Contact Lenses Solutions

Transcription

1 Contact Lenses 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 2014 Issue of Contact Lens SPECTRUM

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3 To the Contact Lens Practitioner Contact Lenses & 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 29. 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 hydrogel materials is important as it relates to disinfection systems and Dk values, please take a moment to read the information under Hydrogel and Silicone Hydrogel Lens General Considerations on Page 5. Due to the growing popularity of silicone hydrogel contact lens prescribing and in response to reader requests, we have made the words Silicone hydrogel bold in all silicone hydrogel lens listings to make those listings easier to locate. We trust the Contact Lenses & Solutions Summary continues to fulfill your needs. It is made possible through an educational grant from VISTAKON, Division of Johnson & Johnson Vision Care, Inc. Paul White, OD P.S. A PDF of Contact Lenses & Solutions Summary is available for download at Published by: Contact Lens Spectrum, PentaVision LLC, Norristown Road, Suite 150, Ambler, PA (267) clspectrum@pentavisionmedia.com Contents Diopters to Radius of Curvature Conversion Table 4 Vertex Distance Table 4 SOFT CONTACT LENSES General Considerations 5 Disposable / Planned Replacement Spherical Clear and Visibility Tint 6 Tinted Enhancer and Opaque 9 Toric 9 Multifocal 12 Spherical Clear and Visibility Tint Daily Wear 13 Extended Wear 15 Therapeutic 15 Aphakic 15 Special Design 18 Tinted Enhancer and Opaque Daily Wear 19 Customized Tinting 19 Toric Daily Wear 19 Extended Wear 20 Multifocal Daily Wear 21 Extended Wear 22 Multifocal Toric 22 Hybrid Soft/GP 23 GAS PERMEABLE (GP) LENSES General Discussion 24 Lens Materials 24 SOLUTIONS Rigid Lens Solutions 25 Soft Lens Solutions Non-Thimerosal Preserved Saline 26 Unpreserved Saline 26 Daily Cleaners 26 Weekly Cleaners 27 Daily Protein Removers 27 Disinfecting Solutions and Combinations 27 Hydrogen Peroxide Disinfection 27 Subsonic / UVC Disinfection 28 Lubricants / Rewetting Drops 28 Company Directory 29 For additional copies of CLASS, contact: Geri Berzinski (267) gerianne.berzinski@pentavisionmedia.com Contact Lens and Solutions Summary 3

4 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

5 Soft Contact Lenses Hydrogel and Silicone Hydrogel Lens General Considerations The FDA gives each contact lens material a generic name. In general, all hydrogel and silicone hydrogel lens generic names end in the suffix filcon and all nonhydrogel 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. Silicone hydrogel lenses are Group 5, which is in the process of being updated and subdivided further. This is described in the article Proposed Silicone Hydrogel Lens Grouping Systems for Lens Care Product Compatibility Testing by Joseph Hutter, PhD, Angela Green, PhD, and Malvina Eydelman, MD, in Eye and Contact Lens, 2012 Nov;38(6): The FDA proposal has been sent out for comments, and it will then be finalized. Disinfection of hydrogel and silicone hydrogel 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 acid-preserved solutions. In the term Dk, D stands for diffusion and k for solubility. The oxygen permeability of hydrogel lenses is almost entirely the result of solubility and GROUP 1 Low Water (<50% H 2 O) Nonionic Hydrogel Polymers tefilcon (38%) (Dk = 8.9) LL Bifocal tetrafilcon A (43%) (Dk = 9) Preference Preference Toric Preference Toric XR helfilcon A&B (45%) (Dk = 12) Continental Toric Flexlens Aphakic Flexlens Optima Toric Flexlens Toric mafilcon (33%) (Dk = 4) Menicon polymacon (38%) (Dk = 9) Alden Classic 38 LifeStyle Toric Sphere and Toric Bifocal Biomedics 38 LL-38 Clearcolor lenses Metrosoft II Esstech PS Multifocal Metrosoft Toric Esstech PSD Natural Touch Esstech SV Occasions HD Optima 38 HD-T Simulvue 38 HDX Sof-form II HDX-T Soflens Horizon 38 Soflens 38 Ideal Soft Soflens Multifocal LifeStyle MV2 Unilens 38 LifeStyle Xtra Westhin Toric LifeStyle 4Vue hioxifilcon B (49%) (Dk = 15) Alden HP Intelliwave Alden HP Toric Multifocal Toric Aquaease Quattro Essential Soft Satureyes Toric Multifocal Satureyes Toric Flexlens and Multifocal Intelliwave Aspheric SpecialEyes 49 Intelliwave Aspheric Toric and Sphere Toric Intelliwave Multifocal Note: All X-Cel 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 omafilcon A (59%) (Dk = 33) Biomedics XC Proclear 1-Day Proclear EP Proclear Multifocal Proclear Multifocal Toric Proclear Sphere Proclear Toric hioxifilcon A (59%) (Dk = 28) Alden HP 59 Sphere Extreme H 2 O 59% Thin Extreme H 2 O 59% Extra Eyedia Precise Monthly, Fresh Daily Disposable, Precise Monthly for Astigmatism SpecialEyes 59 Toric and Sphere hioxifilcon D (54%) (Dk = 21) Alden HP 54 Sphere and Toric Astera Multifocal Astera Multifocal Toric Clarity H 2 O C-Vue Advanced Custom Toric, SV, Multifocal, Toric Multifocal Extreme H 2 O 54% Extreme H 2 O 54% Toric SpecialEyes 54 Toric, Sphere, Multifocal, Bifocal nelfilcon A (69%) (Dk = 26) Dailies AquaComfort Plus Focus Dailies Focus Dailies Toric Focus Dailies Progressive FreshLook One-Day Novakone, Novakone Toric Synergy Triton nesofilcon A (78%) (Dk = 42) Biotrue Oneday hilafilcon B (59%) (Dk = 22) SofLens Daily Disposable 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 for GP materials almost entirely the result of diffusion. In silicone hydrogel materials, oxygen permeability is a combination of solubility and diffusion, with the larger amount from diffusion. That is, the hydrogel 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 hydrogel 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 hydrogel lenses. With silicone hydrogel contact lenses, Dk/t and Dk/t are more similar than with hydrogel 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 4 High Water (>50% H 2 O) Ionic Hydrogel Polymers etafilcon A (58%) (Dk = 28) Acuvue Acuvue 2 1-Day Acuvue 1-Day Acuvue Eyedia Soft 58 Moist focofilcon A (55%) (Dk = 16) Fre-Flex ocufilcon A (46%) (Dk = 15) UCL Tresoft UCL PR-46 ocufilcon B (53%) (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 ClearSight 1 Day Biomedics 55 Premier Toric 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 Aspheric Biocurve 1-Day Biocurve Toric & Sphere C-Vue 1 Day ASV and ASV C-Vue 55 Multifocal and Custom Toric 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 Safigel 1 Day Sauflon 55 UV Sauflon 55 Asphere Sof-form 55 EW and Aphakic Softcon EW-2 Vertex Sphere Vertex Toric methafilcon B (55%) (Dk = 18) Frequency 55 Toric Hydrasoft Toric Hydrasoft Sphere vilfilcon A (55%) (Dk=16) Focus Monthly Softcolors Soft 55 Soft 55 EW GROUP 5 Silicone Hydrogel Polymers lotrafilcon A (24%) (Dk = 140) Air Optix Night & Day Aqua lotrafilcon B (33%) (Dk = 110) O 2 Optix Air Optix for Astigmatism Air Optix Aqua Multifocal Air Optix Aqua galyfilcon A (47%) (Dk = 60) Acuvue Advance Acuvue Advance for Astigmatism Acuvue Advance Plus narafilcon A (46%) (Dk = 100) 1-Day Acuvue TruEye senofilcon A (38%) (Dk = 103) Acuvue Oasys Acuvue Oasys for Astigmatism Acuvue Oasys for Presbyopia comfilcon A (48%) (Dk = 128) Biofinity Biofinity Toric Biofinity Multifocal enfilcon A (46%) (Dk = 100) Avaira Avaira Toric balafilcon A (36%) (Dk = 112) C-Vue Hydravue Multifocal PureVision PureVision Multi-Focal PureVision Toric PureVision 2 PureVision 2 for Astigmatism efrofilcon A (74%) (Dk = 60) C-Vue Hydravue C-Vue Hydravue Custom Toric C-Vue Hydravue Multifocal C-Vue Hydravue Toric Multifocal Intelliwave Aspheric Intelliwave Aspheric Toric Intelliwave Multifocal Intelliwave Multifocal Toric KeraSoft IC delefilcon A (33% core, 80% surface) (Dk = 140) Dailies Total1 Contact Lens and Solutions Summary 5

