to assist you in fitting CRT lenses: Paragon CRT Welcome Book Paragon CRT Resource Guide Paragon CRT Certification & Information Guide Checklist for CRT Initial Evaluation/Dispensing Exam Sheets a checklist to aid in exam documentation Paragon CRT Lens Selector Slide Rule used to find the starting point of the fit Paragon CRT Fitting & Troubleshooting Card helps with fitting adjustments Paragon CRT Yellow Slit Lamp Filter used to evaluate the initial CRT lens fluorescein pattern DMV Lens Remover for CRT lens removal CareCredit Flyer Customer Satisfaction Survey If you chose CRT SureFIT as your method of fitting, you can purchase the Practice Management Kit to help market and inform patients about Paragon CRT: Welcome Book One Book My Children Are Nearsighted Too Written by Nick Despotidis, OD Resource Guide/Certification & Information Guide In-office Continual Play Consumer DVD 8-to-18 Consumer Brochures and Brochure Stand 8-to-18 Consumer Recall Cards Contacts & Lifestyle Consumer Brochures and Brochure Stand Contacts & Lifestyle Consumer Recall Cards CRT Corneal Science Poster Patient Brochure Considering Contact Lens CRT Care Credit Information Contact your Authorized Paragon CRT Laboratory or Paragon Customer Service at 1-800-528-8279 to order additional marketing literature. Take advantage of your two free staff member fits (4 lenses total) This is another way to gain valuable fitting experience during the first 90 days after becoming certified to fit CRT. Having a successful Paragon CRT wearer on staff can be an excellent reference to potential CRT patients. The CRT SureFIT system provides three lenses per eye to fit and dispense on the initial day of fitting. Once your patient is successfully fit using one of the three lenses, you have 90 days to return the two non-dispensed lenses back to Paragon. In your initial CRT SureFIT order, a pre-addressed, postage paid return envelope will be included. If you fail to return the nondispensed lenses within 90 days, or choose to keep them, your lab of choice will issue an invoice to you charging the list price for the non-dispensed lenses. 6

90-Day Practice Integration Plan CRT Traditional Warranty Program If you chose to fit CRT using the Traditional Warranty Program, this enables you to order lenses from K readings and spectacle refraction. Review the Paragon CRT Certification and Information Guide. This resource will provide you with basic fitting instructions and fluorescein pattern guidelines. If you chose to fit CRT with the traditional warranty program, you can purchase the Practice Management Kit (PMK) below to help market and inform patients about Paragon CRT: Welcome Book One Book My Children Are Nearsighted Too Written by Nick Despotidis, OD Resource Guide/Certification & Information Guide In-office Continual Play Consumer DVD 8-to-18 Consumer Brochures and Brochure Stand 8-to-18 Consumer Recall Cards Contacts & Lifestyle Consumer Brochures and Brochure Stand Contacts & Lifestyle Consumer Recall Cards CRT Corneal Science Poster Patient Brochure Considering Contact Lens CRT Care Credit Information Contact your Authorized Paragon CRT Laboratory or Paragon Customer Service at 1-800-528-8279 to order additional marketing literature. (North America Only) Designate a half-day to fit new CRT patients. Because patients will require a check-up the morning following their dispensing visit, Friday fittings are appropriate if there are Saturday morning office hours; or instruct the patient not to wear the lenses until Sunday evening for a Monday morning appointment. Allow 15-30 minutes for each follow-up exam. Time allotted for CRT fitting is, as always, dependent on the level of delegation of routine tasks to your staff, i.e. visual acuity testing, corneal topography, over-refraction, history, etc. We recommend 45 minutes per initial fitting. 70% of surveyed CRT practices require 30-60 minutes for the initial CRT fitting visit 93% take between 15-30 minutes for each CRT follow up appointment 78% report using a technician to assist on CRT fitting 50% use a technician to apply the initial CRT lenses Paragon CRT Dual Axis can be used to successfully fit a patient when lens centration is an issue when using CRT or DUAL AXIS CRT SureFIT. CRT Dual Axis allows for modulation of the lens periphery in two meridians when corneal elevation or curvature differences limit the success of a fit. It features auto-orientation, with no prism or slab off, while maintaining flexure resistance and an overall thin lens design. The enhanced design maintains an optimum treatment zone and provides a lens perimeter that remains round and planar. The product s ability to permit independent manipulation of a second RZD and LZA, that doesn t alter the dimension found optimum in a first meridian, expands CRT s technological superiority. For more information, contact a Paragon Consultant for assistance at 800-528-8279 x 2. 7

Establishing Service Fees Corneal reshaping is quickly entering the mainstream of contact lens fitting and practices around the world have begun capturing new market share, while enjoying the incremental revenue that CRT can provide. With mainstream practices focusing on increased profit-per-patient, CRT provides a seamless way to achieve higher profit margins while minimizing chair time. Elements to consider when establishing your fees: If you are using a corneal topographer, it should be slightly reflected in your fees. You are providing a therapy, not just a contact lens. CRT provides visual freedom, without the hassles of traditional daytime vision correction. Visual freedom is invaluable and priceless. Do you want more volume at a lower fee, or less volume at a higher fee? What will be your ongoing renewal fee based on your COG s? To avoid surprises, it is recommended that you advise all patients on what to expect in annual fees. You should establish a cancellation policy in the event a patient decides that Corneal Refractive Therapy is not for them. Offer CareCredit as an option for patients who cannot afford to pay for CRT up front. CareCredit offers interest-free financing plans. (800) 340-3047 ext 4133. Shown below are several examples of pricing models that may work in your practice. Fitting with the CRT 100-Lens DDS One New CRT Patients Per Week Two New CRT Patients Per Week Three New CRT Patients Per Week Fitting with CRT SureFIT One New CRT Patients Per Week Two New CRT Patients Per Week Three New CRT Patients Per Week Note: When explaining fees to your patient, be sure to present initial fees and subsequent year fees that are generally much less. Many patients think that initial yearly fees are annual costs. 8

