AUNIQUE B REAKTHROUGH I N P ROGRESSIVE L ENS T ECHNOLOGY

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ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 1 AUNIQUE B REAKTHROUGH I N P ROGRESSIVE L ENS T ECHNOLOGY Integrates point by point the movements of your eyes. INTRODUCING VARILUX IPSEO The first progressive lenses tailor-made for each individual patient Now with W.A.V.E. Technology: Wavefront Advanced Vision Enhancement

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 2 A NEW E RA I N P ROGRESSIVE T ECHNOLOGY WHY AN ADVANCED DESIGN IN PROGRESSIVE LENSES? Even with the most skillfully refracted prescription, many patients still complain of peripheral visual distortion or a narrow field of vision when they first try their new progressive lenses. Many patients fail to adapt to the lenses that could make clear vision virtually effortless. VARILUX IPSEO THE FIRST TRULY INDIVIDUALIZED PROGRESSIVE LENSES Varilux Ipseo lenses have no preconceived design, and utilize each patient s unique measurements. The design of Varilux Ipseo lenses integrates the individual s unique physiological movements, in addition to prescription power and frame measurements. RECORDING EACH PATIENT S UNIQUE VIEWING STRATEGY The Varilux VisionPrint System, an FDA-cleared device, scans your patient s actual head/eye (H/E) movements under natural conditions. Based on your patient s visual habits, H/E ratio is captured by the VisionPrint System. A stability coefficient is also recorded to measure the variation in the patient s head/eye movement and ensure the accuracy of the reading. Varilux Ipseo lenses recently received the eye care industry s Technology and Fashion Grand Prize: the SILMO Special Prize at the 2004 SILMO trade show in Paris. From over 55 entries, Varilux Ipseo was chosen as the most innovative lens in the last 10 years. VARILUX VISIONPRINT SYSTEM IF YOU HAVE QUESTIONS, CALL THE IPSEO HOTLINE TOLL FREE AT: 1-866-MY-IPSEO (1-866-694-7736)

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 3 A NEW W AY T O M EASURE S UCCESS MEASURING YOUR PATIENT S UNIQUE H/E RATIO Studies show that head/eye movement is a behavior that is rooted in each patient, and is stable over time. 1 H/E ratios cover the complete range from patients who move only the head, to patients who use a combination of head/eye movements, to those who move only the eyes while viewing peripheral objects. 2 In other words, every wearer has a unique strategy for viewing peripheral objects. More important, this strategy which has been learned from birth is deeply ingrained and is resistant to change. HEAD MOVEMENT Patients who tend to keep their eyes fixed and turn their heads are called Head Movers. 3,4 The more head movement, the more critical it becomes to minimize peripheral distortions. EYE MOVEMENT Patients who tend to move their eyes and keep their head still are called Eye Movers. 3,4 The more eye movement, the more critical it becomes to maximize the width of vision fields for optimum comfort. Varilux Ipseo lenses are designed for the unique combination of head/eye movement that makes up your patient s individual viewing strategy. Since no two patients view the world in the same way, with the same head/eye ratio, no two Varilux Ipseo lenses are ever the same.

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 4 U NDERSTANDING THE H/E RATIO THE IMPORTANCE OF H/E RATIO To optimize a progressive addition lens (PAL) for the individual, it is essential to know the H/E ratio: Head Movers tend to be more vulnerable to the swim effect. Eye Movers need softer transitions between visual fields because they tend to use more of the lens area. AN ILLUSTRATION OF THE H/E RATIO Consider the differences between Figures 1, 2, and 3. In each figure, eye movements are illustrated by red and green angles, and head movements are illustrated by blue angles. 2 Figure 1: The H/E Ratio is O, indicating that the patient views peripheral objects by rotating only the eyes. While viewing peripheral objects (such as the pages of a magazine), the patient s head continues to face straight ahead while the eyes rotate across the page. Accordingly, the patient uses a large portion of the progressive surface. FIGURE 1

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 5 U NIQUE V IEWING B EHAVIOR Figure 2: The H/E Ratio is 1, indicating that the patient views peripheral objects by rotating only the head. When reading a magazine, the patient s eyes remain relatively fixed while the head rotates across the page. Accordingly, this patient uses a relatively small portion of the progressive surface. FIGURE 2 Figure 3: The H/E Ratio is 0.5, indicating that the patient views peripheral objects by rotating eyes and head equally. The patient with an H/E Ratio of 0.5 will rotate the head to the midpoint of each page, and use rotation of the eyes to view the extreme edge of the page. FIGURE 3