6 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 (1) Vistakon HEMA/MA , to pack/21.89 Visibility tint 0.50D steps UV blocker (Class 2) beyond 6 1-DAY ACUVUE MOIST (1) Vistakon HEMA/MA , to pack/17.85 Visibility tint 0.50D steps 90-pack/45.68 UV blocker (Class 2) beyond 6 Lacreon Technology 1-DAY ACUVUE TRUEYE (1) Vistakon Silicone hydrogel , to pack/60.32 Visibility tint, UV blocker (Class 1) 0.50D steps Hydraclear 1 Technology beyond 6 ACUVUE (1, 2, 3) Vistakon HEMA/MA , to pack/19.27 Visibility tint UV blocker (Class 2) ACUVUE 2 (1, 2, 3) Vistakon HEMA/MA , to +8 6-pack/15.49 Visibility tint 0.50D steps UV blocker (Class 2) beyond ±6 ACUVUE ADVANCE (1, 2) Vistakon Silicone hydrogel , to +8 6-pack/20.11 Visibility tint, UV blocker (Class 1) 0.50D steps Hydraclear Technology beyond ±6 ACUVUE ADVANCE Vistakon Silicone hydrogel , to +8 6-pack/16.80 PLUS (1, 2) Visibility tint, UV blocker (Class 1) 0.50D steps 24-pack/56.70 Hydraclear Technology, Ultra-Clean Technology beyond ±6 ACUVUE OASYS (1, 2, 3) Vistakon Silicone hydrogel , to +8 6-pack/20.74 Visibility tint, UV blocker (Class 1) 0.50D steps beyond ±6 24-pack/74.03 Hydraclear Plus Technology Plano bandage lens: 8.4, 8.8 AIR OPTIX AQUA (2, 3) Alcon Silicone hydrogel to pack/27.25 Visibility tint to +6 AIR OPTIX Alcon Silicone hydrogel , to +6 6-pack/46.10 (2, 4) NIGHT & DAY AQUA Visibility tint ALDEN CLASSIC 38 (2) Alden Optical HEMA to to to pack/66.00 SPHERE Clear or (0.1 steps) (0.1 steps) 6-pack/86.00 Visibility tint ±10.25 to ±30 4-pack/ pack/ ALDEN CLASSIC 55 (2) Alden Optical HEMA to to to pack/66.00 SPHERE Clear or (0.1 steps) (0.1 steps) 6-pack/86.00 Visibility tint ±10.25 to ±30 4-pack/ pack/ ALDEN HP 49 SPHERE (2) Alden Optical GMA/HEMA to to to pack/66.00 Clear or (0.1 steps) (0.1 steps) 6-pack/86.00 Visibility tint ±10.25 to ±30 4-pack/ pack/ ALDEN HP 54 SPHERE (2) Alden Optical GMA/HEMA to to to pack/66.00 Clear or (0.1 steps) (0.1 steps) 6-pack/86.00 Visibility tint ±10.25 to ±30 4-pack/ pack/ ALDEN HP 59 SPHERE (2) Alden Optical GMA/HEMA to to to pack/66.00 Clear or (0.1 steps) (0.1 steps) 6-pack/86.00 Visibility tint ±10.25 to ±30 4-pack/ pack/ AVAIRA (2) CooperVision Silicone hydrogel to pack/ to +8 BAUSCH + LOMB Bausch + Lomb Silicone hydrogel to +6 6-pack/30.50 ULTRA Visibility tint (0.50D steps MoistureSeal Technology above 6) BIOCURVE 1-DAY (1) Optical Connection HEMA to pack/ pack/38.97 BIOCURVE ADVANCED Optical Connection HEMA , to +8 6-pack/15.99 ASPHERIC (1, 2) Elite BIOFINITY (2, 3) CooperVision Silicone hydrogel to +8 6-lens carton/29.00 BIOFINITY XR (2, 3) CooperVision Silicone hydrogel to pack/ to 20 BIOMEDICS 38 (1, 3) CooperVision HEMA to pack/22.75 Visibility tint BIOMEDICS 55 CooperVision HEMA , 8.8 (+), 8.9 ( ) 10 to +6 6-pack/18.00 (1, 3) PREMIER Visibility tint UV blocker BIOMEDICS 55 UV (1) CooperVision HEMA , to pack/18.00 Visibility tint to +6 UV blocker (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 6 From the publishers of CONTACT LENS SPECTRUM