Initial CRT Patient Selection Paragon CRT is FDA approved up to -6.00D, with or without 1.75D astigmatism, and there are no age restrictions. A good CRT candidate: Is myopic and falls within the FDA guidelines Is between the ages of 8 to 18 (Tween and Teen) Has an active or athletic lifestyle and currently wears spectacles or daytime soft contact lenses that interfere with their daily activities Adults who suffer from uncomfortable daytime soft contact lens wear that may cause dryness symptoms Adults who are apprehensive about having eye surgery or afraid of a bad surgical result, the reversibility of CRT is attractive Is not a candidate for laser surgery, due to age (too young) or contraindicated Has discretionary income and prefers quality and convenience To gain fitting experience we suggest your first 5 to 10 CRT patients: Are existing soft contact lens or spectacle wearers and fall between the ages of 8 to 18. Many practitioners assume the best candidates for CRT are current GP wearers; however, it has been shown that the best candidates are those who wear soft lenses or spectacles, have moderate myopia with a Manifest Refraction Sphere under -3.00D with or without up to 1.00D of refractive (corneal) astigmatism. Is not a current GP (including Ortho-K) wearer, as these patients probably have cornea molding that could make the transition to CRT more challenging. Initially avoid current GP wearers as fitting CRT can present challenges that can best be overcome after gaining some routine fitting experience. Are within a Flat K range of 41.00 to 45.00D Patients that exhibit any of the following should not wear CRT: Inflammation, infection, red or irritated eyes or suffer severe dryness Any eye disease, injury, or abnormality that affects the cornea or surrounding tissue Any systemic disease that may affect the eye or be worsened by wearing contact lenses Allergic reactions of the eye, which may be caused or exaggerated by wearing contact lenses or use of contact lens solutions Lack maturity and understanding of the risks involved with contact lens wear. Review package insert and professional fitting guide for warnings and cautions - www.crtvision.com/crtpackageinsert 9

Initial CRT Patient Selection The Role of Corneal Topography Paragon strongly recommends the use of corneal topography in the management of Corneal Refractive Therapy. This instrument is acknowledged as an important tool in pre-fit evaluation, baseline documentation and ongoing management of CRT patients. Corneal topography also provides accurate treatment assessment during follow-up and improves chair time efficiency and practice profitability. All contact lens wear, even soft spherical contact lens wear, has an effect on the epithelial layer and its topography. If the pre-crt treatment topography shows a generally symmetrical presentation with a centrally located corneal apex, practitioners should proceed with the fitting and dispensing of CRT lenses. If topography is unavailable, or if topography indicates contact lens wear has substantially redistributed the epithelium from pre-contact lens baseline, then it may be prudent to discontinue contact lens wear 1-2 weeks before CRT fitting and allow the cornea to return to baseline curvatures. In very rare instances, infections of the eye, corneal ulcer, iritis, neovascularization, corneal scarring or permanent decreased vision may occur. The occurrence of these side effects should be minimized or completely eliminated if proper lens care is exercised. Lens Storage and Handling CRT lenses are plasma treated, shipped wet (North America only) and can be stored up to a maximum of 30 days in the unopened vial until ready to dispense. After 30 days the vial should be opened and the solution replenished. Prior to use, the lens should be cleaned and disinfected, following the lens care solution manufacturer s instructions. Paragon recommends the use of Progent, from Menicon, as an effective and convenient way to clean and disinfect CRT lenses. This solution loosens and removes lens protein deposits that can irritate eyes and compromise treatment. Progent is available through Authorized Paragon Laboratories or you can visit www.menicon.com.* * For alternate disinfection methods, reference: Szczotka, OD, MS, FAAO, Loretta. (2001, November). In-Office RGP Lens Disinfection. Contact Lens Spectrum. We strongly recommend maintaining a full and complete CRT Diagnostic Dispensing Set. Doing so increases your ability to fit a patient and start treatment immediately on their first visit, decreasing chair time while increasing patient satisfaction. 10

CRT Consultation and Website Support Paragon Vision Sciences provides practitioners and staff members ongoing clinical and practice management support through our Consultation Department. Consultants are available at 1-800- 528-8279 option 2 to answer your questions Monday through Friday from 8:30 a.m. to 5:00 p.m. MST or via email at consultation@paragonvision.com. You may also contact your CRT laboratory for consultation assistance. We also provide helpful information via our periodic email newsletter for Certified CRT practitioners. This useful tool provides information about ongoing practice management training courses, new marketing programs and tips on developing and growing Corneal Refractive Therapy in your practice. If you are not currently receiving our correspondence or have recently changed your email address, contact your Paragon Customer Service Representative at (800) 528-8279. (North America) CRT Practitioner Website: www.paragoncrt.com As a resource for your practice, you will find: Practitioner education, training and troubleshooting information. For a complete listing visit www.paragoncrt.com/getcertified. Web seminar schedules. We offer FREE on-line web seminars to assist with CRT practice management and integration, as well as clinical presentations. For a complete seminar listing and schedule, visit www.paragoncrt.com/seminar. Frequently Asked Questions Streaming videos (includes video on insertion, removal, care and handling) Package insert and professional fitting guide CRT Consumer Website: www.crtvision.com As a resource for your patients, the CRT consumer website is designed to provide educational information to your patients and your staff. It provides: Consumer information that is specific to: The Tween and Teen market segment Active adults Frequently Asked Questions An informational video on How CRT Works Informational videos on lens care and handling Recent news reports on CRT In The News Find A Practitioner database. This is a great resource for new patients to find your practice. 11

Marketing CRT In Your Practice Implementing a CRT marketing campaign doesn t have to cost a fortune, involve an outside marketing firm or consume your valuable time. Paragon strongly recommends taking action to alert your existing patients about the new technology offered in your practice. Here are some quick, easy and inexpensive ways to begin your CRT Marketing campaign. CRT Quick Start Program Place CRT consumer brochures at your check-in counter, in your reception area and exam rooms. Consider a direct mailing to your patient base using the CRT patientspecific recall cards. Place a link to the CRT Consumer website on your practice website: www.crtvision.com. CRT Patient Testimonials - Patient testimonials are a powerful marketing tool that can help other patients become comfortable with the treatment option by learning about the experience and success of others. We recommend you receive permission from patients to use their testimonials. We have included a sample form (Page 16) to help you gather this information. The following are some suggestions on how to implement patient testimonials: CRT Patient Testimonial Book - Fill the pages of a binder with CRT patient stories, thank you cards and other practice memorabilia and place in your reception area to generate patient interest. Practice website - Place CRT testimonials on your website so consumers have the opportunity to read what satisfied patients have to say about CRT. CRT Testimonial Fliers - Hand patients a copy of your favorite CRT testimonial(s) to generate discussion. CRT Wall of Fame - Display CRT patient testimonials and/or photos on the walls of your office. CRT Patient Advocate Program - Many CRT patients enjoy telling their personal success stories to others. Capitalize on these patients by asking them to participate in a CRT Patient Advocate Program. These patients can be used as a resource for patient testimonials at educational and product information seminars and answer questions via email or telephone or write articles for your patient newsletter. Adolescent patient advocates and their parents can be especially helpful to practices by addressing the concerns of other children and their parents. 12