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 6 P ROGRESS TO V ARILUX I PSEO L ENSES DISTRIBUTION OF H/E RATIOS FOR 171 PRESBYOPES As you can see from the charts below, each of these 171 presbyopes has a unique visual strategy. The beauty of Varilux Ipseo lenses is that they are designed for each patient s unique way of seeing. AN INDIVIDUAL PARAMETER 2 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 1 171 Normalized distribution of coefficients: measurements show different results for each person. Various measures carried out with the same person show constant results that are virtually identical. These physiological criteria are specific to each patient. A STABLE PARAMETER 2 1 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 0 0.75 1.00 1.25 1.50 1.75 2.00 Addition (dp). 2.25 2.50 2.75 3.00 3.25 No correlation exists between H/E behavior and addition.

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 7 Y OUR P ATIENTS W ILL P ROGRESS T OO. THE BENEFITS OF VARILUX IPSEO LENSES 3 Up to 30% less swim Up to 60% wider field of vision DESIGN VARIATIONS WITH H/E RATIO (EMMETROPE WEARER: ADD 2.00D 64 MM PUPILLARY VARIATION) 3 100.00 % 0 0.00 % 0.2 0.4 0.6 0.8 1 80.00 % -10.00 % 60.00 % -20.00 % 40.00 % -30.00 % 20.00 % -40.00 % 1 0.8 0.6 0.4 0.2 0 0.00 % -50.00 % Variations in the field of acuity (viewing area where the astigmatism is less than 0.25D) An Eye Mover benefits from a 60% wider gaze area without astigmatism than a Head Mover Variations in peripheral smoothness (relative decrease of gradient) A Head Mover benefits from a 30% smoother periphery than an Eye Mover

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 8 90 SECONDS I S A LL I T T AKES MEASURING H/E MOVEMENTS WITH THE VISIONPRINT SYSTEM The VisionPrint System measures the H/E movement ratio. The VisionPrint System uses three light-emitting diodes: one at center point, and two mounted on a horizontal bar and placed +/-40 away from center point. A special frame is placed on the patient. Within the frame are ultrasound sensors which track the patient s visual behavior. The patient is instructed to look at each diode when it is illuminated, and then the measurement begins: Over the next 90 seconds, the diodes blink in random patterns of left and right. As the patient views the diodes, the ultrasound sensors measure the amplitude of the patient s visual strategy. These amplitudes provide the information from which the H/E ratio is derived. The H/E Coefficient is used to determine the degree to which the H/E ratio will impact the PAL design created for this individual patient. THE END RESULT IS VARILUX IPSEO FULLY INDIVIDUALIZED TO EACH PATIENT.

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 9 F OR 99% PATIENT S ATISFACTION A UNIQUELY PROGRESSIVE PRODUCT LAUNCH Varilux Ipseo lenses were launched globally in 2004, and the first patients responded very well. >99% of patients adapted satisfactorily to their new lenses YOUR COLLEAGUES ARE SEEING 20/20 SUCCESS The response has without exception been positive both with customers who are familiar with progressive lenses and those who previously wore single vision lenses. Sharp, distinct and clear were remarks made by our customers immediately upon trying their new glasses. Dr. Lober It is a joy dispensing Varilux Ipseo. My patients and staff love it. Varilux Ipseo allows me to bring my practice to the most technologically advanced level. I look forward to continuing building a strong relationship with my patients and staff through Varilux. Dr. Shaw-McMinn

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 10 T HE P ROGRESSIVE L ENSES T HAT A DAPT T O Y OUR P ATIENTS VARILUX I PSEO FITTING VARILUX LENSES FIT THE FRAME 1. Adjust the frame on the patient before taking any measurements. 2. Set the vertex distance between 12 mm and 14 mm. 3. Set the pantoscopic tilt angle between 10º and 12º. 4. Frame should have a positive facial wrap. TAKE PUPILLARY DISTANCE (P.D.) 1. Always take a monocular distance P.D. to ensure exact centering of the eye behind the lens. TAKE FITTING HEIGHT MEASUREMENT 1. Allow for frame slippage, and avoid parallax error (a shift in the angular position of the lens). 2. Take a monocular height measurement by marking each lens at center pupil using a felt-tip pen. 3. Draw a horizontal line on each lens, and make sure that the lines are crossing the center of each pupil. 4. Measure the fitting height from the deepest point of the lens to the pupil center. PROGRESSION LENGTH Varilux Ipseo lenses are available with progressions having MFH of 14 mm, 16 mm, or 18 mm. When ordering, indicate the desired progression, and select the longest appropriate progression for the fitting height. Fitting Height Progression 14-15 mm 14 16-17 mm 16 18+ mm 18