7 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 BIOMEDICS XC (1) CooperVision HEMA/PC to +6 6-pack/17.00 Visibility tint 0.50D steps > 6 and +5 BIOTRUE ONEDAY (1) Bausch + Lomb Hypergel to pack/45.50 Visibility tint (0.50D steps 30-pack/18.20 UV blocker beyond 6.50) CLARITY H 2 O (1) Hydrogel Vision Corp. GMA/HEMA Median 10 to +6 6-pack/26.95 Flat 6 to pack/39.95 Steep 10 to /pack/39.95 CLEARSIGHT 1 DAY (1) CooperVision HEMA to pack/ D steps > 6 and pack/37.50 C-VUE ADVANCED Unilens Corp USA Silicone hydrogel to to to 20 6-pack/ HYDRAVUE SINGLE VISION (14.5, 15.0 std.) (8.2, 8.5, Trial/ , 9.1 std.) C-VUE 55 ASPHERIC (2) Unilens Corp USA HEMA to +8 6-pack/12.50 C-VUE 1 DAY ASV (1) Unilens Corp USA HEMA to pack/ pack/34.00 Bank programs available for less DAILIES Alcon PVA to pack/15.25 AQUACOMFORT PLUS (1) Visitint to pack/38.00 DAILIES TOTAL1 (1) Alcon Silicone hydrogel to pack/25.00 core material; Surface water (0.25D steps) 90-pack/65.00 High-water, non-silicone content to hydrogel surface material (0.50D steps) Visibility tint DEFINITION AC (2) Optical Connection HEMA , to +8 6-pack/14.00 DEFINITION AC Optical Connection HEMA to pack/12.50 EVERYDAY (1) ELITE (2) Ocu-Ease/Optech HEMA 55 Varies , to +8 6-pack/11.50 ELITE AC DISPOSABLES (1) Ocu-Ease/Optech HEMA 55 Varies , to +8 6-pack/12.50 ELITE DAILY (1) Ocu-Ease/Optech HEMA 55 Varies to pack/ pack/35.50 EXTREME H 2 O Hydrogel Vision Corp. GMA/HEMA to +6 6-pack/ % THIN (1) EXTREME H 2 O Hydrogel Vision Corp. GMA/HEMA to pack/ % XTRA (1) to +6 EXTREME H 2 O Hydrogel Vision Corp. GMA/HEMA to +6 6-pack/ % (1) to pack/28.95 EYEDIA FRESH DAILY Clearlab GMA/HEMA to pack/31.90 DISPOSABLE Visibility tint 8.7 (0.50D steps (For +4 to +6) > 6 and +4) EYEDIA PRECISE MONTHLY Clearlab GMA/HEMA to +6 6-pack/21.50 Visibility tint (0.50D steps > 6 and +4) EYEDIA SOFT 55 Clearlab HEMA to +6 6-pack/11.50 Visibility tint (0.50D steps > 6 and +4) UV blocker EYEDIA SOFT 58 Clearlab HEMA/MA ( ) 8.2, 8.6 ( ) 10 to +6 6-pack/11.50 Visibility tint 14.5 (+) 8.6 (+) (0.50D steps UV blocker > 6 and +4) FLEXLENS X-Cel Contacts HEMA/NVP 45, 49, 55, Varies 13.5 to to 9.2 (0.1) 10 to +10 First lens/ , to to to pack/ pack/72.00 FOCUS Alcon PVA to pack/38.00 DAILIES (1) AquaRelease, visitint to pack/15.25 FREQUENCY 55 (2) CooperVision HEMA to pack/20.50 ASPHERIC Handling tint to +8 FREQUENCY 55 (2, 3) CooperVision HEMA , to pack/18.00 Handling tint to +8 FRESHLOOK Alcon HEMA/MMA to +6 6-pack/19.45 HANDLING TINT (1, 2, 3) Handling tint 0.50 steps > 6 and +2 HD (2) PolyVue HEMA to +6 Single lens/24.00 Handling tint Multipack (3+1)/72.00 HD2 (2) PolyVue HEMA to +8 6-pack/32.00 Handling tint HYDRASOFT SPHERE (2) Coopervision HEMA , to pack/ , 8.9, 9.2 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval Contact Lens and Solutions Summary 7

8 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 ICUITY H2O Hydrogel Vision Corp GMA/HEMA to pack/ to +6 INTELLIWAVE ASPHERIC (2) Art Optical Contact Lens Silicone hydrogel 74 MTO MTO MTO 20 to +20 Diagnostic lens/ pack/55.00 HEMA with 49 Diagnostic lens/30.00 handling tint 2-pack/35.00 isight GP Specialists GMA/HEMA 55, to to to +10 First lens/29.99 SPHERE (3) & Silicone hydrogel 74 Spare lens/19.99 GOLD SPHERE 3-pack/56.99 (FORMERLY BIOCURVE) 4-pack/71.99 METROLITE Metro Optics of Austin HEMA , 8.6, 8.9 Plano to ±10 4-pack/68.00 PLANNED REPLACEMENT (2) Light blue >±10 4-pack/74.00 METROLITE M SERIES Metro Optics of Austin HEMA to Plano 4-pack/68.00 PLANNED REPLACEMENT (2) Light blue METROSOFT II Metro Optics of Austin HEMA , 8.6, 8.9 Plano to ±10 4-pack/65.00 PLANNED REPLACEMENT (2) >±10 4-pack/74.00 METROSOFT II M SERIES Metro Optics of Austin HEMA to Plano 4-pack/65.00 PLANNED REPLACEMENT (2) METROSOFT DEFINITIVE Metro Optics of Austin Silicone hydrogel 74 Varies , 8.6, to +10 Single/30 Clear or visitint 4-pack/120 Over ±10 Single/35 4-pack/140 NEW HORIZONS (2) Westcon HEMA to +8 6-pack/14.00 OCU-FLEX 55 (2) Ocu-Ease/Optech HEMA , 14.5, to to pack/53.55 (0.1) 4-pack/71.40 PREFERENCE (2) CooperVision HEMA/NVP/MMA , to pack/56.50 Handling tint 0.50D steps > 6 PREFERENCE CooperVision HEMA/NVP/MMA , to Plano 4-pack/56.50 STANDARD (2) Handling tint to 0.25 PROCLEAR (2) CooperVision HEMA/PC to pack/29.00 Handling tint to Plano PROCLEAR 1 DAY (1) CooperVision HEMA/PC to pack/ D steps > 6 30-pack/17.75 PUREVISION (2, 4) Bausch + Lomb Silicone hydrogel to pack/39.50 Visibility tint to +6 PUREVISION2 (2, 4) Bausch + Lomb Silicone hydrogel to +6 6-pack/30.50 Visibility tint SAFIGEL 1 DAY (1) Safigel HEMA/HA to pack/16.50 UV blocker SATUREYES (2) Metro Optics of Austin GMA/HEMA , 8.4, to pack/75.00 SAUFLON 55 ASPHERIC (2) Sauflon Pharmaceuticals HEMA to +8 6-pack/12.50 Handling tint SAUFLON 55 UV (2) Sauflon Pharmaceuticals HEMA ( ) 10 to +8 6-pack/11.00 Handling tint 8.8 (+) SOFLENS 38 (2, 3) Bausch + Lomb HEMA , 8.7, to +4 6-pack/14.50 Visibility tint SOFLENS DAILY Bausch + Lomb HEMA to pack/35.50 DISPOSABLE (1) Visibility tint 0.50D steps above 6.50 SPECIALEYES (2) SpecialEyes HEMA to to to to +25 Single/ SPHERE Visibility tint (0.1 steps) (0.1 steps) 4-pack vials/ pack vials/ SPECIALEYES (2) SpecialEyes HEMA to to to to +25 Single/ SPHERE Visibility tint (0.1 steps) (0.1 steps) 4-pack vials/ pack vials/ SYNERGY QUARTERLY Gelflex Laboratories HEMA , to 9.2 (0.2) 20 to +20 Call for pricing REPLACEMENT SPHERE (2) GMA/HEMA , 14.8, 8.0, 8.3, 8.6, 20 to +20 HEMA/NVP , 9.2 UNITED CONTACT LENS United Contact Lens HEMA , 14.5, 8.3, 8.6, 8.9, 9 to +9 Single/27.50 PLANNED REPLACEMENT (2) Visibility tint pack vials/ , 14.5, , 8.5, 8.8 Over ±9 Single/ pack vials/68.00 Custom/ to to Super Custom/60.00 VERTEX SPHERE (1) CooperVision HEMA , to pack/16.00 Visibility tint to to +8 (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 8 From the publishers of CONTACT LENS SPECTRUM