Marketing CRT In Your Practice CRT Patient Referral Program - Studies indicate that one satisfied CRT patient will refer an average of four new patients. To support this opportunity we suggest developing a CRT Patient Referral Program. Gather Information Ask each new patient how they found out about your practice by making it a part of your new patient intake form. CRT Referral Cards - A preprinted special business card designed for satisfied CRT patients to give to friends and family. On the back you could offer free CRT screening to all referrals. Most practices find they convert a minimum of 75% of complimentary new-patient CRT consultations. Acknowledge each CRT referral with a personal Thank You Letter (Page 19) Patient Communications - Communication is key to any relationship. Routinely sending communication to your patient base helps retain patient loyalty, reminds patients it s time for their exam and promotes special CRT offerings or announcement of new products throughout the year. CRT Brochures - Utilizing proven and successful CRT marketing material which can provide added exposure to your practice. Paragon offers consumer brochures for: Tweens and Teens Active Adults Asian and Hispanic Paragon offers recall cards for: Tweens and Teens Active Adults CRT consumer marketing literature is provided as a complimentary service from Paragon. The CRT Eye Care Practitioner s account must be active within a 90 Day period of placing a Marketing Literature order to receive at no cost. The Practice Management Kit can be ordered for $50 if the account is inactive. See page 18 for ordering marketing supplies. 13

Marketing CRT In Your Practice Practice Newsletter - If your practice has an electronic newsletter, it is an excellent way to inform your patient base about CRT. Repeating the message about new products is the most effective. The majority of patients will read an email message from their doctor. Using email to develop and send newsletters, seminar invitations, special offers and recalls is an efficient and cost effective method of communicating with your patient base. There are several companies that offer email service for handling your marketing needs. They can develop and send a custom personalized email to your patient database saving valuable marketing dollars over traditional direct mail. Paragon uses and recommends Constant Contact, visit them at www.constantcontact.com. Appointment Reminder Phone Calls - If your staff places a reminder call to the patient prior to their appointment, have the staff member end each call by saying something similar to: Our practice is offering a new technology called Corneal Refractive Therapy, or CRT. It s a process that allows you to wear a special contact lens while you sleep so that you can see during the day without wearing corrective contact lenses or glasses. Ask us about CRT during your appointment. CRT Patient Seminars - CRT Patient Seminars can be a helpful tool to grow CRT within your practice. The goal of a patient seminar is to fill a room with pre-qualified patients and educate them on how CRT works and its benefits. Some key elements of a successful seminar are as follows: 1. Consider setting up your waiting room theater-style. 2. Screen your patient charts or database and invite those who are good candidates. 3. Have printed fliers available to hand out or mail to candidates beginning a month prior to your seminar. If you choose to do a mailing, send at least 1000 invitations which should yield 20 to 30 participants. Confirm their attendance on the day prior to the seminar. 4. Keep a record of all seminar registrants. Have a prepared sign-in sheet with the key patient information already included. Attendees need only confirm information and sign in. Have a table to sign up and schedule patients for their CRT evaluation or fitting appointment. 5. Consider offering a discounted price or free evaluation. 6. Seminar content should include product information, explanation of fees, fee policies and payment options. 7. Send a thank you letter as a follow-up to those candidates who did not sign up during the CRT seminar and invite them to call if they have any questions. CRT Employee Recognition Program - An employee recognition program can be an excellent tool to expand your CRT patient base. An employee recognition program can consist of: CRT Recognition Certificate or Appreciation Letter - Acknowledge staff members for their contribution to practice growth with a thank you note for the efforts put forth. Recognition Program - Consider offering employees a program that provides rewards such as bonuses or gifts for referrals they generate that result in a CRT fit. Message On Hold - Put a CRT announcement on your on-hold message system. This will alert your patients to the new technology you offer in your practice. Below are a few suggestions for an on-hold message. 14

Marketing CRT In Your Practice Option 1: Introducing the vision correction therapy that works while you sleep. It is Corneal Refractive Therapy or CRT. CRT is a therapeutic contact lens that gently temporarily reshapes your cornea while you sleep. You simply remove your lenses when you awake and experience great vision all day. No more torn lenses, broken frames or discomfort sometimes associated with daytime contact lens wear. Whether you are playing sports or simply applying makeup, with CRT nothing stands between you and excellent vision. CRT is FDA approved for all ages to correct myopia, also known as nearsightedness. Ask us to set up an appointment to see if CRT is right for you. Option 2: Do you want freedom from the hassles of daytime contact lenses and glasses? (Practice name) can offer you a safe, non-surgical, effective option called Corneal Refractive Therapy or CRT. CRT is a therapeutic contact lens that gently temporarily reshapes your cornea while you sleep. You simply remove your lenses when you awake and experience great vision all day. CRT is FDA approved for all ages to correct myopia, also known as nearsightedness. Ask us about our free Corneal Refractive Therapy screening and find out if the freedom of CRT is right for you. Other Forms of Marketing Traditional magazines, newspapers, press releases, radio and television programs Website - A well-designed website is very important. Paragon offers the ability to link to our consumer website to provide information about CRT to patients. Visit www.crtvision.com Local Community Schools, boys and girls clubs, Lions clubs and church groups offer different opportunities to obtain new patients at various times of year. Local Companies offer Employee Benefits Fairs that can provide an opportunity to meet with employees and present your practice and specifically the benefits of CRT. Consider a CRT Office Coordinator - Designate one staff member to be your CRT Coordinator, placing them in charge of in-office education, marketing and CRT lens inventory management. We suggest having a staff meeting to review the following: 1. Explain what Corneal Refractive Therapy is, how it works, and why you chose to integrate CRT into your practice. 2. Review the practice protocol for CRT, including the patient contract and informed consent, which is highly recommended for every new CRT patient. 3. Review the Initial Patient Selection criteria and what makes a patient a good candidate for CRT. 4. Review the in-office marketing tools and designate areas throughout the office to display them. 5. Discuss how to handle both phone and in-office patient inquiries. 6. Review CRT fee and cancellation policies and payment plans, if available. 7. Review how the fees compare to the cost of glasses or contact lenses and how to position the cost of CRT to the patient. 8. Review CRT Patient Seminars, if part of your plan, and the internal and external marketing plans you want to engage the practice in. 9. Review staff incentive programs, if applicable. 15