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 11 N OW WITH W.A.V.E TECHNOLOGY VARILUX IPSEO, WITH THE CORRECTIVE POWER OF WAVEFRONT After years of research and multiple new patents Varilux has adapted the wavefront technology used in laser surgery to correct distortions in progressive lenses. Varilux s W.A.V.E. Technology: Wavefront Advanced Vision Enhancement, now available in Varilux Ipseo lenses, is a new digital design and manufacturing process. It delivers the corrective power of wavefront to produce the sharpest, most physiologically natural vision. W.A.V.E. Technology s patented, proprietary process scans the entire surface of the Varilux Ipseo lens, calculating the targeted optical function for each point and each gaze direction, with digital precision. The result: a lens design that not only delivers the customized power of Varilux Ipseo, but also manages the quality of the entire beam of light passing through the lens, rather than a single ray, to provide optimal acuity. VARILUX IPSEO OFFERS ALL PRESBYOPES THE BENEFITS OF WAVEFRONT PERFORMANCE With W.A.V.E. Technology, Varilux Ipseo lenses will benefit all presbyopes: wearers who are new presbyopes, those who are already Varilux wearers, those who want to upgrade from another progressive lens, and those who are hard to fit. Varilux Ipseo lenses are available in materials including Thin&Lite 1.67, Airwear, and 1.50 Index, and systematically includes Crizal Alizé with Clear Guard.

ELA016 VxIpeso ECP Brochure.qxd 4/10/06 11:24 AM Page 12 Integrates point by point the movements of your eyes. VARILUX IPSEO TAILOR-MADE FOR EACH INDIVIDUAL PATIENT With a controlled launch, only select eye care professionals such as yourself are able to offer these premium lenses. Recommending Varilux Ipseo lenses to your patients sets you apart, while demonstrating your eye care expertise. TAILOR-MADE FOR EACH INDIVIDUAL PATIENT The only lenses created with the patient s distinct head/eye movement as a unique design parameter. FOR YOUR PATIENTS WHO DEMAND THE VERY BEST Because each lens is unique, it can be engraved with your patient s initials. Varilux Ipseo lenses come with a total-satisfaction guarantee. WHEN ORDERING Please indicate the following for every Varilux Ipseo lens order: The prescription These measurements: H/E ratio, Stability Coefficient Now with The selected progressive length chosen (14 mm, 16 mm, 18 mm) The usual fitting measurements (PD, height, etc.) Your patient s initials (up to 4 characters) If you have questions, call the Ipseo Hotline toll free at: 1-866-MY-IPSEO (1-866-694-7736) WWW.VARILUX.COM References: 1. Funk CJ,Anderson ME. Saccadic eye movements and eye-head coordination in children. Percept Mot Skills. 1977:599-610. 2. Simonet P, Gresset JA, Beaulne C, et al. Eye and head movements for changes in gaze in a presbyopic population.arvo;2003:may. 3.Afanador AJ,Aitsebaomo P, Gertsman DR. Eye and head contribution to gaze at near through multifocals: the usable field of view.am J Optom Physiol Opt. 1986;63:187-192. 4. Zangemeister WH, Stark L.Types of gaze movement: variable interactions of eye and head movements. Exp Neurol. 1982;77:563-577. 2006 Essilor of America, Inc. Essilor, Varilux and Airwear are registered trademarks and Ipseo and VisionPrint System are trademarks of Essilor International, S.A. Thin&Lite is a registered trademark and Crizal Alize with Clear Guard and W.A.V.E. Technology: Wavefront Advanced Vision Enhancement and design are trademarks of Essilor of America, Inc. VisionWeb is a service mark and "Streamline. Simplify. Succeed." is a trademark of VisionWeb, Inc. LVAR200147 BST/SVP 4/06