Contact Lenses Solutions

Transcription

1 es Solutions &S U M M A R Y Compiled by Paul White, OD The New England College of Optometry, Boston, Massachusetts SPONSORED BY A supplement to the July 2018 Issue of

2 Gr ad Stu den t. Yoga Enthusiast. e Valu n Co s s u o ci NEW ACUVUE VITA for ASTIGMATISM with HydraMax Technology Two EYE-INSPIRED INNOVATIONS combined for stable vision and reliable exceptional comfort- all month long + HydraMax Technology BLINK STABILIZED Design A non-coated silicone balanced to maximize and maintain hydration1 This design works naturally with the eyelids helping to keep the lens in the correct position2.

3 Exceptional vision and comfort you can count on - all month long For your Patients at weeks 1, 2, 3, and 4 3 even with head and eye movements3 For your Practice Family of Sphere & Toric for greater practice efficiency 3 for spherical and astigmatic eyes4 ACUVUE VITA for ASTIGMATISM has the highest level of UV protection available.* for more information visit acuvueprofessional.com Rx range -1.00DS to -4.75DS inclusive, -0.75DC to -1.50DC inclusive, and axes 180±25 and 90±15. 1 JJVC data on file HydraMax Technology Definition. 2 JJVC data on file ACUVUE Brand es for ASTIGMATISM overall fitting success, orientation position, rotational stability and vision performance. 3 JJVC data on file Subjective Performance and Clinical Outcomes of ACUVUE VITA Brand es with HydraMax Technology for ASTIGMATISM 4 JJVC data on file Proportion astigmats accommodated with ACUVUE Brand es for ASTIGMATISM, and ACUVUE OASYS, ACUVUE OASYS 1-Day, ACUVUE VITA & 1-DAY ACUVUE MOIST Brand es (sphere & toric), and prevalence potential soft CL wearers requiring astigmatic correction. Helps protect against transmission of harmful UV radiation to the cornea and into the eye. * WARNING: UV-absorbing contact lenses are NOT substitutes for protective UV-absorbing eyewear such as UV-absorbing goggles or sunglasses because they do not completely cover the eye and surrounding area. You should continue to use UV-absorbing eyewear as directed. NOTE: Long-term exposure to UV radiation is one of the risk factors associated with cataracts. Exposure is based on a number of factors such as environmental conditions (altitude, geography, cloud cover) and personal factors (extent and nature of outdoor activities). UV-blocking contact lenses help provide protection against harmful UV radiation. However, clinical studies have not been done to demonstrate that wearing UV-blocking contact lenses reduces the risk of developing cataracts or other eye disorders. Consult your eye care practitioner for more information. ACUVUE VITA Brand es are indicated for vision correction as a daily wear lens with one-month recommended replacement. As with any contact lens, eye problems, including corneal ulcers, can develop. Some wearers may experience mild irritation, itching or discomfort. Lenses should not be prescribed if patients have any eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. Consult the package insert for complete information. Complete information is also available by visiting acuvueprofessional.com, or by calling: In Canada: Johnson & Johnson Care division of Johnson & Johnson, Inc. at ; In the US: Johnson & Johnson Care, Inc. at ACUVUE, ACUVUE VITA, HydraMax, EYE-INSPIRED, and BLINK STABILIZED are trademarks of Johnson & Johnson Care, Inc. Johnson & Johnson Care, Inc August 2017 VT-00091

4 Dear Colleague, Johnson & Johnson Care, Inc. is delighted to once again sponsor the es and Solutions Summary (CLASS) supplement. As a proud sponsor of this supplement for more than a decade, we firmly believe in its value to the professional community. This year s CLASS appears as a supplement to the July issue of Spectrum, and can also be viewed at We thank Dr. Paul White and his colleagues at Spectrum for their hard work to compile the comprehensive data included within this year s summary. We also express our gratitude to our colleagues around the world for their ongoing support of the ACUVUE Brand Family of Products. At Johnson & Johnson, we are committed to helping more patients experience the benefits of contact lens wear, promoting healthy vision, preserving the critically important doctor-patient relationship, and developing innovative products to address a wide range of patients vision needs. We continue to focus on the eye care professionals who treat these patients, and remain active across the country in advocating and supporting the doctor-patient relationship and patient safeguards. In addition, we are excited to move further into eye health with the integration of medical devices, surgical technologies, and consumer eye health products. Johnson & Johnson s goal is to advance eye health. We are also excited to introduce JNJVISIONPRO.COM, which is more than just a website. It s your one stop for in-office tools, educational resources, and helpful information that can assist you in managing the diverse needs of your practice. Our commitment to innovation is unwavering. But at the center of all the R&D efforts be they technological, educational, or commercial in nature is our commitment to advancing eye health. We thank you for your partnership and look forward to our continued work together. With warmest regards, Millicent Knight OD, FAAO, FAARM Vice President of Professional Education & Development Johnson & Johnson Care, Inc., North America The third-party trademarks used herein are trademarks of their respective owners. ACUVUE is a registered trademark of Johnson & Johnson Care, Inc. Johnson & Johnson Care, Inc FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

5 To the Practitioner es & Solutions Summary s goal is to provide you with a concise, easy-to-use, chairside informational source to aid in patient care decision-making. It follows the K.I.S.S. philosophy keep it simple and streamlined. We have incorporated list prices for soft contact lenses, however these prices are approximate, and are provided as a guideline. For exact pricing, costs for atypical powers or other parameters, warranty or exchange policies, or for more information about products, contact the manufacturers and distributors listed on Page 35. To provide you with a method to compare lens designs, we ve taken the liberty of standardizing manufacturers descriptions of their lens parameters. Unless otherwise indicated, center thickness specified is for average minus power. We ve arranged lenses by brand name rather than by company because that s how we refer to them in practice. In addition, ongoing corporate acquisitions make brand identification a more consistent system as all names are registered or trademarked. In addition to registered or trademarked names, each material has a generic name. Because an understanding of generic materials is important as it relates to disinfection systems and Dk values, please take a moment to read the information under Hydrogel and Hydrogel Lens General Considerations on Page 7. Due to the growing popularity of silicone contact lens prescribing and in response to reader requests, we have made the words bold in all silicone lens listings to make those listings easier to locate. We trust the es & Solutions Summary continues to fulfill your needs. It is made possible through an educational grant from Johnson & Johnson. Paul White, OD P.S. A PDF of es & Solutions Summary is available for download at Published by: Spectrum, Penta LLC, Norristown Road, Suite 150, Ambler, PA (267) clspectrum@pentavisionmedia.com For additional copies of CLASS, contact: Geri Berzinski (267) gerianne.berzinski@pentavisionmedia.com Contents Diopters to Radius of Curvature Conversion Table... 6 Vertex Distance Table... 6 SOFT CONTACT LENSES General Considerations... 7 Disposable/Planned Replacement Spherical Clear and Visibility Tint... 8 Tinted Enhancer and Opaque Toric Multifocal Spherical Clear and Visibility Tint Daily Wear Extended Wear Therapeutic Aphakic Special Design Tinted Enhancer and Opaque Daily Wear Customized Tinting Toric Daily Wear Extended Wear Multifocal Daily Wear Extended Wear Multifocal Toric Hybrid Soft/GP GAS PERMEABLE (GP) LENSES General Discussion Lens Materials SOLUTIONS Rigid Lens Solutions Soft Lens Solutions Non-Thimerosal Preserved Saline Unpreserved Saline Daily Cleaners Weekly Cleaners Daily Protein Removers Disinfecting Solutions and Combinations Hydrogen Peroxide Disinfection Subsonic / UVC Disinfection Lubricants / Rewetting Drops Company Directory clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 5

6 Diopters to Radius of Curvature Conversion Table D.R. D.R. D.R. D.R. D.R. D.R. D.R Vertex Distance Table Average 12 mm DISTANCE MINUS MINUS PLUS PLUS Left-Right Left-Right Right-Left Right-Left = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

7 Soft es Hydrogel and Hydrogel Lens General Considerations The FDA gives each contact lens material a generic name. In general, all and silicone lens generic names end in the suffix filcon and all non lenses end in focon. Hydrogel lenses are categorized into five groupings for purposes of evaluating effects of accessory products upon the lens material. Lenses with less than 50 percent water content are considered to be low water and the others are high water. Less reactive surfaces are termed nonionic and more reactive materials are labeled ionic. lenses are Group 5, which is in the process of being updated and subdivided further. This is described in the article Proposed Hydrogel Lens Grouping Systems for Lens Care Product Compatibility Testing by Joseph Hutter, PhD, Angela Green, PhD, and Malvina Eydelman, MD, in Eye and, 2012 Nov;38(6): The FDA proposal has been sent out for comments, and it will then be finalized. Disinfection of and silicone lenses can usually be done safely and effectively by approved chemical or hydrogen peroxide systems. However, some Group 4 ionic polymers may react negatively with potassium sorbate- or sorbic acidpreserved solutions. In the term Dk, D stands for diffusion and k for solubility. The oxygen permeability of lenses is almost entirely the result of solubility and for GP materials almost entirely the result of diffusion. In silicone materials, oxygen permeability is a combination of solubility and diffusion, with the larger amount from diffusion. That is, the component in the formulation provides solubility and the silicone component provides diffusion. Each generic material below is accompanied by a representative Dk number. A clinically useful approximation is to consider Dk values for lenses in three groups: H 2 O Dk 38±% 9± 55±% 18± 75±% 36± It is also important to remember that Dk/t (central transmissibility) and Dk/t (average overall transmissibility) are dependent upon contact lens thickness configuration and are more important than Dk with lenses. With silicone contact lenses, Dk/t and Dk/t are more similar than with lenses. This table should assist you in identifying specific lenses in each category as related to disinfection and Dk; and it will also help you determine an appropriate mix of lens types for your practice. GROUP 1 Low Water (<50% H 2 O) Nonionic Hydrogel Polymers tefilcon (38%) (Dk = 8.9) LL Bifocal tetrafilcon A (43%) (Dk = 10.3) Preference (Dk = 26.6) Preference Toric Preference Toric XR helfilcon A&B (45%) (Dk = 12) Continental Toric Flexlens Aphakic Flexlens Optima Toric Flexlens Toric polymacon (38%) (Dk = 9) Alden Classic 38 LifeStyle Toric Sphere and Toric Bifocal Clearcolor lenses LL-38 Esstech PS Multifocal Metrosoft II Esstech PSD Metrosoft Toric Esstech SV Natural Touch HD Occasions HD-T Optima 38 HDX Simulvue 38 HDX-T Sof-form II Horizon 38 SofLens 38 Ideal Soft SofLens LifeStyle MV2 Multi-Focal LifeStyle Xtra Unilens 38 LifeStyle 4Vue Westhin Toric hioxifilcon B (49%) (Dk = 15) Alden HP Sphere Intelliwave Alden HP Toric Multifocal Toric Aquaease Quattro Essential Soft Satureyes Toric Multifocal Satureyes Toric Flexlens and Multifocal Intelliwave SpecialEyes 49 Intelliwave Toric and Sphere Toric Intelliwave Multifocal Note: All lenses are available in helfilcon A, hioxifilcon A, hioxifilcon B, and methafilcon A. GROUP 2 High Water (>50% H 2 O) Nonionic Hydrogel Polymers alfafilcon A (66%) (Dk = 32) SofLens Toric for Astigmatism omafilcon A (60%) (Dk = 33) Proclear 1-Day omafilcon B (62%) (Dk = 34) Proclear Multifocal and Multifocal Toric) Proclear Sphere Proclear Toric clspectrum.com/class hioxifilcon A (59%) (Dk = 28) Alden HP 59 Sphere Alden NovaKone Extreme H 2 O 59% Thin Extreme H 2 O 59% Extra Extreme H 2 O Monthly Eyedia Precise Monthly, Fresh Daily Disposable, Precise Monthly for Astigmatism Miru 1Day Menicon Flat Pack SpecialEyes 59 Toric and Sphere hioxifilcon D (54%) (Dk = 21) Alden HP 54 Sphere and Toric Astera Multifocal Astera Multifocal Toric C-Vue Advanced Custom Toric, SV, Multifocal, Toric Multifocal Extreme H 2 O 54% Extreme H 2 O 54% Toric Extreme H 2 O Monthly NovaKone, NovaKone Toric SpecialEyes 54 Toric, Sphere, Multifocal, Bifocal nelfilcon A (69%) (Dk = 26) Dailies AquaComfort Plus Focus Dailies Focus Dailies Toric Focus Dailies FreshLook One-Day Novakone, Novakone Toric Synergy Triton nesofilcon A (78%) (Dk = 42) Biotrue Oneday Biotrue Oneday for Astigmatism Biotrue Oneday for Presbyopia hilafilcon B (59%) (Dk = 22) SofLens Daily Disposable SofLens Daily Disposable for Astigmatism acofilcon A (58%) Dk = (25.5) Flexlens Tricurve Keratoconus GROUP 3 Low Water (<50% H 2 O) Ionic Hydrogel Polymers deltafilcon A (43%) (Dk = 10) Metrosoft GROUP 4 High Water (>50% H 2 O) Ionic Hydrogel Polymers etafilcon A (58%) (Dk = 28) 1-Day Acuvue Define A+ Wave 1-Day Acuvue Moist Acuvue 2 1-Day Acuvue Moist for Astigmatism 1-Day Acuvue Moist Brand Multifocal Eyedia Soft SimplifEyes 1-Day NaturalVue Multifocal 1 Day focofilcon A (55%) (Dk = 16) Fre-Flex ocufilcon A (46%) (Dk = 15) UCL Tresoft UCL PR-46 ocufilcon B (52%) (Dk = 16) ClearSight 1 Day Ocu-Flex 53 Continental ocufilcon C (55%) (Dk = 16) UCL 55 UCL-Pediatric ocufilcon D (55%) (Dk = 19.7) Biomedics 55 Premier (Dk = 28.1) Biomedics Toric ocufilcon E (65%) (Dk = 22) Ocuflex 65 phemfilcon A (55%) (Dk = 16) Freshlook Freshlook Freshlook Toric Colorblends Colors Dimensions methafilcon A (55%) (Dk = 18) Alden Classic 55 Sphere Alden Classic 55 Toric Biocurve Advanced Biocurve 1-Day Comfort C-Vue 1 Day ASV and ASV C-Vue 55 Multifocal and Custom Toric Definition AC, Definition AC Comfort Elite AC Elite Daily Elite AC Toric Eyedia Soft 55 Flexlens Frequency 55 Sphere & Multifocal HD2 HDX2 Horizon 55 Bi-Con isight Sphere, Toric, Multifocal Kontur LL 55 New Horizons Sof-form 55 EW and Aphakic Softcon EW-2 Vertex Sphere Vertex Toric methafilcon B (55%) (Dk = 18) Frequency 55 Toric Hydrasoft Sphere Hydrasoft Aphakic Hydrasoft Toric vilfilcon A (55%) (Dk=16) Focus Monthly Softcolors Soft 55 Soft 55 EW GROUP 5 Hydrogel Polymers lotrafilcon A (24%) (Dk = 140) Air Optix Night & Day Aqua lotrafilcon B (33%) (Dk = 110) Air Optix Aqua Air Optix Aqua Multifocal Air Optix for Astigmatism Air Optix Plus HydraGlyde narafilcon A (46%) (Dk = 100) 1-Day Acuvue TruEye senofilcon A (38%) (Dk = 103) Acuvue Oasys Acuvue Oasys 1-Day Acuvue Oasys 1-Day for Astigmatism Acuvue Oasys for Astigmatism Acuvue Oasys for Presbyopia senofilcon C (41%) (Dk = 103) Acuvue Vita comfilcon A (48%) (Dk = 128) Biofinity Biofinity Energys Biofinity Multifocal Biofinity Toric Biofinity XR stenfilcon A (54%) (Dk = 80) MyDay MyDay Toric balafilcon A (36%) (Dk = 112) C-Vue Hydravue Multifocal Pure Pure Multi-Focal and Toric Pure2 Pure2 Toric for Astigmatism Pure2 Multi-Focal for Presbyopia efrofilcon A (74%) (Dk = 60) C-Vue Hydravue C-Vue Hydravue Custom Toric C-Vue Hydravue Multifocal C-Vue Hydravue Toric Multifocal Intelliwave Intelliwave Toric Intelliwave Multifocal Intelliwave Multifocal Toric KeraSoft IC Metrofocal Definitive Metrofocal Toric Definitive Metrosoft Definitive Metrosoft Toric Definitive Revitaleyes Post-Refractive Definitive Rose K2 Soft delefilcon A (33% core, 80% surface) (Dk = 140) Dailies Total1, Dailies Total1 Multifocal fanfilcon A (55%) (Dk = 90) Avaira Vitality Avaira Vitality Toric somofilcon A (56%) (Dk = 60) Clariti 1 Day Clariti 1 Day Multifocal Clariti 1 Day Toric samfilcon A (46%) Dk = 114 Bausch + Lomb Ultra, Ultra for Presbyopia olifilcon A (47%) (Dk = 175) Biocurve Spherical CONTACT LENSES & SOLUTIONS SUMMARY 7