Marketing CRT In Your Practice My Children Are Nearsighted Too Paragon has supported the distribution of one of the best, well-written books on nearsightedness, My Children Are Nearsighted Too, by Nicholas Despotidis, O.D. Dr. D, as he is commonly referred to by his patients and colleagues, takes the reader through personal experiences, frustrations and ultimately the moments of triumph that corneal reshaping provided his patients. Dr. D is one of the strongest advocates of corneal reshaping. He proudly talks about how his two sons have successfully worn corneal reshaping lenses. This book is a must for every office that wants to grow their CRT patient base! Bruce Williams, Seattle WA $15 Plus Shipping Call Paragon Vision Sciences to place your order for My Children Are Nearsighted Too. (800) 528-8279 CRT is an excellent vision correction option for children and adolescents because there is no age restriction. For patients in the age group of 8 to 18, there is no other vision correction option that offers great vision and the freedom from glasses and daytime contacts the way CRT does. Both the tween and teen age groups want an option that is convenient, easy to use and makes them fit in and look good. Parents want an option that is safe and healthy for their children. Paragon CRT offers the 8 to 18 age group and their parents the following benefits: Great vision and the freedom from glasses and daytime contacts An excellent FDA approved vision correction option, since they aren t eligible for surgery More parental control over their child s vision care, since the therapy is done at home No more broken or lost glasses When offering CRT to children and adolescents as a vision correction option, pay special attention to the involvement of their parents. This is a product parents will help manage the child s wearing time and hygiene. Paragon strongly recommends the use of the Patient Informed Consent Form (Page 18-19) and the Child Assessment Document (Page 20) when fitting CRT. 16

Marketing CRT In Your Practice 8-18 Brochure Stand Contacts & Lifestyle Brochure Stand Asian Brochure Stand 8-18 Recall Cards NEW NEW NEW Contact & Lifestyle Recall Cards 8-18 Brochure Contacts & Lifestyle Brochure Asian & Nearsightedness Brochure Chinese Brochure Sleeping Lady Brochure English & Spanish Wratten Filter $14.75/ea. CRT Lens Calculator Complimentary CRT Patient Care Kit - $78.00 per dozen Corneal Science Poster Paragon Occluder Complimentary CRT Technical Kit - $50.00 See Page 5 for Contents Practice Management Kit - $50 Welcome Book One Book My Children Are Nearsighted Too Written by Nick Despotidis, OD Resource Guide/Certification & Information Guide In-office Continual Play Consumer DVD 8-to-18 Consumer Brochures and Brochure Stand 8-to-18 Consumer Recall Cards Contacts & Lifestyle Consumer Brochures and Brochure Stand Contacts & Lifestyle Consumer Recall Cards CRT Corneal Science Poster Patient Brochure Considering Contact Lens CRT Care Credit Information 17

Marketing CRT In Your Practice Place your order online at www.paragoncrt.com/supplies or fax to 480-393-7361 We suggest making photo copies of this page so you have a clean copy each time you need to order CRT supplies. Name (Who should we call if we have questions about your order?) Certified CRT Practitioner Name: CRT Certification Number Practice Address City State Zip Office Phone Qty 8-to-18 Consumer Marketing Material Qty CRT Supplies 8-to-18 Brochure CRT Patient Care Kits $78.00 per dozen 8-to-18 Brochure Stand CRT Lens Calculator Complimentary 8-to-18 Dear Parent Letter Wratten Filter $14.75 each 8-to-18 Survey Form CRT Troubleshooting Pocket Card 8-to-18 Waiting Room Poster Practice Management Kit (PMK) $50.00 each 8-to-18 Recall Card CRT Technical Kit $50.00 each Qty Contacts & Lifestyle Consumer Marketing Material Paragon Occluder Contacts & Lifestyle Brochure Qty Additional Consumer Marketing Materials Contacts & Lifestyle Brochure Stand Asian & Nearsightedness Brochure Contacts & Lifestyle Recall Card Asian & Nearsightedness Brochure Stand Introducing Paragon CRT (In-office DVD continual play) Spanish Brochure CareCredit Flyers Chinese Brochure Welcome to CRT booklet Sleeping Lady Brochure (English) 18 Replacement CRT Certificate (Your CRT Certification # ) The CRT Eye Care Practitioner s account must be active within a 90 Day period of placing a mareketing literature order. Corneal Science Poster Patient Information Booklet My Children Are Nearsighted Too $15 Written by Nicholas Despotidis, O.D.

CRT Testimonial Authorization Form I hereby give my permission to <practice name here> to use my written testimonial in all marketing materials and programs promoting CRT. Signature Print Name Date 19

Thank You for Your Referral Letter Date Patient Name Address City, State Zip Dear (patient s first name), THANK YOU FOR SHARING OUR VISION Thank you very much for your kind referral of <Referred patient s name goes here> to our office for Paragon CRT. The greatest compliment our practice can receive is when our patients communicate their trust in our care to their family and friends. We sincerely appreciate your confidence in our team of eye care professionals and we consider it an honor to assist those you refer to our practice with their eye care needs. Sincerely, 20