9 Disposable and/or Planned Replacement Tinted Enhancer and Opaque Hydrogels Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price AIR OPTIX Alcon Silicone hydrogel to +6 COLORS Subtle colors: Pure hazel, blue, green, gray, brown 0.25D steps Vibrant colors: Honey, brilliant blue, 8 to 6 gemstone green, sterling gray 0.50D steps ALDEN CLASSIC (2) Alden Optical HEMA 38, to to to pack/ AND Aqua, azure, blue, brown, gray, (0.1 steps) 0.1 steps 6-pack/ ALDEN HP 49 (2) green, jade, walnut, yellow ±10.25 to ±30 4-pack/ pack/ EXPRESSIONS (2) CooperVision HEMA to +4 6-pack/40.00 Gray, green, hazel, blue, aqua, blue topaz, brown, jade EYEDIA CLEARCOLOR Clearlab HEMA to +4 6-pack/23.50 CIRCLE Enhancers: New equinox, gray, (0.50D steps > 6) brown, blue EYEDIA CLEARCOLOR Clearlab HEMA to +4 6-pack/23.50 ELEMENT Enhancers: Violet rose, green envy, sky blue, (0.50D steps > 6) brown chestnut, blue rain, platinum gray, misty gray, hazel autumn, tosca EYEDIA CLEARCOLOR Clearlab HEMA to plano (0.25D steps) 6-pack/23.50 ELEMENT TORIC Enhancers: Violet rose, green envy, sky blue, Cylinder up to 4.50 brown chestnut, blue rain, platinum gray, (0.25D steps) misty gray, hazel autumn, tosca Axes around the clock (5º steps) EYEDIA CLEARCOLOR Clearlab HEMA to plano 6-pack/23.50 PHANTOM Enhancers: call company (select patterns) EYEDIA CLEARCOLOR Clearlab HEMA to +4 6-pack/23.50 VIBRANT Enhancers: Leaf green, ice blue, amber, (0.50D steps > 6) Pacific blue, slate gray, lavender, emerald, azure, mocha FOCUS SOFTCOLORS Alcon HEMA/PVA/MA , to +6 6-pack/44.10 MONTHLY (2) Aqua, evergreen, royal blue FRESHLOOK Alcon HEMA/MMA Median 8 to +6 6-pack/33.95 COLORBLENDS (1, 2) Amethyst, blue, brown, gray, green, honey, 0.50D steps pure hazel, true sapphire, turquoise, > 6 and +2 brilliant blue, gemstone green, sterling grey FRESHLOOK Alcon HEMA/MMA to +6 6-pack/33.95 COLORS (1, 2) Blue, green, hazel, violet 0.50D steps > 6 and +2 FRESHLOOK ONE-DAY (1) Alcon PVA to pack/10.90 Blue, green, pure hazel, gray ColorBlends FRESHLOOK Alcon HEMA/MMA to +6 6-pack/33.95 DIMENSIONS (1, 2) Caribbean aqua, Pacific blue, Sea green 0.50D steps > 6 and +2 HD PRO COLORS PolyVue Distribution HEMA to +4 2-pack/15.00 Gray, true sapphire, green, amethyst hazel, turquoise, honey METROTINT Metro Optics of Austin HEMA , 8.6, 8.9 Plano to ±10 4-pack/85.00 PLANNED REPLACEMENT (2) Aqua, blue, green >±10 4-pack/90.00 METROTINT M SERIES Metro Optics of Austin HEMA to Plano 4-pack/85.00 PLANNED REPLACEMENT (2) Aqua, blue, green (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval Toric Disposable and/or Planned Replacement Hydrogels Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price 1-DAY ACUVUE Vistakon HEMA to Plano 0.75, 1.25, 180º ±20º Blink 30-pack/ MOIST FOR Visibility tint (0.25D steps) º ±30 Stabilized ASTIGMATISM UV blocker (Class 2) 9 to º steps Design Lacreon Technology (0.50D steps) Scribe marks at 6 and 12 o clock 6 to Plano º, 90º, 160º, (0.25D steps) 180º 9 to 6.50 (0.50D steps) to , 1.25, 180º ±20º (0.25D steps) º ±20 20º steps (1) Disposable (2) Planned replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval Contact Lens and Solutions Summary 9