8 Spherical Clear and Visibility Tint Disposable and/or Planned Replacement Hydrogels Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price 1-DAY ACUVUE MOIST (1) 1-DAY ACUVUE TRUEYE (1) ACUVUE 2 (1, 2, 3) Johnson ACUVUE OASYS ACUVUE OASYS 1-DAY (1) ACUVUE VITA (2) AIR OPTIX AQUA (1, 2, 3) Johnson (2, 3) AIR OPTIX NIGHT & (2, 4) DAY AQUA AIR OPTIX PLUS HYDRAGLYDE ALDEN CLASSIC 38 SPHERE (2) ALDEN CLASSIC 55 SPHERE (2) ALDEN HP 49 SPHERE (2) ALDEN HP 54 SPHERE (2) ALDEN HP 59 SPHERE (2) Johnson & Johnson Johnson & Johnson & Johnson & Johnson Johnson & Johnson Johnson & Johnson Alden Optical Alden Optical Alden Optical Alden Optical Alden Optical /MA (Class 2) Lacreon Technology (Class 1) Hydraclear 1 Technology /MA (Class 2) (Class 1) Hydraclear Plus Technology (Class 1) HydraLuxe Technology (Class 1) HydraMax Technology Clear or visibility tint Clear or visibility tint GMA/ Clear or visibility tint GMA/ Clear or visibility tint GMA/ Clear or visibility tint , , , , 8.8 Plano bandage lens: 8.4, , , to +6 beyond 6 12 to +6 beyond 6 12 to +8 beyond ±6 12 to +8 beyond ±6 12 to +8 beyond ±6 12 to +8 beyond ±6 10 to to pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ , to +6 6-pack/ to to to to to to to to +6 (0.25D steps) +8 to and 8.50 to 12 () No plano Plano to ±30 Plano to ±30 Plano to ±30 Plano to ±30 Plano to ±30 6-pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ AVAIRA VITALITY (2) to +8 6-pack/20.25 A+ WAVE Optical Connection Single and 12-pack/ to +4 Call for pricing 12 to +6 BAUSCH + LOMB Bausch + Lomb ( ULTRA (2) MoistureSeal Technology above 6) 6-pack/30.50 BIOCURVE 1-DAY 30-pack/12.99 Optical Connection to +6 COMFORT (1) 90-pack/37.99 BIOCURVE ADVANCED Optical Connection (1, 2) ASPHERIC , to +8 6-pack/13.99 BIOCURVE SPHERICAL SILICONE Optical Connection to pack/40.00 BIOFINITY (2, 3) to +8 6-pack/30.25 BIOFINITY ENERGYS to +8 > ±6 6-pack/31.00 BIOFINITY XR (2, 3) to to 20 6-pack/32.00 BIOMEDICS , 8.9 ( ), (1, 3) PREMIER 8.8 (+) 10 to +6 6-pack/22.50 BIOTRUE ONEDAY (1) CLARITI 1 DAY (1) CLEARSIGHT 1 DAY (1) C-VUE ADVANCED HYDRAVUE SINGLE VISION Bausch + Lomb Hypergel Unilens to 16.0 (14.5, 15.0 std.) 8.0 to 9.5 (8.2, 8.5, 8.8, 9.1 std.) 9 to +6 ( beyond 6.50) 10 to +8 >±6 10 to +6 > 6 and to pack/ pack/ pack/ pack/ pack/ pack/ Trial/20.00 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 8 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

9 Spherical Clear and Visibility Tint Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price C-VUE ADVANCED SINGLE VISION Unilens GMA/ to 16.0 (14.5, 15.0 std.) 8.0 to 9.5 (8.2, 8.5, 8.8, 9.1 std.) 20 to pack/ Trial/20.00 C-VUE 55 ASPHERIC (2) Unilens to +8 6-pack/15.00 C-VUE 1 DAY ASV (1) Unilens to pack/ pack/ to 0.50 DAILIES to +8 PVA 30-pack/16.40 AQUACOMFORT ( 15 to and Visitint 90-pack/40.80 PLUS (1) +6 to +8 in 0.50D steps) DAILIES TOTAL1 (1) core material; High-water, non-silicone surface material 33 Surface water content to to +6 ( over 6) 30-pack/ pack/69.55 DEFINITION AC (2) Optical Connection , to +8 6-pack/13.99 DEFINITION AC 30-pack/12.99 EVERYDAY Optical Connection to pack/37.99 COMFORT (1) ELITE (2) 55 Varies , to +8 6-pack/11.50 ELITE AC DISPOSABLES (1) 55 Varies , to +8 6-pack/12.50 ELITE DAILY (1) 55 Varies to pack/ pack/ to Median to +6 EXTREME H 2 O 6-pack/20.00 GMA to % (1, 2) 12-pack/ Median to +6 ( after 6) 8 to 0.50 EXTREME H 2 O GMA Median to +6 59% THIN (1, 2) ( after 6) 6-pack/22.00 EXTREME H 2 O 10 to 0.50 GMA Median 86 59% XTRA (1, 2) to +6 6-pack/ Median to to to Median 85 EXTREME H 2 O to pack/21.00 GMA (1, 2) DAILY 10 to pack/ Median to +6 above 6 Median to to EXTREME H 2 O Flat to pack/24.00 GMA (1, 2) MONTHLY 0.50 to pack/37.00 Steep 81 ( after 6.00D) 13.6 Median to to to Median to +6 EXTREME H 2 O GMA pack/18.95 (1, 2) Steep to 0.50 WEEKLY 10 to Median to +6 above to +6 EYEDIA FRESH DAILY GMA/ 8.7 Clearlab ( DISPOSABLE (For +4 to > 6 and +4) +6) 90-pack/37.90 EYEDIA PRECISE MONTHLY EYEDIA SOFT 55 EYEDIA SOFT 58 FLEXLENS SPHERE (2) Clearlab Clearlab Clearlab GMA/ /MA /GMA/ Clear or handling tint , 49, 55, 59, 74 Varies 14.0 ( ) 14.5 (+) 8.2, 8.6 ( ) 8.6 (+) 13.5 to to 9.2 (0.1) 6.0 to 11.0 Custom available 12 to +6 ( > 6 and +4) 12 to +6 ( > 6 and +4) 10 to +6 ( > 6 and +4) 10 to to pack/ pack/ pack/13.50 First lens/ pack, 6-pack, 12-pack/Call for price (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 9

10 Spherical Clear and Visibility Tint Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price FLEXLENS PRISM SPHERE (2) FOCUS DAILIES (1) FREQUENCY 55 ASPHERIC (2) FRESHLOOK (1, 2, 3) HANDLING TINT HD (2) HD2 (2) PolyVue PolyVue /GMA/ Clear or handling tint PVA AquaRelease Visitint /MMA 45, 49, 55, 59, Varies 13.5 to to to 11.0 Custom available of 1.50/ to to to to to to +8 8 to steps > 6 and to +6 First lens/ pack, 6-pack,12- pack/call for price 90-pack/ pack/ pack/ pack/30.20 Single lens/24.00 Multipack (3+1)/ to +8 6-pack/32.00 HD DAILIES PolyVue GMA to steps > 6 and pack/40.00 HORIZON SPHERE (2) /GMA/ Clear or handling tint 38, 49, 55, 59, 74 Varies 13.5 to to to to to +40 First lens/ pack, 6-pack,12- pack/call for price HORIZON PRISM SPHERE (2) /GMA/ Clear or handling tint 38, 49, 55, 59, 74 Varies HYDRASOFT SPHERE (2) IDEAL SOFT INTELLIWAVE ASPHERIC (2) isight SPHERE (3) AND GOLD SPHERE (FORMERLY BIOCURVE) METROSOFT PLANNED REPLACEMENT (2) METROSOFT EP PLANNED REPLACEMENT (2) METROSOFT DEFINITIVE MIRU 1DAY MENICON FLAT PACK (1) MYDAY (1) Art Optical GP Specialists Metro Optics of Austin Metro Optics of Austin Metro Optics of Austin Menicon 74 with handling tint 49 GMA/ /GMA Light blue/clear /GMA Clear/light blue Clear or visitint /GMA Smart Technology 13.5 to to to / , , 8.6, 8.9, Varies , 8.6, , to to +40 First lens/ pack, 6-pack,12- pack/call for price 30 to pack/ to +20 after 8.00 MTO MTO MTO 20 to to to to +10 First lens/ pack, 6-pack,12- pack/call for price Diagnostic lens/ pack/76.00 Diagnostic lens/ pack/40.00 First lens/30.99 Spare lens/ pack/ pack/ / / / , 8.4, 8.7 Plano to ±12 4-pack/70.00/ / / / , 8.4, to Varies , 8.6, , to +12 Over ±12 10 to 0.50, to to +8 ( > +5 and 6 4-pack/98.00/ Single/ pack/ Single/ pack/ Call for pricing 90-pack/ pack/ pack/36.00 NATURALVUE eering to pack/16.00 SPHERE 1 DAY Technologies 10-pack trials First lens/50.00 NATURASOFT Advanced 74 Varies 10.0 to to to pack/50.00 PEDIATRIC (2) Technologies Clear/visitint 4-pack/ First lens/50.00 NATURASOFT Advanced 74 Varies 10.0 to to to pack/50.00 SPHERE (2) Technologies Clear/visitint 4-pack/ , 14.5, 8.2 to pack/53.55 OCU-FLEX 55 (2) to (0.1) 4-pack/71.40 /NVP/MMA 10 to 0.25 PREFERENCE (2) , pack/63.00 > 6.5 PREFERENCE /NVP/MMA 10 to , pack/63.00 STANDARD (2) > 6.5 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 10 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