CRT Informed Consent Document Example of CRT informed consent You are being fitted with gas permeable (GP) contact lenses, also known as Corneal Refractive Therapy (CRT). Corneal Refractive Therapy refers to the use of specially designed GP contact lenses to temporarily reshape the cornea (the clear layer on the front of the eye), allowing you to see clearly without the use of glasses or contact lenses during waking hours. The Corneal Refractive Therapy contact lenses must be worn on a regular basis during sleep in order to reduce the need for glasses or contact lenses during the day. Complications and Side Effects Corneal Refractive Therapy carries the same risks as other types of contact lenses, such as swelling of the cornea, scratching of the eye, irritation, infection, unusual eye discharge, excessive tearing, dry eyes, sensitivity to light, pain, redness, and distorted vision. These risks are usually temporary if the contact lenses are removed promptly and if appropriate professional care is received. In some instances permanent corneal scarring, infection, or blood vessel growth on the cornea may occur, which can lead to reduced sight in rare cases. Although uncommon, infection of the cornea can develop rapidly and lead to loss of vision. The risk of infection of the cornea has been shown to be greater among patients who wear their lenses overnight than among those who do not sleep in their lenses. Corneal Refractive Therapy also has risks that are not typically associated with other types of contact lenses, such as blurry or variable vision, especially late in the day. The blurry vision and how long it lasts each day should decrease with time. You may also experience distortions or ghost images, particularly outside at night which may affect night driving. For the first few weeks, the risk may be increased in patients with a high degree of correction or large pupils. All risks are minimized if you follow the correct contact lens wearing schedules and care procedures, remove your contact lenses if problems occur, and report to your primary eye care practitioner as soon as possible. With any procedure, there may be unforeseeable risks. If you experience any of the symptoms listed above, remove your lenses immediately. If the condition continues after lens removal, you should immediately call for an appointment or consultation with your eye care practitioner who will provide the necessary treatment. I understand that if my condition requires a procedure that is not indicated by the FDA and deemed off label, I release all liability from (Practice Name) and the practitioner(s) and accept the treatment under my own volition. Signature: Lens wear Schedule Your doctor will recommend a wearing schedule for you to follow. The wearing time necessary for Corneal Refractive Therapy is typically 7 to 8 hours per night. Your doctor will also recommend a follow-up schedule to check your vision and contact lenses. It is important that you attend every visit (with your lenses) that your eye care practitioner recommends in order to maintain the health of your eyes. Alternative to Corneal Refractive Therapy Alternatives to Corneal Refractive Therapy include, among others, eyeglasses, traditional contact lenses, and refractive surgical procedures. Pregnancy Pregnancy could adversely affect treatment results with Corneal Refractive Therapy. If problems exist during pregnancy, you may need to temporarily discontinue Corneal Refractive Therapy contact lens wear. Patient Name: Signature: Legal Guardian: Signature: Attending Doctor/Witness signature: Date: 21

CRT Informed Consent Quiz Please circle the single best answer for each question. 1. If I experience red eyes, irritated eyes, excessive tearing, or light sensitivity, I should: a. Go to the emergency room b. Remove your contact lenses immediately c. Wait for three days to see if it goes away d. Put a drop of artificial tears in your eyes 2. After wearing corneal reshaping contact lenses for approximately three months, the cornea will be permanently reshaped so contact lenses will never need to be worn again. a. True b. False 3. To minimize risks associated with corneal reshaping contact lens wear, I should: a. Follow the correct contact lens wearing schedules and procedures b. Remove all contact lenses if problems occur c. Report to an eye care practitioner if I have problems with my eyes or contact lenses d. All of the above 4. If I am not experiencing problems with my eyes or contact lenses, I do not need to attend a regularly scheduled appointment with my eye care practitioner. a. True b. False 5. The risk of infection is for patients who wear contact lenses overnight than for patients who do not sleep in their contact lenses. a. Greater b. Lower Patient Name: Signature: Legal Guardian: Signature: Date: Waline-Holden et al State of Corneal Reshaping - Eye & Contact Lens 31(5):209-214, 2005 22

Child Assessment Document I am being fitted with gas permeable (GP) contact lenses, also known as Corneal Refractive Therapy. These contact lenses reshape the cornea (the clear layer on the front of the eye) for a short time, which allows me to see clearly without the use of glasses or contact lenses while I am awake. The Corneal Refractive Therapy contact lenses must be worn on a regular basis during sleep so that I can see clearly during the day without glasses or contact lenses. It is important that I agree to the following guidelines to keep my eyes healthy and allow me to wear contact lenses. Place a check mark in each box if you agree. I agree to wear my lenses no more than hours per night. I agree to wash my hands before inserting or removing my contact lenses. I agree to clean my lenses according to my doctor s instructions each time I remove them. I agree not to rinse my contact lenses in water from the sink. I will only use contact lens solutions to rinse my contact lenses. I agree to tell my parents or my doctor immediately if my contact lenses irritate my eyes. I agree to tell my parents or my doctor immediately if my eyes appear red or are painful. I understand that if I do not do the things listed above, my eyes may get hurt or I may not be able to wear my contact lenses. Child s Name: Child s Age: Child s Signature: Date: Waline-Holden et al State of Corneal Reshaping - Eye & Contact Lens 31(5):209-214, 2005 23

CRT Staff Training Guide What is Corneal Refractive Therapy with CRT? Paragon CRT is a specially designed oxygen permeable therapeutic contact lens used in Corneal Refractive Therapy. CRT is a sophisticated non-surgical process that temporarily reshapes the cornea while you sleep. You remove the lenses when you awake and are able to go throughout the day without any other vision correction. How new is Paragon CRT? The idea of contact lens corneal reshaping is not a new concept. In fact, some historians believe the original concept dates back to Ancient China. Paragon Vision Sciences has taken advancements in computerized corneal mapping, computerized manufacturing, and oxygen permeable contact lens materials and produced a therapeutic contact lens design that is like no other. This has allowed CRT to become the one corneal reshaping modality that truly stands out and the first to earn FDA approval (June 2002) for nighttime Corneal Refractive Therapy. How will CRT benefit our patients? CRT offers freedom from glasses and the hassle of wearing contact lenses during the day. This can enhance the lifestyle of those requiring vision correction. Active individuals can freely participate in sports without the interference of glasses or bother of contacts. Eye irritation or dryness, sometimes associated with contact lens wear due to outside dust and pollutants, is eliminated. How will CRT benefit our practice? CRT provides an opportunity for your practice to take patient care to the next level. You can share in the fun and excitement of patients who experience visual freedom using CRT. The result will be higher patient satisfaction along with increased patient retention and practice growth. How will our practice fit and dispense CRT? The eye care professional who is certified to fit CRT chose one of the options below. It is important to know which method your practice will utilize. 24