10 Toric Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price ACUVUE Vistakon Silicone hydrogel to Plano 0.75, 1.25, Full circle Blink 6-pack/ ADVANCE FOR Visibility tint (0.25D steps) º steps Stabilized ASTIGMATISM (1, 2) UV blocker (Class 1) 9 to º ±20º Design Hydraclear Technology (0.50D steps) 90º ±20 10º steps 9 to , º ±20º (0.50D steps) 90º ±20º 10º steps º ±20º 10º steps 90º to , 1.25, 180º ±20º (0.25D steps) º ±20º 10º steps ACUVUE Vistakon Silicone hydrogel to , 1.25, Full circle Blink 6-pack/ OASYS FOR Visibility tint (0.25D steps) 1.75, º steps Stabilized ASTIGMATISM (1, 2, 3) UV blocker (Class 1) 9 to 6.50 Design Hydraclear Plus Technology (0.50D steps) AIR OPTIX FOR Alcon Silicone hydrogel to , 1.25, Full circle Precision 6-pack/38.10 ASTIGMATISM (2, 3) Visibility tint (0.25D steps) 1.75, º steps Balance to 6.50 (0.50D steps) ALDEN CLASSIC Alden Optical HEMA to to to to 10 Full circle Prism 4-pack/ TORIC (2) (0.1 steps) (0.1 steps) 10º steps 6-pack/ ±10.25 to ±30 4-pack/ pack/ ALDEN CLASSIC Alden Optical HEMA to to to to 10 Full circle Prism 4-pack/ TORIC (2) (0.1 steps) (0.1 steps) 10º steps 6-pack/ ±10.25 to ±30 4-pack/ pack/ ALDEN HP 49 Alden Optical GMA/HEMA , 8.6, 10 to to 10 Any Symmetric 4-pack/ TORIC (2) Stabilization 6-pack/ ±10.25 to ± to 10 Any 4-pack/ pack/ ALDEN HP 54 Alden Optical HEMA , 8.6, 10 to to 10 Any Symmetric 4-pack/ TORIC (2) Stabilization 6-pack/ ±10.25 to ± to 10 Any 4-pack/ pack/ ALDEN HP 59 Alden Optical GMA/HEMA , 8.6, 10 to to 10 Any Symmetric 4-pack/ TORIC (2) Stabilization 6-pack/ ±10.25 to ± to 10 Any 4-pack/ pack/ AVAIRA CooperVision Silicone hydrogel to Plano 0.75, 1.25, Full circle 6-pack/23.25 TORIC (2) º steps BIOFINITY CooperVision Silicone hydrogel to , 1.25, Full circle Horizontal 6-pack/ TORIC (2, 3) 1.75, º steps ISO thickness BIOMEDICS CooperVision HEMA to , 1.25, Full circle Prism 6-pack/22.50 TORIC (2, 3) UV blocker 1.75, º steps Visibility tint CLEARSIGHT CooperVision HEMA to Plano 0.75, º, 160º, Prism 30-pack/ DAY TORIC (1) Visibility tint 20º, 90º CO SOFT (2) California Optics HEMA to to 3.25 Full circle Prism 4-pack/ º steps to C-VUE Unilens GMA/HEMA , 8.5, to +20 Up to 4 Full circle 6-pack/ ADVANCED º steps CUSTOM TORIC (2) C-VUE Unilens Silicone hydrogel to to to +20 Up to 4 Any 6-pack/ ADVANCED HYDRAVUE (14.5, 15.0 std.) (8.2, 8.5, 1º steps CUSTOM TORIC (2) 8.8, 9.1 std.) DAILIES Alcon PVA to , 1.25, 90º ±20º 30-pack/21.00 AQUACOMFORT Blue visitint (0.25D steps) º ±20º 90-pack/53.75 PLUS TORIC 8 to º steps (0.50D steps) ELITE AC Ocu-Ease/ HEMA to +4 1, 1.75 Full circle 6-pack/24.00 TORIC (2) Optech 10º steps EXTREME H 2 O Hydrogel Vision GMA/HEMA to +4 LC (0.65D) Full circle Prism 6-pack/ % TORIC LC (2) 15º steps to EXTREME H 2 O Hydrogel Vision GMA/HEMA to +4 MC (1.25D) Full circle Prism 6-pack/ % TORIC MC (2) 10º steps to (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 10 From the publishers of CONTACT LENS SPECTRUM

11 Toric Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price EYEDIA PRECISE Clearlab GMA/HEMA to +4 1, º, 20º, 80º, 90º, 100º, 6-pack/26.75 MONTHLY FOR Visibility tint (0.25D steps) 160º, 170º, 180º ASTIGMATISM Single indication line at 6 o clock FLEXLENS TORIC (2) X-Cel Contacts HEMA/NVP 45, 49, 13.5 to to to to 10 Any Prism First lens/55.00 Clear or 55, 59, 3-pack/42.00 handling tint pack/ MTO/99.00 FOCUS DAILIES Alcon PVA to , º, 90, 110º, 30-pack/20.30 TORIC (1) Aqua Release 160º, 180º, 20º 90-pack/55.15 Visitint FREQUENCY 55 CooperVision HEMA , to , 1.25, Full circle Prism 6-pack/45.25 TORIC (2, 3) Handling tint 1.75, º steps HD-T (2) PolyVue HEMA to , ±20º Prism Single/24.00 Handling tint 90º ±20º Multipack (3+1)/72.00 HORIZON Westcon HEMA to to to to Any Prism Std./59.00 SOFT TORIC (2) 55 (0.1) (0.1) Custom/89.00 HYDRASOFT CooperVision HEMA , to to Any Prism; 3-pack/62.50 TORIC (2) , 8.6, 8.9, to +30 Eccentric lenticulation INTELLIWAVE Art Optical Silicone hydrogel 74 MTO MTO 20 to +20 to º to 180º Prism Diagnostic/65.00 ASPHERIC Contact Lens 1º steps 4-pack/ TORIC (2) HEMA with 49 to Diagnostic/65.00 handling tint 2-pack/70.00 isight GP Specialists HEMA to to to to 8.50 Any Prism Single/49.99 SOFT TORIC Clear or 59 3-pack/56.99 (FORMERLY BIOCURVE) Visibility tint 4-pack/71.99 KONTUR 55 Kontur Kontact HEMA , 14.5, 8.0, 8.3, 20 to to 5 (4) Any Prism; to TORIC (2) Lens 15.0, , 8.9 1º steps Eccentric 45.00/lens lenticulation METROSOFT Metro Optics Silicone hydrogel , 8.7, to to 8 5º steps Prism Single/45.00 TORIC of Austin Clear or 4-pack/ DEFINITIVE Visibility tint METROSOFT Metro Optics HEMA , 8.7, to to 5 5º steps Prism 4-pack/ TORIC DIV I (2) of Austin Clear Single/48.00 METROSOFT Metro Optics HEMA , 8.7, to 10 Over 5 Any Prism 4-pack/ TORIC DIV II (2) of Austin Clear to +10 Single/68.00 OPTIMA Bausch + Lomb HEMA/NVP , 8.6, 9 to , 1.25, Full circle Prism 2-pack/ TORIC (2) , 2.25, 5º steps Single vial/ , 3.25, 3.75, 4.25 PREFERENCE CooperVision HEMA/PVA/MMA , to , 1.25, Full circle Prism; 4-pack/92.00 TORIC (2) 1.75, 2.25 (2) 5º steps Eccentric lenticulation PREFERENCE CooperVision HEMA/PVA/MMA , to to Full circle Prism; 4-pack/ TORIC XR (2) 9.75 (0.25) 5º steps Eccentric lenticulation PROCLEAR CooperVision HEMA/PC , to , 1.25, 0º to 180º Prism 6-pack/35.00 TORIC (2) 1.75, º steps PROCLEAR CooperVision HEMA/PC , to to 5.75 Full circle Prism 6-pack/70.50 TORIC XR (2) (0.50D steps) 5º steps PUREVISION Bausch + Lomb Silicone hydrogel to , 1.25, Full circle Prism 6-pack/39.50 TORIC (2, 4) Visibility tint 1.75, º steps PUREVISION2 Bausch + Lomb Silicone hydrogel to Plano 0.75, 1.25, Full circle Hybrid Peri 6-pack/37.00 TORIC FOR º steps and Prism ASTIGMATISM SATUREYES Metro Optics GMA/HEMA , to to 4 5º steps Prism 4-pack/ TORIC (2) of Austin Visibility tint Single/58.00 SOFLENS DAILY Bausch + Lomb HEMA to plano 0.75, 1.25, 20º, 90º, 160,º 30-pack/15.98 DISPOSABLE Visibility tint (0.50D steps º FOR ASTIGMATISM beyond 6 SOFLENS Bausch + Lomb HEMA to , 1.25, Full circle Prism 6-pack/23.00 TORIC (2) Visibility tint 1.75, º steps 9 to Plano 2.75 SPECIALEYES SpecialEyes HEMA to to to to 8 Any Prism Single/ TORIC (2) Handling tint (0.1 steps) (0.1 steps) 4-pack vials/ pack vials/ (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval Contact Lens and Solutions Summary 11