11 Spherical Clear and Visibility Tint Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price PROCLEAR (2) 20 to /PC > ± to Plano 8.2 > 6 12 to +8 PROCLEAR 1-DAY (1) /PC > +5 and to 0.25 (2, 4) PUREVISION Bausch + Lomb to over 6.50 (2, 4) PUREVISION2 Bausch SIMPLIFEYES 1-DAY (1) (2, 3) SOFLENS 38 Bausch SOFLENS DAILY DISPOSABLE (1) SPECIALEYES (2) 54 SPHERE SPECIALEYES (2) 59 SPHERE SYNERGY QUARTERLY REPLACEMENT SPHERE (2) UNITED CONTACT LENS PLANNED REPLACEMENT (2) + Lomb SynergEyes + Lomb Bausch + Lomb SpecialEyes SpecialEyes Gelflex Laboratories United Contact Lens with Dual Tangible Polymers UV Blocker (Class 2) to +6 over to to D steps 6-pack/ pack/ pack/ pack/ pack/ pack/ pack/ , 8.7, to +4 6-pack/ to to to to to to to above 7 25 to to , to 9.2 (0.2) 20 to +20 GMA/ 49 /NVP , 14.8, , 14.5, , 14.5, to to , 8.3, 8.6, 8.9, , 8.6, 8.9, to to , 8.5, 8.8 Over ±9 Disposable and/or Planned Replacement Tinted Enhancer and Opaque Hydrogels Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price 1-DAY ACUVUE DEFINE (1) AIR OPTIX COLORS ALDEN CLASSIC (2) AND ALDEN HP 49 (2) EXPRESSIONS (2) EYEDIA CLEARCOLOR CIRCLE EYEDIA CLEARCOLOR ELEMENT EYEDIA CLEARCOLOR ELEMENT EYEDIA CLEARCOLOR PHANTOM EYEDIA CLEARCOLOR VIBRANT Johnson & Johnson Alden Optical Clearlab Clearlab Clearlab Clearlab Clearlab /MA Peripheral limbal ring tint to clear at center (Class 2) Lacreon technology Natural Shimmer, Natural Shine, Accent, Vivid Subtle colors: Pure hazel, blue, green, gray, brown; Vibrant colors: Honey, brilliant blue, gemstone green, sterling gray, amethyst, true sapphire, turquoise Aqua, azure, blue, brown, gray, green, jade, walnut, yellow Gray, green, hazel, blue, aqua, blue topaz, brown, jade Enhancers: New equinox, gray, brown, blue Enhancers: Violet rose, green envy, sky blue, brown chestnut, blue rain, platinum gray, misty gray, hazel autumn, tosca Enhancers: Violet rose, green envy, sky blue, brown chestnut, blue rain, platinum gray, misty gray, hazel autumn, tosca Enhancers: call company Enhancers: Leaf green, ice blue, amber, Pacific blue, slate gray, lavender, emerald, azure, mocha , to to 0.75 (0.25 steps) to 0.50 & 6.50 to 9 (including plano, 0.50D steps) 6 to D steps 8 to 6 Plano to ±30 90-pack/35.50 Single/ pack vials/ pack vials/ Single/ pack vials/ pack vials/ Initial lens/ pack/30.00 Single/ pack vials/44.00 Single/ pack vials/68.00 Custom/44.00 Super Custom/ pack/ pack/ pack/Call for price 4-pack/ pack/ to +4 6-pack/ to +4 ( > 6) 8 to +4 ( > 6) to plano (0.25D steps) Cylinder up to 4.50 (0.25D steps) Axes around the clock (5º steps) to plano (select patterns) 8 to +4 ( > 6) 6-pack/ pack/ pack/75.00 MTO 6-pack/ pack/29.90 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 11

12 Disposable and/or Planned Replacement Tinted Enhancer and Opaque Hydrogels- continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price FRESHLOOK (1, 2) COLORBLENDS FRESHLOOK (1, 2) COLORS FRESHLOOK ONE-DAY (1) FRESHLOOK (1, 2) DIMENSIONS HD PRO COLORS METROTINT PLANNED REPLACEMENT (2) OLORS SPHERE PolyVue Distribution Metro Optics of Austin /MMA Amethyst, blue, brown, gray, green, honey, pure hazel, true sapphire, turquoise, brilliant blue, gemstone green, sterling grey /MMA Blue, green, hazel, violet PVA Blue, green, pure hazel, gray ColorBlends /MMA Caribbean aqua, Pacific blue, Sea green Gray, true sapphire, green, amethyst, hazel, turquoise, honey, brown Aqua, blue, green Opaque seabreeze, blue, emerald, green, golden, amber, horizon grey Toric Disposable and/or Planned Replacement Hydrogels 12 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM Median to +6 > 6 and +2 8 to +6 > 6 and +2 6-pack/ pack/ to pack/ , 8.6, to +6 > 6 and +2 8 to +4 > 6 Plano to ±12 6-pack/ pack/ pack/ > ±12 4-pack/ to Plano 6-pack/85.00 Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price 1-DAY ACUVUE MOIST FOR ASTIGMATISM ACUVUE OASYS 1-DAY FOR ASTIGMATISM ACUVUE OASYS FOR ASTIGMATISM (1, 2, 3) ACUVUE VITA FOR ASTIGMATISM AIR OPTIX FOR ASTIGMATISM (2, 3) Johnson & Johnson Johnson & Johnson Johnson & Johnson Johnson & Johnson (Class 2) Lacreon Technology Scribe marks at 6 and 12 o clock (Class 1) HydraLuxe Technology Scribe marks at 6 and 12 o clock (Class 1) Hydraclear Plus Technology (Class 1) HydraMax Technology ALDEN CLASSIC 38 (2) Alden Optical 38 ALDEN CLASSIC Alden Optical (2) ALDEN HP to 15.0 (2) Alden Optical GMA/ ALDEN HP 54 (2) Alden Optical ALDEN HP 59 (2) Alden Optical GMA/ to to , 8.6, , 8.6, , 8.6, 8.9 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 6 to Plano 9 to 6.50 () to +4 6 to Plano 9 to 6.50 () to +4 6 to +6 9 to 6.50 () 6 to plano 9 to 6.50 () to +4 6 to to 6.50 () , 2.25, , 2.25 Plano to ± to 10 Plano to ± to 10 10º, 20º, 70º, 80º, 90º, 100º, 110º, 160º, 170º, 180º 10º, 20º, 70º, 80º, 90º, 100º, 110º, 160º, 170º, 180º 10º, 20º, 70º, 80º, 90º, 100º, 110º, 160º, 170º, 180º 10º, 20º, 70º, 80º, 90º, 100º, 110º, 160º, 170º, 180º 10º, 20º, 70º, 80º, 90º, 100º, 110º, 160º, 170º, 180º 10º, 20º, 70º, 80º, 90º, 100º, 110º, 160º, 170º, 180º 1º steps 1º steps Plano to ± to 10 Any Plano to ± to 10 Any Plano to ± to 10 Any Blink Stabilized Design Blink Stabilized Design Blink Stabilized Design Blink Stabilized Design Precision Balance 8 4 Symmetric Stabilization Symmetric Stabilization Symmetric Stabilization 30-pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/180.00

13 Toric Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price AVAIRA VITALITY (2) BAUSCH + LOMB ULTRA FOR ASTIGMATISM BIOFINITY (2, 3) BIOFINITY (2, 3) XR BIOMEDICS (2, 3) BIOTRUE ONEDAY FOR ASTIGMATISM Bausch + Lomb Bausch + Lomb CLARITI 1 DAY (1) Moisture Seal Technology Hydragel UV Blocker to +8 > ±6 9 to +6 above 6.00D 10 to +8 > ±6 10 to +10 ( after ±6) to to +6 > to to plano after to D steps 9 to plano after , , , to 5.75 () 0.75 to 2.25 () 1.75, , California CO SOFT (2) to to 3.25 Optics C-VUE , 8.5, 8.8 ADVANCED Unilens GMA/ to +20 Up to 4 CUSTOM (2) C-VUE ADVANCED HYDRAVUE CUSTOM (2) DAILIES AQUACOMFORT PLUS ELITE AC (2) EXTREME H 2 O 54% (1, 2) LC EXTREME H 2 O 54% (1, 2) MC EXTREME H 2 O XRP EYEDIA PRECISE MONTHLY FOR ASTIGMATISM FLEXLENS (2) FLEXLENS ARC Unilens Clearlab PVA Blue visitint to 16.0 (14.5, 15.0 std.) 8.0 to 9.5 (8.2, 8.5, 8.8, 9.1 std.) to +20 Up to 4 6 to +4 8 to 6.50 () to +4 1, 1.75 GMA Median 86 6 to +4 LC (0.65D) GMA Median 86 6 to +4 MC (1.25D) GMA/ Single indication line at 6 o clock /GMA/ Clear or handling tint , , to , 49, 55, 59, 74 8 to to 5.75 () 1, º to 180º 10º to 180º 10º to 180º Optimized ballast Optimized ballast 5º to 180º 5º steps Optimized ballast 5º to 180º 5º steps 10º, 20º, 60º, 70º, 80º, 90º, 100º, 110º, 120º, 160º, 170º, 180º 10º, 20º, 60º, 70º, 80º, 90º, 100º, 110º, 120º, 160º, 170º, 180º 20º, 70º, 90º, 110º, 160º, 180º 10º, 20º, 90º, 160º, 170º, 180º 5º steps 1º steps Any 1º steps 90º ±20º 180º ±20º 15º steps Periballast ballast 6-pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/65.00 to pack/ Trial/ pack/ Trial/ pack/ pack/ pack/ pack/ pack/ pack/ º, 20º, 80º, 90º, 100º, 160º, 170º, 180º 13.5 to to to to 10 Any Custom available 6.0 to to to 10 Any to to to to 10 Any 6-pack/26.75 First lens/ pack, 6-pack,12- pack/call for price First lens/ pack, 6-pack,12- pack/call for price (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 13

14 Toric Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price FREQUENCY 55 (2, 3) , to +6 > , º to 180º 6-pack/53.25 FREQUENCY 55 (2, 3) XR HD-T (2) HORIZON (2) PolyVue /GMA/ Clear or handling tint , to +6 > to to , , 55, 59, 74 HYDRASOFT (2) 55 INTELLIWAVE ASPHERIC (2) isight SOFT (FORMERLY BIOCURVE) KONTUR 55 (2) METROSOFT DEFINITIVE METROSOFT (2) MYDAY NATURASOFT (2) Art Optical GP Specialists Kontur Kontact Lens Metro Optics of Austin Metro Optics of Austin Advanced Technologies OPTIMA (2) Bausch + Lomb PREFERENCE (2) PREFERENCE XR (2) PROCLEAR (2) with handling tint Clear or visibility tint Clear or /GMA Clear/ visibility tint Clear/visitint 5º to 180º 5º steps 180 ±20º 90º ±20º 13.5 to to to to 10 Any Custom available 6.0 to to to 10 Any , to , 8.6, 8.9, to +30 MTO MTO 20 to to 10 Any To To 12 1º to 180º 1º steps ; Eccentric lenticulation 55, to to to to 8.50 Any 14.0, 14.5, 15.0, , 8.3, 8.6, to to 5 (4) Any 1º steps ; Eccentric lenticulation , 8.7, to to 8 5º steps 38/ / , 8.7, to to plano ( > 6) to +6 () 0.75 to over to to to to 15 /NVP , 8.6, to +6 /PVA/ MMA /PVA/ MMA /PC , to , to +6 > , to +6 PROCLEAR XR (2) /PC , 8.8 PUREVISION (2, 4) Bausch + Lomb PUREVISION2 FOR ASTIGMATISM (2, 4) Bausch + Lomb SOFLENS DAILY DISPOSABLE Bausch + FOR Lomb ASTIGMATISM (1) to to +10 Plano to ±10 9 to +6 ( above 6) 9 to +6 ( above 6.00) 9 to plano ( above 6.50) 1.75, 2.25, 2.75, 3.25, 3.75, º steps 10, 20, 70, 80, 90, 100, 110, 160, 170, , 20, 90, 160, 170, 180 1º to 180º (1º steps) 5º steps 5º to 180º 1.75, 2.25 (2) 5º steps 2.75 to 9.75 (0.25D steps) 1.75, , , 3.25, 3.75, 4.25, 4.75, 5.25, , , º to 180º 5º steps 10º to 180º 5º to 180º 5º steps 20º, 90º, 160º, 180º Optimized ballast ; Eccentric lenticulation ; Eccentric lenticulation Hybrid Peri and 6-pack/87.00 Single/24.00 Multipack (3+1)/72.00 First lens/ pack, 6-pack,12- pack/call for price 3-pack/65.50 Diagnostic / pack/ Diagnostic / pack/70.00 Single/ pack/ pack/71.99 Spare lens/ to 45.00/lens Single/ pack/ pack/110.00/ Single/55.00/ pack/65.00 First lens/ pack/ pack/ pack/ Single vial/ pack/ pack/ pack/ pack/ pack/ pack/ pack/15.98 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 14 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