CRT Staff Training Guide How will our practice fit and dispense CRT? (continued) 100-Lens CRT Diagnostic Dispensing System CRT can be prescribed through a Diagnostic Dispensing System (DDS) utilizing routine clinical data: patient refraction, corneal measurement and fluorescein pattern evaluation. The CRT Diagnostic Dispensing System (DDS) includes 100 lenses, with a range of Base Curves, Return Zone Depths and Landing Zone Angles. All parameters in the 100-Lens DDS were carefully selected, based on outcomes analysis of successful patient data. Practitioners can expect to successfully dispense and begin immediate treatment on four out of five patients directly from their diagnostic dispensing inventory. CRT SureFIT 1-Day Fitting and Dispensing System Paragon CRT can be prescribed using CRT SureFIT which provides 3 lenses per eye to fit and dispense on Day 1. A CRT SureFIT candidate should fall within the following parameter range: - Flat K Readings between 41.00D and 45.00D - Spectacle Rx (vertexed power) up to -4.00D - Corneal Cylinder up to -1.00D CRT SureFIT saves chair time and increases profitability Fewer patient visits, delivering improved convenience Immediate fit assessment with in-office lens changes, if needed CRT Traditional Warranty Program If your office will be fitting CRT using the warranty program, lenses can be ordered using K readings and Spectacle Rx, or by ordering the specific parameters needed. CRT lenses are primarily fabricated in Paragon HDS 100 (paflufocon D), a super high Dk material cleared by the FDA for up to seven days extended wear and having an ISO/ANSI rating of 100 Dk. Once certified, practitioners are issued a Paragon CRT Certification number. This number is important when ordering lenses to replace dispensed lenses and patient education materials. 25

CRT Staff Training Guide CRT Patient Selection Guidelines The CRT lens is the first lens to be approved for its safety and efficacy by the FDA for the treatment of myopia and with or without moderate astigmatism: Approval range: Myopia: Up to -6.00 Diopters Age Restrictions: None Astigmatism: Up to 1.75 Diopters Optimal vision can be reached in 10 to 14 days! There are no age restrictions and the treatment is reversible. For most patients their vision returns to its original state in as little as 72 hours. Best candidates: Previous soft contact lens or spectacle wearers that fall within: Flat K readings between 41.00D and 45.00D Spectacle Rx (vertexed power) up to -4.00D Corneal Cylinder up to 1.00D Contact lens and spectacle-wear patients with complaints about their current correction option: Interference with outdoor sporting activities and hobbies Inconvenience Lost and torn lenses Irritation from allergies, dust and wind Daily care and handling problems Scratched lenses and broken glasses Refractive surgery candidates: Paragon CRT offers a safe, non-surgical option for many patients interested in the benefits of refractive surgery to reduce their dependence on glasses and contact lenses, but do not proceed for the following reasons: Fear of Surgery Fear of Poor Outcome Fear of Irreversibility Too Young for Refractive Surgery Cost Moms and Dads love CRT for their children: No more worries about their child s vision in the classroom. No more worries about the loss of their child s glasses or contacts during sports. Fewer worries means a more positive attitude and self-image for their child! 26

CRT Staff Training Guide CRT Fees and Payment Policy Typically the fees involved for CRT are the initial fitting, professional care, follow-ups and the CRT therapeutic lenses. After the first year, the annual cost of CRT is about the same as wearing contact lenses or glasses. Many eye care practitioners offer optional payment plans, similar to the plans used for LASIK. CareCredit is the nation s largest provider of interest-free financing plans. Affiliation with Paragon Vision Sciences entitles you to free enrollment in a special CareCredit program. Contact CareCredit at 1-800-300-3046 extension 4133. Patients may also want to consult their employer about Flexible Spending Accounts. A Flexible Spending Account (FSA), (also called flex plan, reimbursement account, Flex 125, Tax Saving Plan, Medical Spending Account, a Section 125, or a Cafeteria Plan), is an employer-sponsored benefit that allows you to pay for eligible medical expenses on a pre-tax basis. Expenses such as corneal refractive therapy, laser vision correction, eyeglasses, and contact lenses may be covered under this program. Not all employers participate in FSA programs. Recommend the patient check with their Benefits Manager to see if their employer participates in an FSA. How to Generate Patient Interest in CRT Position your practice as the corneal refractive therapy expert in CRT and rapidly increase interest by handing out an informational CRT packet to all potential candidates. Include the following in your CRT Patient Education packet: CRT Brochure: Tween and Teen brochure Contacts and Lifestyle brochures Other brochures are available CRT Practice Fee and Payment Policy CRT Frequently Asked Questions Fact Sheet Custom brochures available at www.paragoncrt.com/custombrochures Successful practices have generated interest in CRT by placing CRT marketing materials throughout their office. Display all patient education materials provided by Paragon to initiate patient interest. Paragon offers customized brochures for your practice to ensure your patients have your contact information, should they take the brochures home with them. To maximize patient interest, place patient education brochures in reception, all exam lanes, contact lens and optical areas. Place one poster in the reception area and in at least one other high visibility location. 27

CRT Staff Training Guide Generating Patients Through Internal Patient Education Plan for a proactive introduction to CRT that is incorporated into the daily flow of key areas within the practice. Patient Scheduling: Staff introduction begins when a new or established patient calls the office for an appointment. I d be happy to help you. Are you calling today to schedule an examination for contact lenses, glasses, LASIK or Corneal Refractive Therapy? If the patient expresses an interest in LASIK and/or Corneal Refractive Therapy, continue the conversation: We offer consultation for the LASIK procedure. If surgery is not for you, our practice also offers non-surgical vision correction, called Corneal Refractive Therapy. You simply wear specially designed lenses at night, remove them when you wake up and the result is clear, daytime vision without wearing glasses or contacts. Our doctor will be happy to discuss the latest vision correction options, including CRT, with you during your exam. Is morning or afternoon better for you? Patient Reception: At the time of patient check-in, staff members can introduce Corneal Refractive Therapy by handing the patient a brochure. The staff member could say Mrs. Jones, while you are waiting to see the doctor, you may wish to hear about an interesting technology we are offering. Pre-Testing: Present patients with a lifestyle questionnaire or staff members can gather information on lifestyle related issues during pre-testing. Sample CRT Lifestyle Questionnaires are included in the CRT Practice Management and Integration Library. Visit www.paragoncrt.com/getcertified (located at bottom of page). CRT Patient Scheduling Protocol Planning for the efficient handling of pre-appointed CRT fittings will help eliminate delays in your daily schedule. The time needed to educate and fit a Corneal Refractive Therapy patient is similar to that of LASIK patients. Establish all future appointments immediately after the initial consultation. Initial Exam: 1 Hour Follow-up Exams: 30 Minutes CRT Lens Ordering Protocol The CRT 100-Lens Diagnostic Dispensing System (DDS) is designed to fit 80% of myopic patients. In order to keep your DDS working at its fullest potential, it s important to develop a lens ordering system. 28 Once a lens is dispensed from the DDS to a patient, most practices wait about one week before ordering a replacement lens to fill the hole(s) in the DDS. One easy way to manage the lenses that need to be ordered is to flip over the vials of the dispensed lens(es) and put a round sticker on the bottom with the patient s information. Another way is to designate a tray for the vials of dispensed lenses. When you are ready to order your replacement CRT lenses, contact your Authorized Paragon CRT laboratory. Have the practitioner s CRT Certification number handy.