12 Toric Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price SPECIALEYES SpecialEyes HEMA to to to to 8 Any Prism Single/28.00 SE 54 TORIC (2) Handling tint (0.1 steps) (0.1 steps) 4-pack vials/ pack vials/ SYNERGY Gelflex HEMA , 14.8, , 8.3, +40 to 40 Up to 10 Any Biprism Initial lens/62.00 QUARTERLY Laboratories GMA/HEMA , 8.9, 9.2 1º steps 3-pack within REPLACEMENT HEMA/NVP days/33.00 TORIC (2) UCL 55 United HEMA , 14.5, , 8.6, 20 to +20 Any Prism Slab-off Single/49.50 Contact Lens 8.9, pack/ UCL TRESOFT United HEMA , , 8.5, to to 8 Any Single/49.50 Contact Lens 4-pack/ VERTEX CooperVision HEMA to , 1.25, Full circle Prism 6-pack/22.75 (2, 3) TORIC 1.75, º steps XR 2.75, 3.25, 3.75 Full circle 6-pack/ º steps Multifocal Disposable and/or Planned Replacement Hydrogels Trade Name Manufacturer %H 2 O Diameters Base Curves Powers Adds Designs Price ACUVUE OASYS Vistakon to +6 Low (+0.75 to +1.25) Zonal aspheric 6-pack/26.09 FOR PRESBYOPIA (2, 3) Visibility tint Mid (+1.50 to +1.75) Stereo Precision UV blocker (Class 1) High (+2.00 to +2.50) Technology Silicone hydrogel Hydraclear Plus Technology AIR OPTIX AQUA Alcon to +6 Lo, Med, High 6-pack/49.99 MULTIFOCAL (2, 3) Handling tint (0.25 steps) Aqua Moisture System Silicone hydrogel ASTERA MULTIFOCAL Alden Optical , 8.6, 8.9 ±30 Profile Aspheric Single/90.00 Profile to Center near 4-pack/ Profile BIOFINITY CooperVision to , Progressive 6-pack/45.65 MULTIFOCAL (2, 3) Silicone hydrogel +2.00, C-VUE (2) Unilens Corp , to +6 C-Vue Low to Aspheric 6-pack/31.50 C-Vue High to Center near C-VUE 55 (2) Unilens Corp , to +6 C-Vue Low to Aspheric MULTIFOCAL C-Vue High to Center near 2-pack/ pack/ C-VUE ADVANCED Unilens Corp , , 8.2, 8.5, to +20 Up to +3 Front aspheric 6-pack/ MULTIFOCAL GMA/HEMA Center near C-VUE ADVANCED Unilens Corp to to to +20 Up to +4 Front aspheric 6-pack/ HYDRAVUE Silicone (14.5 to 15.0 std.) (8.2, 8.5, 8.8, Trial/20.00 MULTIFOCAL hydrogel 9.1 std.) C-VUE HYDRAVUE Unilens Corp to +6 Up to Aspheric 6-pack/35.00 MULTIFOCAL (2) Silicone High and Low Center near Bank programs hydrogel Add power ranges available DAILIES AQUACOMFORT Alcon to +6 Low, medium, high Aspheric 30-pack/24.00 PLUS MULTIFOCAL 90-pack/59.00 FLEXLENS X-Cel Contacts 45, 49, 13.5 to to to to Front aspheric First lens/75.00 MULTIFOCAL 55, 59, 74 (0.1 steps) Center distance 3-pack/42.00 HEMA/NVP Pupil 1, 2, 3 FOCUS DAILIES Alcon to +5 Progressive Aspheric 30-pack/25.70 PROGRESSIVE PVA, Visitint Up to Center near 5 trial pack/nc AquaRelease HD (2) PolyVue to +6 Up to Aspheric Single lens/24.00 Handling tint Multipack (3+1)/72.00 HD2 (2) PolyVue to +8 Up to Aspheric 6-pack/32.00 Handling tint HDX (2) PolyVue to +6 Progressive Multi Aspheric Single lens/24.00 Handling tint to Progressive Multipack (3+1)/72.00 HDX2 (2) PolyVue to +8 Progressive Multi Aspheric 6-pack/39.00 Handling tint to Progressive HORIZON PROGRESSIVE (2) Westcon 49, 55, 14.0, 14.5, , 8.6, to +20 Up to Center near 3-pack/ , 74 6-pack/ pack/ IDEAL SOFT PS (2) Ideal Optics , 8.6, to +9 Progressive Aspheric First lens/75.00 Handling tint up to pack/ pack/ (1) Disposable (2) Planned Replacement (3) Extended Wear (EW) Approval (4) Continuous Wear (CW) Approval 12 From the publishers of CONTACT LENS SPECTRUM