15 Toric Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price SOFLENS 66 Bausch + (2, 3) Lomb SPECIALEYES 59 (2) SpecialEyes SPECIALEYES SE 54 (2) SYNERGY QUARTERLY REPLACEMENT (2) UCL 55 UCL TRESOFT SpecialEyes Gelflex Laboratories United United GMA/ 49 /NVP to to , 14.8, , 14.5, to to , 8.3, 8.6, 8.9, , 8.6, 8.9, to +6 ( above 6.50) 1.75, 2.25, to to 8 Any 25 to to 8 Any +40 to 40 Up to 10 Any 1º steps Biprism 20 to +20 Any Slab-off , , 8.5, to to 8 Any VERTEX (2, 3) to +6 > , º to 180º 6-pack/26.60 Single/ pack vials/ pack vials/ Single/ pack vials/ pack vials/ Initial lens/ pack within 90 days/45.00 Single/ pack/ Single/ pack/ pack/27.00 WESTHIN /GMA/ Clear or handling tint 49, 55, 59, to to to to 10 Any Multifocal Disposable and/or Planned Replacement Hydrogels Double Slab-off Trade Name Manufacturer %H 2 O Diameters Base Curves Powers Adds Designs Price First lens/ pack, 6-pack, 12-pack/Call for price 1-DAY ACUVUE MOIST BRAND (1) Johnson & Johnson 58 /MA (Class 2) Lacreon technology to +6 Low (+0.75 to +1.25) Mid (+1.50 to +1.75) High (+2.00 to +2.50) Intuisight Technology 30-pack/ pack/67.99 Johnson ACUVUE OASYS (1, 2, 3) FOR PRESBYOPIA AIR OPTIX AQUA (2, 3) & Johnson ASTERA Alden Optical 58 BAUSCH + LOMB ULTRA FOR PRESBYOPIA BIOFINITY (2, 3) BIOTRUE ONEDAY FOR PRESBYOPIA (1) C-VUE (2) C-VUE 55 (2) Bausch + Lomb Bausch + Lomb Unilens Unilens Corp. 38 (Class 1) Hydraclear Plus Technology 33 Aqua Moisture System 46 Moisture Seal Technology Hypergel Any (14.5 standard) 9 to to +6 (0.25 steps) 8.3, 8.6, 8.9 Plano to ± to to to , to , to +6 Low (+0.75 to +1.25) Mid (+1.50 to +1.75) High (+2.00 to +2.50) Lo, Med, High Profile Profile to Profile Low to +150 High to , +1.50, +2.00, Low: to spectacle add High: to spectacle add C-Vue Low to C-Vue High to C-Vue Low to C-Vue High to Zonal aspheric Stereo Precision Technology center near 3-Zone design Balanced Design 3-Zone 6-pack/ pack/53.65 Single/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ pack/ (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 15

16 Multifocal Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer %H 2 O Diameters Base Curves Powers Adds Designs Price C-VUE ADDVANTAGE C-VUE ADVANCED C-VUE ADVANCED HYDRAVUE C-VUE HYDRAVUE (2) CLARITI 1 DAY (1) DAILIES AQUACOMFORT PLUS DAILIES TOTAL1 FLEXLENS (2) HD (2) HD2 (2) HD DAILIES HDX (2) HDX2 (2) HORIZON BICON HORIZON PROGRESSIVE (2) IDEAL SOFT PS INTELLIWAVE (2) (1, 2) (1, 2) isight MCL SPHERE METROFOCAL DEFINITIVE NATURALVUE 1 DAY (1) NATURASOFT (2) PROCLEAR 1-DAY Unilens Unilens Unilens Unilens GMA/ to , to 16.0 (14.5 to 15.0 std.) 8.0 to 9.5 (8.2, 8.5, 8.8, 9.1 std.) 8.0 to 9.5 (8.2, 8.5, 8.8, 9.1 std.) to C-Vue Low to C-Vue High to to +20 Up to +3 Front aspheric 20 to +20 Up to +3 Front aspheric 6 to D steps to +6 PolyVue PolyVue PolyVue PolyVue PolyVue Art Optical GP Specialists Metro Optics of Austin eering Technologies, Inc. Advanced Technologies 33% core 80 surface Water gradient 45, 49, 55, 59, 74 /GMA/ Clear or handling tint , 55, 59, 74 /GMA/ Clear or handling tint 49, 55, 59, 74 /GMA/ Clear or handling tint with handling tint 55, Clear or visitint to to to D steps C-Vue Low to C-Vue High to Low: up to High: up to to Low, medium, high 10 to to Front aspheric Center distance Pupil 1, 2, to +6 Up to pack/ pack/ Trial/ pack/ Trial/ pack/ pack/ pack/ pack/ pack/ pack/ pack/89.90 First lens/ pack, 6-pack/ Call for price Single lens/24.00 Multipack (3+1)/ to +8 Up to pack/ to +6 > 6 and to to +8 Up to pack/ to to to to to to Multi Multi Concentric 14.0 to to to +20 Up to , 8.6, to +9 up to MTO MTO 20 to +20 To to Clear/visitint to to to , 8.6, to +10 Up to to 17.0 PROCLEAR (2) to D steps One universal add effective up to +3.00D 6.0 to to +30 Up to to +6 Up to to +6 > 6.50D +1.00, +1.50, +2.00, Front surface aspheric Center distance or Front surface aspheric Center distance Extended depth of focus (distance center) Single lens/24.00 Multipack (3+1)/ pack/39.00 First lens/ pack, 6-pack, 12-pack/Call for price First lens/ pack/ pack/ pack/ First lens/ pack, 6-pack/ Call for price Diagnostic/ pack/ Diagnostic/ pack/90.00 Single/70.90 Spare single/19.99 Spare 3-pack/ pack/71.90 Single/ pack/ pack/ pack/63.00 Trial 10-packs available First lens/ pack/ pack/ pack/ pack/ pack/ FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

17 Multifocal Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer %H 2 O Diameters Base Curves Powers Adds Designs Price PROCLEAR XR (2) PUREVISION Bausch (2, 4) MULTI-FOCAL PUREVISION2 MULTI-FOCAL Bausch (2, 4) FOR PRESBYOPIA SATUREYES (2) SOFLENS MULTI-FOCAL (2) SPECIALEYES 54 BIFOCAL SPECIALEYES 54 UCL UCL SONIC-VIEW + Lomb + Lomb Metro Optics of Austin Bausch + Lomb SpecialEyes 54 SpecialEyes 54 United United to to to to to to , to , to to to to to , 8.7, to , 8.8, to +20 UNILENS EMA (2) Unilens , to +8 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval Daily Wear Spherical Clear and Visibility Tint Hydrogels to +4.00, in to in +3.00, +3.50, Low add to High add to Low: to spectacle add High: to spectacle add up to Low: up to High: to to +25 Up to to +25 Up to Up to Up to EMA Low to EMA High to optics Center distance Front surface Concentric Custom zone Center and distance Custom zones & Center distance Front aspheric Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price ALDEN CLASSIC 38 SPHERE ALDEN CLASSIC 55 SPHERE ALDEN HP 49 SPHERE ALDEN HP 54 SPHERE ALDEN HP 59 SPHERE AQUAEASE Alden Optical Alden Optical Alden Optical GMA/ Alden Optical GMA/ Alden Optical GMA/ GMA/ 10.0 to to to to to to , 8.5, 8.75 Plano to ± Plano to ± Plano to ± Plano to ± Plano to ± to to pack/ pack/ pack/46.20 Single/ pack/ pack/41.30 Single/ pack vials/ pack vials/ Single/ pack vials/ pack vials/ Replacement / Replacement / pack/ pack/ , MTO/ and 4-packs available, call for pricing CONTINENTAL Continental 10.0 to to to , 53 Varies Soft Lens 15.5 to to to +40 to CO SOFT California Optics , 14.5, to 9.2 (0.3) 30 to to DEFINITION WAVETOUCH WaveTouch Technologies Soft lens made from in-office patient aberrometry readings ESSTECH SV Blanchard , 8.7, to FLEXLENS LARGE DIAMETER Clear or handling tint 55 Varies 16.1 to to to FLEXLENS PRISM SPHERE /GMA/ Clear or handling tint 45, 49, 55, 59, 74 Varies 13.5 to to 9.2 Custom available of 1.50/ to to to +40 Standard/28.00 Custom/50.00 clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 17

18 Daily Wear Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price FLEXLENS SPHERE /GMA/ Clear or handling tint 45, 49, 55, 59, 74 Varies 13.5 to to 9.2 Custom available 6.0 to to to +40 Standard/28.00 Custom/50.00 FRE-FLEX STANDARD FRE-FLEX SPECIAL DESIGN FRE-FLEX SPECIALTY LENS GELFLEX CUSTOM SPHERE HD Gelflex Laboratories PolyVue to to to to to Varies 10.0 to to to GMA/ 49 /NVP Aqua, blue, 55 chocolate, green , 14.0, 14.5, , 14.3, 14.8, to 9.2 (0.2) 40 to , 8.3, 8.6, 8.9, to to +6 HD DAILIES PolyVue GMA HD2 HORIZON LARGE DIAMETER HORIZON PRISM SPHERE PolyVue Clear or handling tint /GMA/ Clear or handling tint 12 to +6 > 6 and Single lens/24.00 Multipack (3+1)/ pack/ to +8 6-pack/ Varies 16.1 to to to , 49, 55, 59, 74 Varies 13.5 to to / to to to HORIZON SPHERE /GMA/ Clear or handling tint 38, 49, 55, 59, 74 Varies 13.5 to to to to to +40 Standard/28.00 Custom/50.00 HYDRASOFT IDEAL SOFT INTELLIWAVE ASPHERIC isight SPHERE & GOLD SPHERE (FORMERLY BIOCURVE) KONTUR 55 SPHERE KONTUR PRECISION SPHERE I KONTUR PRECISION SPHERE II KONTUR PRECISION SPHERE III KONTUR PRECISION SPHERE IV KONTUR 55 SPHERE PRISM Art Optical , 8.6, 8.9, to , to to Varies , 8.6, 8.9 after with handling tint 49 MTO MTO 20 to +20 GP Specialists to to to +10 Kontur Kontact Lens Kontur Kontact Lens Kontur Kontact Lens Kontur Kontact Lens Kontur Kontact Lens Kontur Kontact Lens LL-38 Unilens 38 METROSOFT Metro Optics of Austin 55 Varies , 8.6, to Varies 12.0 to to to Varies 12.0 to to 9.5 Over ± Varies 18.0 to to 7.5 Plano Varies 18.0 to to to Varies 13.0 to to to /GMA Light blue/clear to , 8.6, to to +5 38/ / , 8.4, to pack/55.50 Standard/19.95 Custom/39.95 Diagnostic/35.00 Replacement /25.00 First lens/30.99 Spare lens/ pack/ pack/ , 14.5, to 8.8 (0.1) 20 to /36.00 GMA/45.00 OCU-FLEX-55 /MA MTO/75.00 available 13.5 to to 9.0 (0.1) to and 4-packs available, call for pricing OPTIMA SP Bausch + Lomb , to plano 2-pack/ FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

19 NEW INFORMATION Designed for sharper, brighter, clearer vision1 ACUVUE OASYS 1-Day Brand es has Tear-inspired Design HydraLuxe Technology uniquely helps support a stable tear film2: Enhanced network of tear-like molecules that mimic mucins2 Smooth, tear-like refractive surface3 Integrates with patient s own tear film every day2 Has high optical precision3 1. JJVC data on file Compared to ACUVUE OASYS Brand es with HYDRACLEAR PLUS Technology. Three visit, non-dispensing study conducted in the US, n=35, visual acuity and contrast sensitivity results of current contact lens wearers testing ACUVUE OASYS 1-Day Brand with Hydraluxe Technology (with high optical precision) compared to ACUVUE OASYS Brand es with HYDRACLEAR PLUS Technology 2-Weekly reusable contact lenses. 2. JJVC data on file LACREON, HYDRACLEAR Plus, HYDRACLEAR 1, and Hydraluxe Tear Film Technologies. Revision JJVC data on file Optical Precision of ACUVUE OASYS Brand 1-Day es with HydraLuxe Technology. ACUVUE Brand es are indicated for vision correction. As with any contact lens, eye problems, including corneal ulcers, can develop. Some wearers may experience mild irritation, itching or discomfort. Lenses should not be prescribed if patients have any eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. Consult the package insert for complete information. Complete information is also available by visiting jnjvisionpro.com, or by calling Johnson & Johnson Care, Inc. at ACUVUE, ACUVUE OASYS, EYE-INSPIRED, HYDRACLEAR, LACREON and HydraLuxe are trademarks of Johnson & Johnson Care, Inc. Johnson & Johnson Care, Inc November 2017 OA-00082GL-F