CRT Staff Training Guide CRT Lens Care and Handling Information With each order of two (2) full-priced CRT lenses, your are eligible to receive one complimentary patient care kit. Add value to your patient s treatment by sending them home with this reusable travel case. Have patients watch the videos located at www.crtvision.com as part of their Insertion and Removal training. The CRT Patient Care Kit contains: Product information Package Insert and Information for Wearers booklets. Lens care solutions DMV Classic TM lens remover CRT lens case Instructions to view Lens Care and Handling videos online at crtvision.com Utilizing CRT Patient Testimonials and Patient Referrals CRT Patient testimonials are a practice builder and can be used to promote both clinical expertise and services as an integral component of your overall internal marketing strategy. CRT Patient Care Kit (available from Paragon for $78 per dozen) Gathering CRT Patient Testimonials Using patient testimonials requires the following steps: 1. Making the request 2. Gathering the story 3. Receiving patient permission on story use Approach patients who are enthusiastic about the change CRT has made in their lives at their two week or one month appointment, or when their daytime vision has stabilized. CRT Patient Referrals Generating, tracking and acknowledging the referrals of friends and family from happy CRT patients should be part of your marketing strategy. Word-of-mouth referrals are the strongest practice builder and the most cost effective form of marketing. Most computer systems are set up to track new patients on the scheduling, but if this isn t an option for you, manually track how new patients found out about your practice on their new patient intake form. One way to generate referrals is to order a specially designed business card with a message that focuses solely on the referral of new patients. This tactic is an inexpensive way to spread your marketing message. 29

CRT Staff Training / Frequently Asked Questions Is CRT Permanent? No. It s temporary. If you stop wearing the lenses regularly while you sleep, your vision will return to its original state in as little as 72 hours. Can everyone wear CRT? CRT treats nearsightedness (myopia up to 6.00 diopters) with or without minor astigmatism (up to 1.75 diopters). And because there are no age restrictions with CRT, it may be the perfect option for patients that experience discomfort while wearing daytime contact lenses. At this time, Paragon CRT is not approved for treatment of farsightedness. How long does it take to reach good vision? Most patients have rapid improvement in the first few days of treatment and achieve their optimum vision in 10 to 14 days. What should a patient expect during the 10 to 14-day treatment process? It s important to understand that for a short time after a patient has begun treatment, but before sufficient treatment is realized, old glasses or contacts will no longer be the appropriate prescription. It may involve re-insertion of CRT lenses for part of the day or some use of temporary soft lenses in different prescriptions. The doctor will discuss the options with each patient for visual correction during that temporary period of time. Are there any risks involved with wearing CRT? There is a small risk involved when any contact lens is worn. It is not expected that the CRT lenses for contact lens Corneal Refractive Therapy will provide a risk that is greater than other contact lenses that are worn during sleep. There were no serious adverse events reported in the Paragon CRT FDA clinical study. (See the package insert online at www.crtvision.com/faqs) Can I see with my CRT lenses in? Yes. One of the great features of the CRT lens is that if you get up in the middle of the night, you will be able to see perfectly. You will enjoy great vision with your CRT lenses 24 hours a day, on or off! How often will I have to replace my CRT lenses? Generally speaking the Paragon CRT lenses will have to be replaced annually. However, depending on factors such as protein buildup, how well the lenses are taken care of, etc., the lenses may have to be replaced more or less frequently. How do I care for my CRT lenses? Your lenses should be chemically disinfected after every use (not heat). Your doctor will instruct you about which care system is best for you. 30

CRT Staff Training / Frequently Asked Questions How much does CRT cost? Our initial cost for Corneal Refractive Therapy with Paragon CRT is $. This includes: (list products and services included in the fee). We also offer optional payment plans, which we will be happy to review with you. Payments can be as low as $ per month. Also, for subsequent years, the cost of CRT is about the same as regular contact lenses or glasses. Is Corneal Refractive Therapy painful? No. The therapy is not painful. Initially, you may have a slight awareness of the therapeutic lens. You will not feel the lenses when you sleep and there is no sense of physical corneal change just visual improvement when the lenses are removed. Is Corneal Refractive Therapy FDA-approved? Yes. CRT was the first therapeutic lens design approved by the FDA for overnight contact lens Corneal Refractive Therapy for the temporary reduction of myopia. Paragon Vision Sciences, the manufacturer of CRT, received the final written approval on June 13, 2002. The issuance of this approval is the culmination of the most extensive clinical study to date to establish the safety and efficacy of contact lens corneal reshaping in overnight use. What is the difference between Corneal Refractive Therapy and CRT? Corneal Refractive Therapy is the process of using a therapeutic contact lens to reduce myopia by reshaping the corneal surface while you sleep. CRT is the product used for this therapy. Are there age restrictions for Corneal Refractive Therapy with CRT? No. The FDA placed no age restrictions on candidates for Corneal Refractive Therapy with CRT. CRT is being successfully performed on children 8 years old and younger. It can be a great option for children and teens that are active in sports activities or any other extra curricular activities. Those who are older and presbyopic (requiring reading glasses or bifocals) may still be candidates for CRT. They may correct their distance vision with CRT and wear near vision glasses for close work. At the doctor s discretion you may be fitted in a monovision mode (one eye corrected for near vision and one corrected for distance vision). Visual requirements due to age or activities can only be made after a thorough eye exam and recommendations of a CRT certified eye care professional. Are CRT lenses difficult to apply or remove? No. These lenses are generally no more difficult to insert or remove than any other similar contact lens modality. You may want to instill comfort or rewetting drops prior to insertion of the lenses and immediately upon waking. The lenses must move freely prior to removal. If you have difficulty removing the CRT lens, there are lens removal aids available to assist this process. 31