13 Multifocal Disposable and/or Planned Replacement Hydrogels - continued Trade Name Manufacturer %H 2 O Diameters Base Curves Powers Adds Designs Price INTELLIWAVE Art Optical 74 MTO MTO 20 to +20 To Front surface Diagnostic/90.00 MULTIFOCAL (2) Contact Lens Silicone aspheric 4-pack/ hydrogel Center near 49 Diagnostic/85.00 HEMA with 2-pack/90.00 handling tint isight MCL SPHERE GP Specialists 55, to to to to Center distance Single/ or Spare single/19.00 Center near Spare 3-pack/56.99 METROFOCAL Metro Optics , 8.6, to +10 Up to Front surface Single/45.00 DEFINITIVE of Austin Silicone hydrogel aspheric 4-pack/ Clear or visitint Center distance PROCLEAR 1 DAY CooperVision to +6 Up to Aspheric 30-pack/20.00 MULTIFOCAL Visibility tint Center-near PROCLEAR EP (2) CooperVision to +6 Up to Aspheric 6-pack/23.00 PROCLEAR MULTIFOCAL (2) CooperVision to , +1.50, +2.00, Progressive 6-pack/40.00 PROCLEAR CooperVision to to +4.00, Progressive 6-pack/75.75 MULTIFOCAL XR (2) in 0.50D steps to to to +20 in 0.50D steps 20 to , +3.50, PUREVISION Bausch + Lomb to +6 Low add to Front surface 6-pack/47.00 MULTI-FOCAL (2, 3) Visibility tint High add to Aspheric Center near PUREVISION2 Bausch + Lomb to +6 Low: to +150 spectacle add 6-pack/44.00 MULTI-FOCAL Silicone hydrogel (0.25D steps) High: to spectacle add FOR PRESBYOPIA Visibility tint SATUREYES Metro Optics , to +10 Progressive Aspheric Single/80.00 MULTIFOCAL (2) of Austin up to Center distance 4-pack/ SOFLENS Bausch + Lomb , to +6 Low add to Front surface 6-pack/35.75 MULTI-FOCAL (2) Visibility tint High add to Aspheric Center near SPECIALEYES SpecialEyes to to to +25 Up to Concentric Single/ BIFOCAL (0.1 steps) (0.1 steps) Center near 4-pack vials/ Custom Zone 6-pack vials/ Center and distance SPECIALEYES SpecialEyes to to to +25 Up to Aspheric Single/ MULTIFOCAL (0.1 steps) (0.1 steps) Custom zones 4-pack vials/ Center near 6-pack vials/ & Center distance UCL MULTIFOCAL United , 8.7, to +20 Progressive Aspheric Contact Lens Up to Replacement/45.00 UCL SONIC-VIEW United , 8.8, to +20 Progressive Front aspheric Contact Lens Up to Replacement/45.00 UNILENS EMA (2) Unilens Corp , to +8 EMA Low to Aspheric EMA High to Center near 2-pack/ pack/ Daily Wear Spherical Clear and Visibility Tint Hydrogels Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price ALDEN CLASSIC 38 Alden Optical HEMA to to to SPHERE (0.1 steps) (0.1 steps) ±10.25 to ± ALDEN CLASSIC 55 Alden Optical HEMA to to to SPHERE (0.1 steps) (0.1 steps) ±10.25 to ± ALDEN HP 49 Alden Optical GMA/HEMA to to to SPHERE (0.1 steps) (0.1 steps) ±10.25 to ± ALDEN HP 54 Alden Optical GMA/HEMA to to to SPHERE (0.1 steps) (0.1 steps) ±10.25 to ± ALDEN HP 59 Alden Optical GMA/HEMA to to to SPHERE (0.1 steps) (0.1 steps) ±10.25 to ± AQUAEASE Ocu-Ease/Optech GMA/HEMA , 8.5, to Visibility tint to MTO/ and 4-packs available, call for pricing CONTINENTAL Continental Soft Lens HEMA 45, 53 Varies 10.0 to to to to to to +40 to CO SOFT California Optics HEMA , 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 HEMA , 8.7, to Contact Lens and Solutions Summary 13

14 Daily Wear Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price FRE-FLEX STANDARD Ocu-Ease/ HEMA to to Optech to FRE-FLEX Ocu-Ease/ HEMA to to SPECIAL DESIGN Optech FRE-FLEX Ocu-Ease/ HEMA 55 Varies 10.0 to to to SPECIALTY LENS Optech GELFLEX CUSTOM Gelflex Laboratories HEMA , 14.0, 14.5, to 9.2 (0.2) 40 to +40 Call for SPHERE GMA/HEMA , 14.3, 8.0, 8.3, 8.6, 40 to +40 pricing HEMA/NVP , , 9.2 Aqua, blue, chocolate, green HD PolyVue HEMA to +6 Single lens/24.00 Handling tint Multipack (3+1)/72.00 HD2 PolyVue HEMA to +8 6-pack/32.00 Handling tint HORIZON 55 Westcon HEMA 49, 55, to , 14.5, , 8.6, to HORIZON SPHERE Westcon HEMA 49, 55, 59 Varies 16.0, 18.0, 20.0, 9.2, 9.5, 9.8, Plano LARGE DIAMETER 22.0, , 10.3 HORIZON CUSTOM Westcon HEMA 49, 55, 59 Varies 10.0 to to to SPHERE (0.1) (0.1) HYDRASOFT CooperVision HEMA , 8.9, to , to +10 IDEAL SOFT Ideal Optics HEMA 38 Varies , 8.6, to +20 Up to ±10/19.95 Above ±10/39.95 INTELLIWAVE ASPHERIC Art Optical Contact Lens Silicone hydrogel 74 MTO MTO 20 to +20 Diagnostic/30.00 Replacement/15.00 HEMA with 49 handling tint isight SPHERE & GP Specialists HEMA to to to +10 First lens/29.99 GOLD SPHERE Spare lens/14.99 (FORMERLY BIOCURVE) 3-pack/ pack/54.99 KONTUR 55 SPHERE Kontur Kontact Lens HEMA 55 Varies , 8.6, to KONTUR PRECISION Kontur Kontact Lens HEMA 55 Varies 12.0 to to to SPHERE I KONTUR PRECISION Kontur Kontact Lens HEMA 55 Varies 12.0 to to 9.5 Over ± SPHERE II KONTUR PRECISION Kontur Kontact Lens HEMA 55 Varies 18.0 to to 7.5 Plano SPHERE III KONTUR PRECISION Kontur Kontact Lens HEMA 55 Varies 18.0 to to to SPHERE IV KONTUR 55 Kontur Kontact Lens HEMA 55 Varies 13.0 to to to SPHERE PRISM LL-38 Unilens Corp. HEMA to , 8.6, to to +5 METROLITE Metro Optics of Austin HEMA , 8.6, 8.9 Plano to ± Light blue Over ± METROLITE M SERIES Metro Optics of Austin HEMA to Plano Light blue METROSOFT II Metro Optics of Austin HEMA , 8.6, 8.9 Plano to ± Over ± METROSOFT II Metro Optics of Austin HEMA to Plano M SERIES OCU-FLEX-55 Ocu-Ease/Optech HEMA/MA , 14.5, to 8.8 (0.1) 20 to Visibility tint available 13.5 to to 9.0 (0.1) to MTO/ and 4-packs available, call for pricing OPTIMA SP Bausch + Lomb HEMA , to +5 2-pack/ to +5 PR-46 United HEMA , 14.5, , 8.6, 8.9, to SATUREYES Metro Optics of Austin GMA/HEMA 49 Varies , 8.4, to SATUREYES Metro Optics of Austin GMA/HEMA 49 Varies , 8.4, to VISIBILITY TINT Visibility tint SOF-FORM 55 Unilens Corp. HEMA , 8.6, to From the publishers of CONTACT LENS SPECTRUM