20 Daily Wear Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price PR-46 United Contact Lens , 14.5, , 8.6, 8.9, to SOF-FORM II Unilens , 8.5, 8.7, to SPECIALEYES 49 UCL 55% UCL CUSTOM UCL TRESOFT SpecialEyes United Contact Lens United Contact Lens United Contact Lens to Extended Wear Spherical Clear and Visibility Tint Hydrogels 12.5 to to , , , , 8.9, , 18.0, 20.0, 9.2, 9.5, 9.8, 22.0, , to to , , 8.5, to to to Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price ACUVUE 2 ACUVUE OASYS AIR OPTIX AQUA AIR OPTIX NIGHT & DAY AQUA Johnson & Johnson Johnson & Johnson /MA (Class 2) (Class 1) Hydraclear Plus Technology , , 8.8 Plano bandage lens: 8.4, to +8 beyond ±6 12 to +8 beyond ±6 10 to to to pack/ pack/ pack/ pack/ , to +8 6-pack/52.20 PUREVISION Bausch + Lomb , 8.6 PUREVISION2 SOFLENS 38 UCL 55 UCL TRESOFT Bausch + Lomb Bausch + Lomb United Contact Lens United Contact Lens to to +6 over to +6 over pack/ pack/ , 8.7, to +4 6-pack/ , 14.5, , 8.6, 8.9, to , , 8.5, to +20 Therapeutic Spherical Clear and Visibility Tint Hydrogels Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price ACUVUE OASYS AIR OPTIX NIGHT & DAY AQUA Johnson & Johnson (Class 1) Hydraclear Plus Technology , 8.8 Plano bandage lens: 8.4, to +8 above ±6 Single/ pack/44.00 Single/ pack/ pack/ pack/ , to +6 6-pack/52.20 PUREVISION Bausch + Lomb UCL 55 United Contact Lens Aphakic Spherical Clear and Visibility Tint Hydrogels to to over pack/ Varies 14.0, 14.5, , 8.6, 8.9, to to Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price AQUAEASE CONTINENTAL PEDIATRIC APHAKIC FLEXLENS PEDIATRIC AND ADULT APHAKIC GMA/ , 8.5, to Continental 45, 53 Varies 9.5 to to 9.5 Plano to /GMA/ Clear or handling tint 45, 49, 55, 59, 74 Varies Custom available 6.0 to 11.0 Plano to H3 Bausch + Lomb Spin cast to H4 Bausch + Lomb Spin cast to FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

21 Aphakic Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price HORIZON PEDIATRIC AND ADULT APHAKIC HYDRASOFT APHAKIC IDEAL SOFT isight APHAKIC AND GOLD APHAKIC (FORMERLY BIOCURVE) KONTUR 55 DW APHAKIC NATURASOFT APHAKIC AND PEDIATRIC OCU-FLEX 55 OCU-FLEX 55 PEDIATRIC APHAKIC clspectrum.com/class /GMA/ Clear or handling tint 45, 49, 55, 59, 74 Varies 55 Varies Custom available , , 8.6, 8.9, Varies , 8.6, to 11.0 Plano to to pack/ to +20 after 8.00 GP Specialists to to to +25 Kontur Kontact Lens Advanced Technologies 55 Varies , to Clear/visitint available to to to , 14.0, 14.5, 15.0, 15.5, , 8.4, 8.6, , 8.5, 8.7, to Varies 8.0 to to to Standard/19.95 Custom/39.95 First lens/50.99 Spare lens/ pack/ pack/71.99 Single/ pack/ pack/ SILSOFT Bausch + Lomb to to 7.9 (0.2) +23 to +32 (3.00D steps) 11.3, to 8.3 (0.2) to +20 () SOF-FORM APHAKIC Unilens , , 8.6, to UCL 55 United Contact Lens 55 Varies 13.0 to to 9.2 Plano to to Special Design Spherical Clear and Visibility Tint Hydrogels Trade Name Manufacturer Material %H 2 O Diameters Base Curves Powers Price CONTINENTAL KERATOCONUS CONTINENTAL KERATOCONUS CONTINENTAL PIGGYBACK CONTINENTAL POSTSURGICAL BANDAGE CONTINENTAL POSTSURGICAL REVERSE GEOMETRY FLEXLENS TRICURVE KERATOCONUS FLEXLENS PIGGYBACK FLEXLENS PRS POST REFRACTIVE SURGERY GELFLEX REVERSE GEOMETRY POST SURGICAL Continental 45, to , 9.8 Any Continental 45, to 16.0 Custom Any power Any axis Continental 45, to 16.0 Any Any Continental 45, , 18.0, 19.0, 20.0, 22.0, to 14.0 Plano Continental 45, to to 9.5 Any Gelflex Laboratories /GMA/ Clear or handling tint /GMA/ Clear or handling tint /GMA/ Clear or handling tint Custom designed per consult 45, 49, 55, 59, 74 45, 49, 55, 59, 74 Custom available Anterior cutout 6.5mm to 12.5mm Custom available KERASOFT THIN Art Optical to 15.5 NATURASOFT IC IRREGULAR CORNEA NATURASOFT IC NATURASOFT IC NATURASOFT ICR IRREGULAR CORNEA REVERSE CURVE NATURASOFT ICR Advanced Technologies Advanced Technologies Advanced Technologies Advanced Technologies Advanced Technologies Clear/visitint Clear/visitint Clear/visitint Clear/visitint Clear/visitint 6.0 to to to 11.0 Plano , 49, 55, 59, to to to 9.40 (0.2 steps) Any sphere or cylinder to to to to to to to to +30 Cylinders 0.50 to 15 Axes 1º to 180º (1º steps) 30 to +30 Adds to to to to to to to +30 Cylinders 0.50 to 15 Axes 1º to 180º (1º steps) Diagnostic/120 3-pack/ First lens/ pack/ pack/ First lens/ pack/ pack/ First lens/ pack/ pack/ First lens/ pack/ pack/ First lens/ pack/ pack/ CONTACT LENSES & SOLUTIONS SUMMARY 21

22 NEW! Expanded Parameters from the #1 selling daily disposable contact lens PARAMETERS Now with 48% MORE parameters 2 Expanded parameters mean a simplified experience that helps you cover even more of your patients2 67 % 42 % 2 MORE parameters than Dailies AquaComfort Plus Toric MORE parameters than clarititm 1 day toric 40 % 2 MORE2 parameters than MyDay toric for more information visit acuvueprofessional.com References: 1. Source Euromonitor International Limited; based on research conducted in May 2017; 2. J&JV Data on file July Proportion astigmats accommodated with ACUVUE Brand CLs for ASTIGMATISM ACUVUE Brand es are indicated for vision correction. As with any contact lens, eye problems, including corneal ulcers, can develop. Some wearers may experience mild irritation, itching or discomfort. Lenses should not be prescribed if patients have any eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. Consult the package insert for complete information. Complete information is also available by visiting acuvueprofessional.com, or by calling Johnson & Johnson Care, Inc. at ACUVUE and 1-DAY ACUVUE MOIST are trademarks of Johnson & Johnson Care, Inc Johnson & Johnson Care, Inc The third party trademarks used herein are trademarks of their respective owners. MO-00062B

23 Special Design Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Powers Price NATURASOFT ICR NATURASOFT PEDIATRIC NOVAKONE KERATOCONUS NOVAKONE KERATOCONUS Advanced Technologies Advanced Technologies Clear/visitint Clear/visitint Alden Optical 54 Alden Optical to to to +30 Adds to to to to +30 (15.0 std.) (15.0 std.) 5.4 to 8.8 (8.3, 8.6, 8.9 std.) 5.4 to 8.8 (8.3, 8.6, 8.9 std.) Plano to ±30 Plano to ±30 Cylinder 0.25 to 10 1º steps 20 to Plano Piggyback custom OCU-FLEX KERATOCONUS REVITALEYES GMA Metro Optics 8.1, 8.4, 8.7 Any power POST-REFRACTIVE of Austin (equivalents) Sphere or cylinder SURGERY Visitint REVITALEYES DEFINITIVE Metro Optics 7.8, 8.1, 8.4, 8.7 Any power POST-REFRACTIVE of Austin Clear or visitint (equivalents) Sphere or cylinder SURGERY AND POST-PKP ROSE K2 SOFT Art Optical to to to +30 SOFT K SPHERE SOFT K SH SOFT K II SH SOFT K II Distributor: Advanced Technologies Distributor: Advanced Technologies Distributor: Advanced Technologies Distributor: Advanced Technologies YAMAKONE IC GP Specialists 74 Daily Wear Tinted Enhancer and Opaque Hydrogels MMA/VP , 7.3, 7.6, 7.9, 8.2 MMA/VP , 7.3, 7.6, 7.9, , , 7.3, 7.6, 7.9, , , 7.3, 7.6, 7.9, to 16.0 Std to to to +10 Cylinders up to 7 Axes 1º to 180º (1º steps) 20 to to +10 Cylinders up to 7 Axes 1º to 180º (1º steps) First lens/ pack/130 4-pack/ First lens/ pack/ pack/ Single/ pack/ Single/ pack/ Single/ pack/ $ $ Spheres ± Toric ±30.00 Cylinder 0.25 to , any axis Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price 1-DAY ACUVUE DEFINE AIR OPTIX COLORS ALDEN CLASSIC 38 SPHERE ALDEN HP 49 SPHERE BIOCOLORS EXPRESSIONS METROTINT OE Johnson & Johnson Alden Optical Lab Alden Optical Lab Alden Optical Lab/Orion Group Metro Optics of Austin /MA Peripheral limbal ring tint to clear at center (Class 2) Lacreon technology Natural Shimmer, Natural Shine, Accent, Vivid Subtle colors: Pure hazel, blue green, gray, brown Vibrant colors: Honey, brilliant blue, gemstone green, sterling gray Aqua, azure, blue, brown, gray, green, jade, walnut, yellow Aqua, azure, blue, brown, gray, green, jade, walnut, yellow 16 colors Gray, green, hazel, blue, aqua, blue topaz, brown, jade Blue, aqua, green Opaque white , to to to to to to to 0.75 (0.25 steps) to 0.50 & 6.50 to 9 (including plano in 0.50 steps) 6 to +6 8 to 6 () 30 to to to +30 Cylinder up to 10 Axes up to 180º First lens/ pack/ pack/ First lens/ pack/ pack/ pack/ pack/ pack/Call company for price Standard/50.00 Tint with clear pupil/ Tint with clear pupil/65.00 Sphere/95.00 Toric/ Prosthetic/ to +4 6-pack/ , 8.6, to Over ± , 14.5, Plano clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 23

24 Daily Wear Tinted Enhancer and Opaque Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price UNITED COLOR VISION UNITED TRESOFT COLORS Customized Tinting United Contact Lens United Contact Lens Amber, aqua, blue, black, brown, green, orange, red, violet, yellow Enhanced tints Sport tints: Yellow, amber, aqua/teal Special tints: Red for colorblind, purple for migraine headaches Cosmetic enhanced tints: Amber, aqua, blue, brown, red, green, teal, violet, yellow 46, , , 8.5, to , to to to +20 Any UCL lens can be tinted for $40 per lens on top of lens price Adventures In Color, Alden Optical, Crystal Reflections, Custom Color, MedCorp International, Orion Group, and Tint provide custom tinting of soft contact lenses for prosthetic and other uses. For specific information, call them. Their telephone numbers and addresses are listed in the company directory on p. 35. Orion Group states that the Chromagen lens is available for certain color deficiencies. It has a 5mm to 7mm tinted optic zone and custom parameters. Call (866) for details. Daily Wear Toric Hydrogels Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price ALDEN CLASSIC 38 ALDEN HP 49 ALDEN HP 54 ALDEN HP 59 AQUAEASE AQUAEASE MTO BAUSCH + LOMB ULTRA FOR ASTIGMATISM C-VUE CUSTOM CONTINENTAL CO SOFT FLEXLENS ARC FLEXLENS FRE-FLEX CUSTOM FRE-FLEX SPECIAL DESIGN GELFLEX CUSTOM MTO HD-T HORIZON Alden Optical Alden Optical Alden Optical Alden Optical Bausch + Lomb Aqua, azure, blue, brown, gray, green, jade, walnut, yellow GMA/ Visi/clear GMA/ Visi/clear GMA/ Visi/clear 24 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM GMA/ 49 GMA/ to 15.0 Any, 14.5 std. Any, 14.5 std. Any, 14.5 std. Any, 14.5 std. Any, 14.5 std. Unilens , 15.0 Continental Soft Lens California Optics Gelflex Laboratories PolyVue 6.5 to 9.7 Any, 8.3, 8.6, 8.9 std. Any, 8.3, 8.6, 8.9 std. Any, 8.3, 8.6, 8.9 std. Any, 8.2, 8.5, 8.75 Any, 8.2, 8.5, to plano 8.2, 8.5, 8.8, 9.1 Plano to ± to 10 Any Plano to ± to 10 Any Plano to ± to 10 Any Plano to ± to 10 Any to to 3 Any 20 to to 6 Any 1.75, º to 180º or slab-off or slab-off 20 to to 5 Any 45, to to to to 12 Any , , 8.9, to to 10 Any /GMA/ Clear or handling tint ; Eccentric lenticulation Std. tint/85.00 Tint with Clear pupil/ pack/ pack/ to to to to to to 10 Any , 49, 55, 59, to to to to 10 Any Custom available 6.0 to to to 10 Any to to 3 Any Standard/55.00 Custom/ to to to to 16 Any MTO/ , to 9.2 (0.2) 40 to +40 Unlimited Any GMA/ , 14.8, 8.0, 8.3, 8.6, 40 to +40 Unlimited Any /NVP , 9.2 /GMA/ Clear or handling tint to , , 55, 59, º ±20º 90º ±20º 13.5 to to to to 10 Any Custom available 6.0 to to to 10 Any Single/24.00 Multipack (3+1)/72.00 Standard/59.00 Custom/99.00