CRT Staff Training / Frequently Asked Questions If I discontinue CRT, will my vision return to normal? Yes. There are no recorded permanent corneal changes post-treatment. Generally, the more myopia being reduced, the longer it will take for the corneal curvature to return to normal. For instance, if your pretreated correction was -4.50D, it would take a few days longer to return to normal than if the pretreated correction was -1.50D. My driver s license says I need corrective lenses to operate a motor vehicle. What do I do? You will be supplied with a document that states you are participating in a visual therapy program that eliminates the need for corrective lenses while operating a motor vehicle. The document should have an expiration date for this treatment and you should have your driver s license updated with a new vision screening through your local DMV office to reflect this change before the expiration date. What happens if I lose or damage a lens? Corneal Refractive Therapy is different than wearing regular contact lenses. If you discontinue wear for one night, your vision may be impaired the next day. Previously worn glasses or contact lenses may not help. Immediate replacement is necessary! Having a spare pair of lenses is strongly recommended. Will my insurance plan cover Corneal Refractive Therapy? This is an elective procedure and, to the best of our knowledge, is not usually covered by benefit programs. If regular contact lenses are covered under your vision care plan, Corneal Refractive Therapy may be partially covered. You should check with your benefits plan administrator. I suffer from dry eyes. Am I a candidate for Corneal Refractive Therapy? Only your eye care professional can determine if you are a CRT candidate. Many patients with slightly dry eyes do well with CRT. Since you are wearing the lenses only while sleeping, the closed eye minimizes evaporative loss of tears and may give dry-eye patients suitable vision without compromising the ocular surface. I used to wear contact lenses, but stopped due to discomfort. Am I a candidate for Corneal Refractive Therapy? CRT lenses are worn at night while you are sleeping. This greatly reduces any discomfort normally experienced while wearing contact lenses during the day. I have astigmatism. Am I a candidate for Corneal Refractive Therapy? CRT is designed to correct myopia with up to 1.75 diopters of astigmatism. Each individual should be evaluated by a certified eye care professional to determine if CRT is right for your visual requirements. How can I tell if I have the original Paragon CRT lens? Each CRT lens is laser-marked with a series of very small numbers and/or letters. If your lens does not have a laser mark, you can rest assured you are not wearing an authentic CRT lens and you should consult your eye care practitioner. 32

Authorized Paragon CRT Distributors ABB CONCISE 800-225-1812 Marshfield, MA 800-772-3911 Alameda, CA ACCULENS, INC. 800-525-2470 Denver, CO ART OPTICAL CONTACT LENS, INC. 800-253-9364 Grand Rapids, MI ADVANCED VISION TECHNOLOGIES 888-393-5374 Golden, CO GP SPECIALISTS 800-889-0379 San Clemente, CA CONFORMA CONTACT LENSES 800-426-1700 Norfolk, VA CORNEAL LENS LAB 800-674-9556 Richmond, VA DISTOCON CONTACT LENS LAB 800-543-8007 Cincinnati, OH DIVERSIFIED OPHTHALMICS 800-626-2281 Cincinnati, OH ESSILOR USA CONTACT LENS 800-366-6342 Dallas, TX 800-362-4233 Denver, CO 800-685-5367 Tulsa, OK ESSILOR / ABBA 800-331-2015 Stone Mountain, GA E&E OPTICS 800-869-9124 Ventura, CA FIRESTONE OPTICS, INC 800-821-3606 Kansas City, MO IDEAL OPTICS - A WALMAN COMPANY 800-554-7353 Atlanta, GA INTERNATIONAL CONTACT LENS LAB 800-422-8489 Rego Park, NY LANCASTER CONTACT LENS 800-733-6540 Lancaster, PA METRO OPTICS 800-223-1858 Austin, TX MIDSOUTH PREMIER OPHTHALMICS 800-735-6662 Memphis TN 800-731-2933 Nashville, TN 800-888-9986 Kenner, LA 877-700-0914 Locust Grove, GA OBRIG INC 808-949-2020 Honolulu, HI PC OPTICAL 800-433-4885 Minneapolis, MN PRECISION TECHNOLOGY SERVICES 800-663-4248 Vancouver, BC QUALITY CONTACT LENS,INC. 866-915-0306 Green Bay, WI SODERBERG 877-633-0300 Dayton, OH 800-937-4448 Oak Creek, WI 800-736-9339 Saint Paul, MN TRUFORM OPTICS 800-792-1092 Bedford, TX 800-888-LENS San Antonio, TX 800-365-6749 Albuquerque, NM UNIVERSAL CONTACT LENS of DALLAS 800-255-8895 Dallas, TX VALLEY CONTAX 800-547-8815 Springfield, OR VISIONARY 800-488-2020 Anaheim, CA X-CEL CONTACTS 800-241-9312 Atlanta, GA 800-221-9235 Baltimore, MD 800-426-6241 Bellevue, WA 877-926-6822 Minneapolis, MN 800-432-3838 Orlando, FL 800-245-0797 Pittsburgh, PA 800-342-2724 San Diego, CA LUZERNE OPTICAL LABORATORIES 800-233-9637 Wilkes-Barre, PA 33

34 NOTES

NOTES 35

Prescribe PARAGON VISION SCIENCES Materials paragon 40 Dk* 14.7 Wetting Angle Daily Wear Extended Wear UV Availability Deposit Resistant Superior Wettability Just watch us 101 Dk* Same Material Used In CRT Extended Wear UV Availability Deposit Resistant Proven Stability Promotes Corneal Health 23 Dk* Daily Wear UV Availability Deposit Resistant Proven Stability Superior Wettability paragon hds high index 22 Dk* Highest Refractive Index Available Ideal For Presbyopic Designs Great For High Prescriptions Daily Wear Less Lens Mass Thin Lens Profile fluoroperm 30 30 Dk* 12.8 Wetting Angle Daily Wear UV Availability Deposit Resistant Structural Integrity Superior Wettability 43 Dk* 14.7 Wetting Angle Daily Wear Extended Wear UV Availability Deposit Resistant Proven Stability 64 Dk* 16 Wetting Angle Daily Wear Extended Wear UV Availability Deposit Resistant Reliable Material www.paragoncrt.com www.crtvision.com 800-528-8279 *ISO/ANSI Method CRWELCOMEBOOK - 12/11 Copyright 2011 Paragon Vision Sciences, Inc. All rights reserved. No part of this publication may be reproduced without prior written permission by Paragon Vision Sciences, Inc.