25 Daily Wear Toric Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price HYDRASOFT INTELLIWAVE ASPHERIC isight MTO CUSTOM KONTUR 55 METROSOFT OCU-FLEX-55 OPTIMA PR-46 SPECIALEYES 49 UCL 55 UCL TRESOFT WESTHIN 55 Art Optical GP Specialists Kontur Kontact Lens Metro Optics of Austin Bausch + Lomb United SpecialEyes United United with handling tint , , 8.6, 8.9, to to 10 Any 74 To MTO MTO 20 to To , º to 180º 1º steps Eccentric lenticulation 13.0 to to to to 8.50 Any , 8.6, to to 5 Any , 8.7, to +10 /MA , 14.5, 15.0 /NVP , 8.6, to , 14.5, to , 14.5, to 5 Any 5.25 to 9 5º steps 8.4 to 9.0 (0.2) 20 to +20 Up to 8 Any 8.0, 8.3, , 9.2, 6.9 to , 8.6, 8.9, , 2.25, 2.75, 3.25, 3.75, º steps Eccentric lenticulation Diagnostic/ Replacement/ to or slab-off to to +20 Up to 7 Any to to 8 Any to to 10 Any , , 8.5, to to 7 Any /GMA/ Clear or handling tint Extended Wear Toric Hydrogels 49, 55, 59, to to to to 10 Any Slab-off Slab-off Double slab-off Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price ACUVUE OASYS FOR ASTIGMATISM Johnson & Johnson (Class 1) Hydraclear Plus Technology AIR OPTIX FOR ASTIGMATISM HYDROCURVE 3 PUREVISION PUREVISION2 FOR ASTIGMATISM SOFLENS FOR ASTIGMATISM Bausch + Lomb Bausch + Lomb Bausch + Lomb /Acryl. Clear Daily Wear Multifocal Hydrogels to +6 9 to 6.50 () 6 to to 6.50 () to to +6 ( above 6.50) 9 to +6 () 9 to +6 ( above 6.50) 1.75, 2.25, , (2) 5º steps 1.75, 2.25, , , 2.25, 2.75 Blink Stabilized Design Precision Balance 8 4 Hybrid Peri and Trade Name Manufacturer Material %H 2 O Diameters Base Curves Powers Adds Designs Price Johnson & ACUVUE OASYS Johnson FOR PRESBYOPIA (Class 1) HydraClear Plus Technology to +6 Low (+0.75 to +1.25) Mid (+1.50 to +1.75) High (+2.00 to +2.50) Zonal aspheric Stereo Precision Technology Single/ pack/ Nonwarranted/ Nonwarranted/ pack/ pack/40.85 MTO/ pack/ pack/ pack/ pack/30.33 clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 25

26 Daily Wear Multifocal Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Powers Adds Designs Price AQUAEASE , 8.5, to to ASTERA Any, 8.3, 8.6, Profile 1 2 Single/ Alden Optical 58 Any, 14.5 std. Plano to ± std. Profile 2 >2 4-pack/ BAUSCH Low to + LOMB Bausch to +6 3 Zone 6-pack/52.00 ULTRA FOR Lomb Moisture Seal High to PRESBYOPIA Technology Design California Several types of concentric, aspheric, and crescent designs are CO SOFT Optics available. Contact the manufacturer for details. Full parameters 2-pack/ DUETTE SynergEyes Hybrid to to +10 on p. 28 Single/65.00 DUETTE 10 to Full parameters 2-pack/ SynergEyes Hybrid to 8.3 Small or Large on p. 28 Single/ , +1.75, DUETTE 2-pack/ SynergEyes Hybrid to to Full PROGRESSIVE Single/80.00 parameters on p. 28 FLEXLENS HD HD DAILIES HD2 HDX HDX2 HORIZON BICON HORIZON PROGRESSIVE INTELLIWAVE IDEAL SOFT PS isight MCL PolyVue PolyVue PolyVue PolyVue PolyVue Art Optical GP Specialists /GMA/ Clear or handling tint GMA /GMA/ Clear or handling tint /GMA/ 45, 49, 55, 59, FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM 13.5 to to to to Front aspheric Center distance Pupil 1, 2, to +6 Up to to +6 > 6 and Single lens/ Multipack (3+1)/ Up to pack/ to +8 Up to to to +8 49, 55, 59, 74 49, 55, 59, with handling tint 49 Handing tint LL-BIFOCAL Unilens METROFOCAL OCUFLEX 55 Metro Optics of Austin available to to to to to to Multi Multi Concentric 6-pack/ Single lens/ Multipack (3+1)/ pack/ to to to +20 Up to MTO MTO 20 to +20 To , 8.6, to +9 up to , 59, to to to to , only in + 6 to , to to (0.50 steps) up to Front surface aspheric Center distance or Concentric Center distance Front aspheric Center distance , 8.4, to to POLYVUE Ideal Optics , to +8 SIMULVUE 38 Unilens , to +6 up to up to to (2.35, 2.55 seg diam.) Front aspheric Concentric Diagnostic/90.00 Replacement/ Front aspheric SOFTSITE Unilens , to to SPECIALEYES SpecialEyes to to to Concentric Custom zones Concentric Single/40.00 SPECIALEYES 12.5 to to pack SpecialEyes to +25 Up to Custom zone 54 BIFOCAL vials/ Center and 6-pack vials/240 distance UNILENS 38 Unilens , 8.7, to

27 Daily Wear Multifocal Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Powers Adds Designs Price UCL BIFOCAL UCL UCL SONIC VIEW United United United Extended Wear Multifocal Hydrogels , , 8.6, 8.9, to to , 8.7, to , 8.8, to +20 up to up to Concentric Back aspheric Front aspheric Trade Name Manufacturer Material %H 2 O Diameters Base Curves Powers Adds Designs Price ACUVUE OASYS FOR PRESBYOPIA AIR OPTIX AQUA PUREVISION MULTI-FOCAL Johnson & Johnson Bausch + Lomb PUREVISION2 Bausch + MULTI-FOCAL Lomb FOR PRESBYOPIA (Class 1) Hydraclear Plus Technology Aqua Moisture System Multifocal Toric Hydrogels to to to to +6 Low (+0.75 to +1.25) Mid (+1.50 to +1.75) High (+2.00 to Lo, Med, High Low add to High add to Low: to spectacle add High: to spectacle add Zonal aspheric Stereo Precision Technology Front surface aspheric Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Adds Design Price ASTERA AQUAEASE CO SOFT 55 C-VUE 55 C-VUE ADVANCED C-VUE HYDRAVUE Alden Optical 54 Any, 14.5 std. California Optics Any, 8.3, 8.6, 8.9 std. Plano to ±30 Up to Profile Profile 2 >+1.75 to Profile Replacement/ Replacement/ Replacement/ pack/ pack/ pack/ pack/44.00 GMA/ , 8.5, to to to , to 9.2 (0.3) 10 to to to Unilens 55 Unilens GMA/ , 14.5 Unilens , 8.5, to 16.0 (14.5, 15.0 std.) 8.0, 8.2, 8.5, to 9.5 (8.2, 8.5, 8.8, 9.1 std.) 20 to +20 Up to 4 Up to to +20 Up to 4 Up to to +20 Up to 4 Any axis, 1º steps Up to Concentric Front aspheric Front aspheric Front aspheric HD-T Polyvue to , 1.50 Up to 1.00 HDX-T Polyvue to , 1.50 HORIZON BICON HORIZON PROGRESSIVE INTELLIWAVE Art Optical /GMA/ Clear or handling tint /GMA/ Clear or handling tint with handling tint to , 55, 59, to to to to to , 55, 59, to to to to MTO MTO 20 to +20 Up to 12 1º to 180º 1º steps up to To Multi aspheric Concentric Center progressive Front surface aspheric Single/ pack/ pack/ pack/ pack/ Trial/ pack/ Trial/20.00 Single/24.00 Multipack (3+1)/72.00 Single/24.00 Multipack (3+1)/ Diagnostic/ Replacement/ clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 27

28 Multifocal Toric Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Adds Design Price isight MCL GP Specialists 55, to to to to to +4 Center distance or Spare single/ Spare 3-pack/56.99 METROFOCAL DEFINITIVE METROFOCAL NATURASOFT OCUFLEX 55 POLYVUE PROCLEAR SPECIALEYES 54 BIFOCAL SPECIALEYES 54 UCL BIFOCAL UCL UCL SONIC VIEW Metro Optics of Austin Metro Optics of Austin Advanced Technologies Clear or visitint Clear/visitint , 8.6, to to 6 Axis every 5º Up to , to to 6 Up to to to to to 15 Axes 1º to 180º (1º steps) Up to Front surface aspheric Center distance Center progressive , 8.4, to to to to +12 /PC SpecialEyes 54 SpecialEyes 54 United United United Hybrid Soft Skirt/GP Center , to to , to to , 8.6, 8.9, to +20 ( after ±6.50) 0.75, 1, 1.75, 2.25 Any axis 0.75 to 5.75 () Low up to High up to to to 8.00 Up to to to 8.00 Up to to to , 8.7, to +20 Up to 3 Center near Single/ pack/ First lens/ pack/ pack/ MTO/ pack/ pack/ to pack/ to steps up to , 8.8, to +20 Up to 7 Up to Concentric custom zone Center distance & Custom zones & Center distance Concentric Back aspheric Front aspheric Trade Name Manufacturer Diameter GP Center Base Curve Power Skirt Curvature Price CLEARKONE SynergEyes 14.5 DUETTE SynergEyes 14.5 DUETTE SynergEyes 14.5 DUETTE PROGRESSIVE SynergEyes 14.5 SYNERGEYES A SynergEyes 14.5 SYNERGEYES KC SynergEyes 14.5 SYNERGEYES SynergEyes 14.5 Segment sizes: 1.9, µ to 700µ (50µ steps) 7.1 to 8.3 Enhanced Profile available 7.1 to 8.3 (0.2 steps) 7.1 to 8.3 Enhanced Profile available 7.0 to 8.2 Enhanced profile available 5.7 to 7.1 (0.2 steps) 5.3 and to to 8.2 Enhanced Profile available 20 to to +2 in 0.25D steps +10 to and 8.50 to 20 in 15 to to +8 in 0.25D steps to +10 and 8.50 to 15 in 0./50D steps 10 to Small or large add zone Single progressive add zone 10 to CD: Zone: mm Add powers: to CN: Zone: 3.0mm Add powers: +1.00, +1.75, to to +8 in 0.25D steps to +20 and 8.50 to 20 in 20 to +8 in 0.50D steps 20 to +5 Adds: +1.75, Steep2, Steep, Medium, Flat 8.7 (Flat2), 8.4 (Flat), 8.1 (Medium) 8.7 (Flat2), 8.4 (Flat), 8.1 (Medium), 7.9 (Steep) 8.7 (Flat2), 8.4 (Flat), 8.1 (Medium) 1.0, 1.3 Flatter than base (0.7, 1.6 custom, Call for availability) BC 5.3 to 6.5: 7.9, 8.2, 8.5 BC 6.7 to 6.9: 8.2, 8.5, 8.8 BC 7.1: 8.5, 8.8, , 1.3 Flatter than base (0.7, 1.6 custom, Call for availability) Single/ pack vials/ pack vials/ Single/ pack vials/ pack vials/ pack/ Single/ pack/ Single/ pack/ Single/ pack/ Single/ pack/ Single/ pack/ Single/ pack/ Single/ Replacement/ Replacement/ FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

29 Hybrid Soft Skirt/GP Center - continued Trade Name Manufacturer Diameter GP Center Base Curve Power Skirt Curvature Price SYNERGEYES PS SynergEyes to 9.0 (0.2 steps) Enhanced Profile available 20 to +6 8 to +6 in 0.25D steps 8.50 to 20 in 0.50D steps 8.3, 8.6 Lift: L1 (flat) L2 (medium) L3 (steep) 2-pack/ Single/ ULTRAHEALTH SynergEyes µ to 550µ (50µ steps) 20 to to +2 in 0.25D steps +10 to and 8.50 to 20 in 50µ to 250µ: 8.7 (Flat2), 8.4 (Flat), 8.1 (Medium), 7.9 (Steep) 300µ to 550µ: 8.4 (Flat), 8.1 (Medium), 7.9 (Steep) 2-pack/ ($290 with Tangible Hydra- PEG coating) Single/ ULTRAHEALTH FC SynergEyes µ to 505µ (50µ steps) 20 to to +2 in 0.25D steps +10 to and 8.50 to 20 in 8.4 (Flat), 8.1 (Medium), 7.9 (Steep) 2-pack/ ($290 with Tangible Hydra- PEG coating) Single/ Notes clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 29

30 Gas Permeable Lenses GP General Discussion In the United States, after receiving their FDA Pre-Market Approval (PMA), almost all companies that are PMA holders chose to produce their material in semi-finished buttons which they supply to independent laboratories for custom manufacture and distribution. Because there are more than 300 such laboratories who often affix their own trade name to these lenses, it is neither practical nor useful to list them all. Therefore, we have chosen to provide the basic characteristics of the custom design materials. For specific information on custom-designed lenses, contact your independent laboratory. In this context, custom-designed refers not only to spherical lenses, but also to toric and multifocal lenses. Many independent laboratories are members of the Manufacturers Association. To access addresses, phone number, etc., visit the Gas Permeable Lens Institute s searchable online database: GP Daily Wear Custom Design Materials Trade Name Manufacturer Color Material Dk (1) ACCUCON Inno Clear, blue, gren gray, brown, dark blue Fluorosilicone Acrylate 25 HYDRO2 Soft blue, soft green, ocean blue Fluorosilicone Acrylate 50 ACUITY 18 Acuity Polymers blue, ice blue, green, grey Fluorosilicone Acrylate 18 ACUITY 58 blue, ice blue, green, grey Fluorosilicone Acrylate 58 ACUITY 85 blue, ice blue, green, grey Fluorosilicone Acrylate 85 ACUITY 100 blue, green, ice blue, violet; Fluorosilicone Acrylate 100 Large diameter: Clear, ice blue BOSTON II Bausch + Lomb Clear, blue, green Acrylate 12 (1) BOSTON IV Clear, blue, electric blue Acrylate 19 BOSTON EQUALENS (2) Clear, blue, electric blue Fluorosilicone Acrylate 47 BOSTON ES (2) Blue, ice blue, green, gray, brown, clear Fluorosilicone Acrylate 18 BOSTON EO (2) Blue, ice blue, green, gray, brown, ice green, Fluorosilicone Acrylate 58 electric blue BOSTON EQUALENS II (2) Clear, blue, green, red, yellow Fluorosilicone Acrylate 85 BOSTON XO (2) Blue, ice blue, violet, green, red, yellow, clear Fluorosilicone Acrylate 100 (2) BOSTON XO 2, blue, ice blue, violet, green, Fluorosilicone Acrylate 141 red, yellow FLUOREX 300 (2) G.T. Laboratories Clear, blue, green, gray, aqua, rose brown Fluoro-Silicate Acrylic 30 FLUOREX 500 (2) Clear, blue, green, gray, aqua, rose brown Fluoro-Silicate Acrylic 50 FLUOREX 700 (2) Clear, blue, green, gray, aqua, rose brown Fluoro-Silicate Acrylic 70 FLUOROPERM 30 (2) Paragon Sciences Clear, blue, green, gray, majestic blue, Fluorosilicone Acrylate 30 crystal blue FLUOROPERM 60 (2) Clear, blue, green, brown, crystal blue Fluorosilicone Acrylate 60 FLUOROPERM 92 (2) Clear, blue, green Fluorosilicone Acrylate 92 FLUOROPERM 151 (2) Blue, crystal blue Fluorosilicone Acrylate 151 OPTACRYL 60 Blue Acrylate 18 PARAGON HDS (2) Forest green, emerald green, sapphire blue, Fluorosilicone Acrylate 58 crystal blue PARAGON HDS NON-UV Blue, green Fluorosilicone Acrylate 58 PARAGON HDS 100 (1) Blue, green Fluorosilicone Acrylate 100 PARAGON HDS HI 1.54 Blue, green Fluorosilicone Acrylate 22 PARAPERM O 2 Clear, blue, green, electric blue Acrylate 15.6 PARAPERM EW Clear, blue, green Acrylate 56 PARAGON THIN (2) Blue, green Fluorosilicone Acrylate 29 HYBRID FS Contamac Clear, blue, light blue, green, grey Fluorosilicone Acrylate 31 OPTIMUM CLASSIC (2) Blue, light blue, forest green, green, grey Fluorosilicone Acrylate 26 OPTIMUM COMFORT (2) Blue, brown, forest green, light blue, green, grey Fluorosilicone Acrylate 65 OPTIMUM EXTRA (2) Clear, blue, light blue, green, grey Fluorosilicone Acrylate 100 OPTIMUM EXTREME (2) Blue, green, light blue, grey Fluorosilicone Acrylate 125 OP-2 Stellar Clear, blue, brown, gray, green Fluorosilicone Acrylate 15 OP-3 (2) Blue, brown, gray, green, dark blue, dark green 30 OP-6 (2) Clear, blue, brown, gray, green 60 SGP The LifeStyle Green, brown, gray Siloxane Acrylate 22 SGP II Company Blue, green, brown, gray Siloxane Acrylate 43.5 SGP 3 Clear, blue, green Fluoro-Siloxane Acrylate SA 18 (2) Lagado Corp. Clear, blue, gray, green, brown, Acrylate 18 dark blue, dark green SA 32 (2) Clear, blue, gray, green, brown, Acrylate 32 dark blue, dark green FLOSI (2) Clear, blue, gray, green, brown, Fluorosilicone Acrylate 26 dark blue, dark green ONSI-56 (2) Blue, green, gray, blue-violet, clear Fluorosilicone Acrylate 56 TYRO-97 (2 Clear, blue, green, gray, blue-green Fluorosilicone Acrylate 97 MENICON Z (2,4) Menicon Light blue and clear Fluoro-Siloxanyl Styrene 163 (1) IS0/Fatt method (2) UV absorber/inhibitors available (3) gas-to-gas method (4) Approved for 30-day extended wear 30 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

31 GP Extended Wear Custom Design Materials Trade Name Manufacturer Color Material Dk (1) BOSTON EQUALENS (2) Bausch + Lomb Blue Fluorosilicone Acrylate 49 (1) BOSTON EQUALENS II (2) Clear, blue, green Fluorosilicone Acrylate 85 FLUOROPERM 60 (2) Paragon Sciences Clear, blue, green, crystal blue Fluorosilicone Acrylate 60 FLUOROPERM 92 (2) Paragon Sciences (cont'd.) Clear, blue, green Fluorosilicone Acrylate 92 FLUOROPERM 151 (2) Blue, green Fluorosilicone Acrylate 151 PARAGON HDS (2) Forest green, emerald green, Fluorosilicone Acrylate 58 sapphire blue, crystal blue PARAGON HDS 100 Blue, green Fluorosilicone Acrylate 100 PARAPERM EW Clear, blue, green acrylate 56 MENICON Z Menicon Light blue and clear Fluoro-Siloxanyl Styrene 163 (1) IS0/Fatt method (2) UV absorber/inhibitors available. All are FDA approved for 7-day wear. Menicon Z is approved for 30-day wear. Rigid Solutions Major Brand Solutions FUNCTION Manufacturer Solution Wetting Lens Filling/ Daily Weekly Soaking Cleaning/ Wetting/ Lubricant Preservatives* Approval** Application Cleaner Cleaner Soaking Soaking ABBOTT Blink X None S.A., F.S.A. MEDICAL OPTICS (AMO) ALCON Clear Care No Rub X None S.A., F.S.A. Clear Care Plus No Rub X X X X None S.A., F.S.A. Clerz Plus Lens Drops X X 2, 7 S.A, F.S.A. Opti-Clean II X 2, 7 S.A., F.S.A Opti-Free Daily Cleaner X 2, 7 S.A., F.S.A SupraClens X None S.A., F.S.A. BAUSCH + Boston Original Formula X None S.A. LOMB Cleaner F.S.A. Boston Original Formula X X X 2, 6 S.A. Conditioning Solution F.S.A. Boston Advance Cleaner X None S.A. F.S.A. Boston Advance Comfort X 2, 6, 11 S.A. Formula Conditioning F.S.A. Solution Boston Rewetting Drops X 2, 6 S.A. F.S.A. Boston Simplus Multi-Action X X X X X X 6, 11 S.A. Solution F.S.A. Boston One Step Liquid X None S.A. Enzymatic Cleaner F.S.A. ScleralFil Preservative Free Saline Solution X None CONTEX Clear/Clean X X X None S.A., F.S.A. Polish Brite X None S.A., F.S.A. LOBOB Cleaner X -- P.M.M.A. Optimum Extra Strength Cleaner X -- S.A., F.S.A. Soaking Solution X 2, 3 P.M.M.A. Optimum Wetting/ Rewetting Drop X X 12 S.A., F.S.A Wetting Solution X 2, 3 P.M.M.A * PRESERVATIVES ** APPROVALS 1 = Thimerosal 6 = Chlorhexidine 10 = Potassium Sorbate S.A. = Siloxane acrylates 2 = Edetate Disodium 7 = Polyquad 11 = Polyaminopropyl Biguanide F.S.A. = Fluoro-siloxane acrylate 3 = Benzalkonium Chloride 8 = Chlorobutanol 12 = Benzyl Alcohol P.M.M.A. = Polymethyl-methacrylate 4 = Boric Acid 9 = Phenylmercuric Nitrate 13 = Polixetonium Chloride 5 = Sorbic Acid clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 31

32 Major Brand Solutions - continued FUNCTION Manufacturer Solution Wetting Lens Filling/ Daily Weekly Soaking Cleaning/ Wetting/ Lubricant Preservatives* Approval** Application Cleaner Cleaner Soaking Soaking Optimum Cleaning, Disinfecting, Storage X X 12 S.A., F.S.A. MENICON LacriPure X None Progent Protein Remover X None S.A., F.S.A. Unique ph X X X X X X 7 S.A., F.S.A. OPTIKEM INT L Sereine Wetting X 3, 2 P.M.M.A. Sereine Cleaning X 3, 2 S.A., F.S.A. Sereine Soaking/ Cleaning X 3, 2 P.M.M.A. Con-Sure Cleaning (lab strength) X P.M.M.A. Sereine Wetting/ Soaking X 3, 2 S.A., F.S.A. * PRESERVATIVES ** APPROVALS 1 = Thimerosal 6 = Chlorhexidine 10 = Potassium Sorbate S.A. = Siloxane acrylates 2 = Edetate Disodium 7 = Polyquad 11 = Polyaminopropyl Biguanide F.S.A. = Fluoro-siloxane acrylate 3 = Benzalkonium Chloride 8 = Chlorobutanol 12 = Benzyl Alcohol P.M.M.A. = Polymethyl-methacrylate 4 = Boric Acid 9 = Phenylmercuric Nitrate 13 = Polixetonium Chloride 5 = Sorbic Acid Soft Solutions Non-Thimerosal Preserved Saline Manufacturer Trade Name Formulation Clear Care Rinse & Go A sterile, isotonic, buffered saline solution containing sodium chloride, citrate, citric acid, 0.05% edetate disodium, and preserved with 0.001% Polyquad (polyquaternium-1). Clear Care Rinse & Go is not a contact lens cleaning and disinfecting solution and should not be used for that purpose Bausch + Lomb Sensitive Eyes Saline Solution A sterile, isotonic, buffered solution containing boric acid, sodium borate, potassium chloride, sodium chloride; preserved with polyaminopropyl biguanide %, and edetate disodium 0.025% Unpreserved Saline Manufacturer Trade Name Formulation Bausch + Lomb ScleralFil Preservative Free Saline Solution A sterile buffered isotonic saline solution in 0.33 Fl. Oz. (10 ml) single-use twist-off top plastic bottles that are packaged in cartons of 30 units each The Lifestyle Company PuriLens Plus Isotonic, buffered saline in 4 oz. bottles Menicon LacriPure Sterile normal saline in 5mL unit dose vials Daily Cleaners Manufacturer Trade Name Formulation Opti-Clean II A sterile, isotonic formulation containing Tween 21 and special polymeric cleaning agents preserved with 0.1% edetate disodium and 0.001% Polyquad (polyquaternium-1) Opti-Free Daily Cleaner A sterile, isotonic, buffered formulation containing Tween 21 and micro-lens beads and preserved with 0.1% edetate disodium and 0.001% Polyquad (polyquaternium-1) Bausch + Lomb Sensitive Eyes Daily Cleaner Easy-rinsing formula with balanced viscosity, containing poloxamine, a borate buffer system sodium chloride, hydroxypropyl-methylcellulose, preserved with edetate disodium 0.5% and sorbic acid 0.25% Lobob Sof/Pro2 SiHy Extra Strength Daily Cleaner Isopropyl alcohol and surfactants; preservative-free Optikem International Sereine Extra Strength Daily Cleaner Preservative-free; containing isopropyl alcohol and surfactants 32 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

33 Weekly Cleaners (Protein Removers) Manufacturer Trade Name Formulation Abbott Medical Ultrazyme Enzymatic Cleaner Subtilisin A; for use directly in a 3% hydrogen peroxide disinfection solution Optics (AMO) Daily Protein Removers Manufacturer Trade Name Formulation Opti-Free Supraclens Daily Protein Remover A preservative-free solution containing propylene glycol, sodium borate and highly purified pancreatin Disinfecting Solutions and Combinations Manufacturer Trade Name Formulation Abbott Medical Blink RevitaLens Multi-Purpose A sterile, buffered aqueous solution with alexidine dihydrochloride % and polyquaternium % Optics (AMO) Disinfecting Solution as preservatives/disinfectants, boric acid, sodium borate, Tetronic 904, edetate disodium, sodium citrate, sodium chloride, and purified water Complete MPS Easy Rub Formula A sterile, isotonic, buffered solution, preserved with polyhexamethylene biguanide (0.0001%), a phosphate buffer, Poloxamer 237, edetate disodium, sodium chloride, potassium chloride, and purified water. Complete Multi- Purpose Solution contains no chlorhexidine or thimerosal Opti-Free Express MPDS A sterile, buffered, isotonic aqueous solution containing sodium chloride, sodium citrate, boric acid, sorbitol, Tetronic 1304, aminomethylpropanol, edetate disodium 0.05%, and preserved with 0.001% Polyquad (polyquaternium-1) and % Aldox (myristamidopropyl dimethylamine) Opti-Free PureMoist MPDS Opti-Free Replenish Multi-Purpose Disinfecting Solution A sterile, buffered, isotonic aqueous solution containing sodium chloride, sodium citrate, boric acid, sorbitol, aminomethylpropanol, edetate disodium, two wetting agents (Tetronic 1304 and HydraGlyde Moisture Matrix [EOBO-41 polyoxyethylene-polyoxybutylene]) and preserved with 0.001% Polyquad (polyquaternium-1) and % Aldox (myristamidopropyl dimethylamine) A sterile, buffered, isotonic aqueous solution to clean, rinse, disinfect, store, and recondition silicone and soft contact lenses. Contains sodium chloride, sodium citrate, sodium borate, propylene glycol, TearGlyde (Tetronic 1304 and C9ED3A), and preserved with 0.001% Polyquad (polyquaternium-1) and % Aldox (myristamidopropyl dimethylamine) Bausch + Lomb Biotrue Multi-Purpose Solution A sterile, isotonic solution that contains hyaluronan, sulfobetaine, poloxamine, boric acid, sodium borate, edetate disodium and sodium chloride, preserved with a dual disinfection system (polyaminopropyl biguanide % and polyquaternium %) Renu Advanced Formula Multi-Purpose Solution Sterile isotonic solution containing poloxamine, poloxamer 181, diglycine, sodium citrate, boric acid, sodium borate, edetate disodium, and sodium chloride and preserved with a triple disinfectant system (polyaminopropyl (polyaminopropyl biguanide %, polyquaternium % and alexidine %) Lite Solution A sterile, isotonic solution that contains poloxamer, sodium phosphate buffer, sodium chloride, and disodium Multipurpose Solution edetate; preserved with polyhexanide %. Contains no chlorhexidine or thimerosal Hydrogen Peroxide Disinfection Manufacturer Trade Name Formulation Abbott Medical The Oxysept UltraCare Formula Oxysept disinfecting solution: Microfiltered Hydrogen peroxide 3% (stabilized with sodium stannate and sodium Optics (AMO) Disinfecting/Neutralizer nitrate, and buffered with Phosphates) and purified water in a preservative-free, sterile solution Oxysept neutralizing tablets: Smooth, round, tablets that contain catalase, hydroxypropyl methylcellulose, and cyanocobolomine (vitamin B 12 ) with buffering and tableting agents Oxysept Cup: A specifically designed lens cup that must be used with the UltraCare system. It consists of a single flared cup and a lens holder attached to the cap. The left lens basket and the gasket inside the top of the cap are blue. This will distinguish this cup from other lens cases Clear Care No Rub A cleaning and disinfection solution (red tip) containing 3% hydrogen peroxide (stabilized with phosphonic acid), 0.79% sodium chloride, phosphate buffered with Pluronic 17R4 (a cleaning agent). One solution for cleaning, disinfecting, and removal of protein for all soft contact lenses Disposable cup/disc packaged with product Clear Care Plus Disposable cup/disc packaged with product Specially designed cup provided with Clear Care Disinfecting Solution with platinum coated catalytic plastic disc used for automatic neutralization of hydrogen peroxide A cleaning and disinfection solution (red tip) containing 3% hydrogen peroxide (stabilized with phosphonic acid), 0.79% sodium chloride, phosphate buffered with Pluronic 17R4 (cleaning agent) and containing wetting agent HydraGlyde Moisture Matrix EOBO-21 (polyoxyethylene-polyoxybutylene). One solution for cleaning, disinfecting, removal of protein, and improved wettability for all soft lenses Specially designed cup provided with Clear Care Disinfecting Solution with platinum coated catalytic plastic disc used for automatic neutralization of hydrogen peroxide Refine One Step: One step, preservative-free cleaning and disinfecting solution with 3% hydrogen peroxide with lubricating agent 3% hydrogen peroxide cleaning for enhanced lens wearing comfort and disinfecting lens care system clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 33

34 Subsonic/UVC Disinfection Manufacturer Trade Name Formulation The LifeStyle PuriLens Plus Unit 15-minute automatic cleaning and disinfecting system. Subsonic agitation creates hydrodynamic shear to clean Company lenses. UVC light cross-links DNA in microorganisms or cells and causes instant death Lubricants/Rewetting Drops Manufacturer Trade Name Formulation Abbott Medical Blink Lubricant Eye Drops A sterile, buffered, isotonic, preserved solution. This aqueous formulation includes purified water, sodium Optics (AMO) hyaluronate, sodium chloride, potassium chloride, calcium chloride, magnesium chloride, boric acid and is preserved with OcuPure (stabilized oxychloro complex) 0.005%. This preparation contains no chlorhexidine, no thimerosal, and no other mercury containing ingredients Akorn TheraTears Comfort Drops Contains carmellose sodium in purified water as a lubricant. It is a sterile, hypotonic, borate buffered solution containing sodium chloride, potassium chloride, sodium bicarbonate, calcium chloride, magnesium chloride, and sodium phosphate. The preservative system consists of sodium perborate stabilized with phosphonic acid. Contains no chlorhexidine, no thimerosal, and no other mercury-containing ingredients, and it contains no detergents Allergan Refresh Sterile, isotonic, buffered, preserved solution containing carboxymethylcellulose sodium, sodium chloride, boric acid, potassium chloride, calcium chloride, magnesium chloride, purified water and is preserved with Purite (stabilized oxychloro complex) Clerz Plus Lens Drops A rewetting and lubricating drop that fights protein buildup during lens wear. A sterile, isotonic formulation containing a citrate/borate buffer, sodium chloride, mannitol, RLM 100 (PEG-11 lauryl ether carboxylic acid), tetronic 1304, edetate disodium, and 0.001% Polyquad (polyquaternium-1) Opti-Free Express Rewetting Drops Opti-Free PureMoist Rewetting Drops Opti-Free Replenish Rewetting Drops Opti-Free Pro Moisturizing Lens Drops Opti-Free Pro Lubricating Eye Drops A sterile, isotonic, buffered saline solution containing sodium chloride, citrate, citric acid, 0.05% edetate disodium and preserved with 0.001% Polyquad (polyquaternium-1) A rewetting and lubricating lens drop that fights protein buildup during lens wear. A sterile, Isotonic formulation containing a citrate/borate buffer, sodium chloride, mannitol, RLM 100 (PEG-11 lauryl ether carboxylic acid), tetronic 1304, edetate disodium, and 0.001% Polyquad (polyquaternium-1) A rewetting and lubricating lens drop that fights protein buildup during lens wear. A sterile, isotonic formulation containing a citrate/borate buffer, sodium chloride, mannitol, RLM 100 (PEG-11 lauryl ether carboxylic acid), tetronic 1304, edetate disodium, and 0.001% Polyquad (polyquaternium-1) A lens drop to moisturize, lubricate, cushion, and provide enhanced lubrication to the contact lens while being worn. Opti-Free Pro Moisturizing Drops can be used with all silicone and soft (hydrophilic) contact lenses, including daily wear and disposable. A sterile, buffered, aqueous solution containing two demulcents 0.4% PEG400 and 0.3% propylene glycol with sodium chloride, potassium chloride, sodium borate, sorbitol, aminoethylpropanol, HP-Guar, and preserved with Polyquad (polyquaterrnium-1) A sterile, buffered, aqueous lubricating eye drop that contains the demulcent propylene glycol 0.6%, with boric acid, dimyristoyl phosphatidylglycerol, edetate disodium, hydroxypropyl guar, mineral oil, polyoxyl 40 stearate, sorbitan tristearate, sorbitol, purified water, and preserved with 0.001% Polyquad (polyquaternium-1) Bausch + Lomb ReNu MultiPlus Lubricating and A sterile, isotonic solution that contains povidone, boric acid, potassium chloride, sodium borate and sodium Rewetting Drops chloride; preserved with edetate disodium 0.1% and sorbic acid 0.1% Sensitive Eyes Rewetting Drops A sterile buffered, isotonic, aqueous solution that contains boric acid,sodium borate, sodium chloride and poloxamine; preserved with sorbic acid 0.15% and edetate disodium 0.1% 34 FROM THE PUBLISHERS OF CONTACT LENS SPECTRUM

35 Company Directory Acuity Polymers, Inc Lake Avenue Building 59, Suite 303 Rochester, NY (888) POLYMER ( ) Adventures In Color 1800 Jackson St. Suite 204 Golden, CO (303) (800) FAX (303) Abbott Medical Optics (AMO) 1700 E. St. Andrew Place Santa Ana, CA (714) (866) Advanced Technologies 969 S. Kipling Parkway Lakewood, CO (888) FAX (303) Akorn Consumer Health 2929 Plymouth Rd. Suite 275 Ann Arbor, MI (734) FAX (734) Laboratories 6201 South Freeway Ft. Worth, TX (817) (800) Alden Optical 6 Lancaster Pkwy. Lancaster, NY (800) FAX (800) Art Optical, Inc. P.O. Box 1848 Grand Rapids, MI Customer Care: (800) Consultation: (800) FAX (800) Bausch + Lomb 1400 N. Goodman St. Rochester, NY (800) FAX (800) Blanchard, Inc South Willow Building #2 Manchester, NH (800) FAX (603) California Optics Golden Springs Dr. #348 Diamond Bar, CA (800) FAX (909) Clearlab 4200 Jenkins Ct. Suwanee, GA (888) FAX (770) Contamac US, Inc. 806 Kimball Ave. Grand Junction, CO (970) (866) FAX (970) Contex Inc Van Nuys Blvd. Sherman Oaks, CA Consultation: (818) Customer Service: (800) FAX (818) Continental Soft Lens P.O. Box Littleton, CO (800) (303) FAX (303) High Point Dr. Suite 100 Victor, NY (800) Crystal Reflections 170 N. La Canada Suite 80 Green Valley, AZ (800) FAX (520) Custom Color 63 W. 49th St. New York, NY (800) G.T. Laboratories, Inc Warrenville Rd. Suite 200 Lisle, IL (800) FAX (847) Gelflex USA 100 Mill Plain Rd. Danbury, CT (203) (866) GELFLEX ( ) FAX (203) GP Specialists Bernardo Center Dr. San Diego, CA (800) (800) FAX (800) Inno 3125 South 61st Ave. Omaha, NE (800) Johnson & Johnson 7500 Centurion Pkwy. Jacksonville, FL (800) FAX (800) Kontur Kontact Lens 642 Alfred Noble Dr. Hercules, CA (800) FAX (800) Lagado Corp S. Tejon St. Englewood, CO (303) (800) FAX (303) LifeStyle Co., Inc. 6 Paragon Way Suite 112 Freehold, NJ (800) FAX (732) Lobob Laboratories 1440 Atteberry Lane San Jose, CA (800) (408) FAX (408) Menicon America 76 Treble Cove Rd. Building 3 North Billerica, MA (800) FAX (781) Metro Optics P.O. Box Austin, TX (800) (512) FAX (512) Optical Products 920 San Pablo Ave. Pinole, CA (800) FAX (800) OcuSoft, Inc Southwest Freeway Rosenberg, TX (800) FAX (281) Optical Connection Int'l, Inc Bernardo Center Dr. San Diego, CA (888) FAX (866) Optikem International 2172 S. Jason St. Denver, CO (800) FAX (303) Paragon Sciences 2120 W. Guadalupe Rd. Suite 112 GIlbert, AZ (800) PolyVue 3610 Ocean Ranch Blvd. Oceanside, CA (877) FAX (760) SpecialEyes, LLC P.O. Box Bradenton, FL (866) FAX (866) ) Tint 1835A S. Centre City Pkwy. Suite 501 Escandido, CA (800) FAX (760) Stellar, Inc Province Circle Mundelein, IL (224) FAX (847) SynergEyes, Inc Priestly Dr. Suite 210 Carlsbad, CA (877) SEE-2012 FAX (877) Unilens 21 N Park Place Blvd. Clearwater, FL (727) (800) FAX (800) United st Ave. NE Unit #5 Arlington, WA (206) (800) FAX (888) eering Technologies, Inc. (VTI) Westside Way Suite 200 Alpharetta, GA (844) VTI-LENS ( ) FAX (833) Premiere Pkwy. Suite 600 Duluth, GA (800) FAX (770) (formerly Hydrogel Corp.) 7575 Commerce Ct. Sarasota, FL (877) (888) Rigid Gas Permeable Lens Institute s searchable online database: clspectrum.com/class CONTACT LENSES & SOLUTIONS SUMMARY 35

36 NEW INFORMATION Designed for sharper, brighter, clearer vision1 ACUVUE OASYS 1-Day Brand es has Tear-inspired Design HydraLuxe Technology uniquely helps support a stable tear film2: Enhanced network of tear-like molecules that mimic mucins2 Smooth, tear-like refractive surface3 Integrates with patient s own tear film every day2 Has high optical precision3 1. JJVC data on file Compared to ACUVUE OASYS Brand es with HYDRACLEAR PLUS Technology. Three visit, non-dispensing study conducted in the US, n=35, visual acuity and contrast sensitivity results of current contact lens wearers testing ACUVUE OASYS 1-Day Brand with Hydraluxe Technology (with high optical precision) compared to ACUVUE OASYS Brand es with HYDRACLEAR PLUS Technology 2-Weekly reusable contact lenses. 2. JJVC data on file LACREON, HYDRACLEAR Plus, HYDRACLEAR 1, and Hydraluxe Tear Film Technologies. Revision JJVC data on file Optical Precision of ACUVUE OASYS Brand 1-Day es with HydraLuxe Technology. ACUVUE Brand es are indicated for vision correction. As with any contact lens, eye problems, including corneal ulcers, can develop. Some wearers may experience mild irritation, itching or discomfort. Lenses should not be prescribed if patients have any eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. Consult the package insert for complete information. Complete information is also available by visiting jnjvisionpro.com, or by calling Johnson & Johnson Care, Inc. at ACUVUE, ACUVUE OASYS, EYE-INSPIRED, HYDRACLEAR, LACREON and HydraLuxe are trademarks of Johnson & Johnson Care, Inc. Johnson & Johnson Care, Inc November 2017 OA-00082GL-F