15 Daily Wear Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price SOF-FORM II Unilens Corp. HEMA , 8.5, 8.7, to SOFT-55 DW Unilens Corp. HEMA/PVP/MA to , to to to to SPECIALEYES 49 SpecialEyes HEMA to to to to Handling tint (0.1 steps) (0.1 steps) UCL 55% United Contact Lens HEMA , , to to 14.5, , 8.9, UCL CUSTOM United Contact Lens HEMA , 18.0, 20.0, 9.2, 9.5, 9.8, 20 to , , 10.3 UCL TRESOFT United Contact Lens HEMA , , 8.5, to to Handling tint Extended Wear Spherical Clear and Visibility Tint Hydrogels Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price ACUVUE Vistakon HEMA/MA , to pack/19.27 Visibility Tint UV blocker (Class 2) ACUVUE 2 Vistakon HEMA/MA , to +8 6-pack/15.49 Visibility tint 0.50D steps beyond ±6 UV blocker (Class 2) ACUVUE OASYS Vistakon Silicone hydrogel , to +8 6-pack/20.74 Visibility tint, UV blocker (Class 1) 0.50D steps beyond ±6 24-pack/74.03 Hydraclear Plus Technology Plano bandage lens: 8.4, 8.8 AIR OPTIX AQUA Alcon Silicone hydrogel to pack/27.25 Visibility tint to +6 AIR OPTIX Alcon Silicone hydrogel , to +8 6-pack/46.10 NIGHT & DAY AQUA LL-55 Unilens Corp. HEMA , 8.7, to , to +5 PUREVISION Bausch + Lomb Silicone hydrogel to +6 6-pack/39.50 SOF-FORM 55 Unilens Corp. HEMA , 8.6, to , 8.6, 8.9 SOFLENS 38 Bausch + Lomb HEMA , 8.7, to +4 6-pack/14.50 Visibility tint SOFT-55 EW Unilens Corp. HEMA/PVP/MA , 8.1, 8.4, to , 8.4, to +18 UCL 55 United Contact Lens HEMA , 14.5, , 8.6, 8.9, to +20 Single/ pack/44.00 UCL TRESOFT United Contact Lens HEMA , , 8.5, to +20 Single/ pack/44.00 Therapeutic Spherical Clear and Visibility Tint Hydrogels Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price ACUVUE OASYS Vistakon Silicone hydrogel , to +8 6-pack/20.74 Visibility tint, UV blocker (Class 1) 0.50D steps above ±6 24-pack/74.03 Hydraclear Plus Technology Plano bandage lens: 8.4, 8.8 AIR OPTIX NIGHT Alcon Silicone hydrogel , to +6 6-pack/46.10 & DAY AQUA PUREVISION Bausch + Lomb Silicone hydrogel to pack/ to +6 UCL 55 United Contact Lens HEMA 55 Varies 14.0, 14.5, , 8.6, 8.9, to to Aphakic Spherical Clear and Visibility Tint Hydrogels Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price AQUAEASE Ocu-Ease/Optech GMA/HEMA , 8.5, to Visibility tint CONTINENTAL Continental HEMA 45, 53 Varies 9.5 to to 9.5 Plano to PEDIATRIC APHAKIC FLEXLENS PEDIATRIC X-Cel Contacts HEMA 45, 49, 55, Varies 8.0 to 16.0 (0.1) 6.0 to 11.0 (0.1) Plano to +50 First lens/50.00 and ADULT APHAKIC 59, 74 (Custom designs available) 3-pack/ pack/ Contact Lens and Solutions Summary 15

16 Your patients protect their skin. Help protect their eyes. Many patients are unaware of the long-term implications that may be associated with cumulative day-to-day ultraviolet (UV) exposure to eye health. 1 UV-blocking contact lenses worn in addition to sunglasses and a wide-brim hat can provide an additional layer of protection against UV radiation. 2 * UV-blocking percentages are based on an average across the wavelength spectrum. ACUVUE Brand Contact Lenses 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 from VISTAKON Division of Johnson & Johnson Vision Care, Inc., by calling or by visiting acuvueprofessional.com.

17 Educate your patients about ACUVUE Brand Contact Lenses the only major brand to block at least 97% of UVB and 81% of UVA rays as standard across the entire line.* To learn more, visit acuvueprofessional.com. 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. References: 1. The big picture: eye protection is always in season. The Vision Council Web site. les/vcuvreport2013final.pdf. Accessed May 7, Chandler H. Ultraviolet absorption by contact lenses and the signifi cance on the ocular anterior segment. Eye Contact Lens. 2011;37(4): ACUVUE, 1-DAY ACUVUE MOIST, 1-DAY ACUVUE TruEye, ACUVUE OASYS, HYDRACLEAR, INNOVATION FOR HEALTHY VISION, and VISTAKON are trademarks of Johnson & Johnson Vision Care, Inc. Johnson & Johnson Vision Care, Inc ACU-43878G May 2014

18 Aphakic Spherical Clear and Visibility Tint Hydrogels - continued Trade Name Manufacturer Material %H 2 O Thickness (1) Diameters Base Curves (2) Powers Price H3 Bausch + Lomb HEMA Spin cast to H4 Bausch + Lomb HEMA Spin cast to HYDRASOFT CooperVision HEMA 55 Varies , to APHAKIC , 8.9, 9.2 IDEAL SOFT Ideal Optics HEMA 38 Varies , 8.6, to +20 First lens/ pack/ pack/72.00 isight APHAKIC GP Specialists HEMA to to to +25 First lens/49.99 & GOLD APHAKIC Spare lens/19.99 (FORMERLY BIOCURVE) 3-pack/ pack/71.99 KONTUR 55 DW Kontur Kontact Lens HEMA 55 Varies , to APHAKIC OCU-FLEX 55 Ocu-Ease/Optech HEMA , 14.0, 14.5, 8.2, 8.4, 8.6, to Visibility tint available 15.0, 15.5, , 8.5, 8.7, 8.9 OCU-FLEX 55 Ocu-Ease/Optech HEMA 55 Varies 8.0 to to to PEDIATRIC APHAKIC SILSOFT Bausch + Lomb Silicone to to 7.9 (0.2) +23 to +32 (1.00D steps) , to 8.3 (0.2) to +20 (1.00D steps) SOF-FORM APHAKIC Unilens Corp. HEMA , , 8.6, to UCL 55 United Contact Lens HEMA 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 (2) Powers Price CONTINENTAL Continental HEMA 45, to to 9.8 Any KERATOCONUS CONTINENTAL Continental HEMA 45, to 16.0 Custom Any power KERATOCONUS TORIC Any axis CONTINENTAL Continental HEMA 45, to 16.0 Any Any PIGGYBACK CONTINENTAL Continental HEMA 45, , 18.0, 19.0, 7.0 to 14.0 Plano POSTSURGICAL 20.0, 22.0, 24.0 BANDAGE CONTINENTAL Continental HEMA 45, to to 9.5 Any POSTSURGICAL REVERSE GEOMETRY FLEXLENS TRICURVE X-Cel Contacts HEMA/NVP 45, 49, 55, 10.0 to 16.0 (0.1) 6.0 to 11.0 (0.1) 30 to +30 First lens/85.00 KERATOCONUS LENS HEMA 59, 74 3-pack/ pack/ pack/ FLEXLENS X-Cel Contacts HEMA/NVP 45, 49, 55, 10.0 to 16.0 (0.1) 6.0 to 11.0 (0.1) Plano First lens/85.00 PIGGYBACK HEMA 59, 74 3-pack/75.00 LENS Anterior cutout 6.5 mm to 12.5 mm 6-pack/ pack/ FLEXLENS PRS (HARRISON X-Cel Contacts HEMA/NVP 45, 49, 55, 8.0 to 16.0 (0.1) 5.0 to 11.0 (0.1) 50 to +50 First lens/85.00 POST REFRACTIVE HEMA 59, 74 3-pack/75.00 SURGERY LENS) 12-pack/ GELFLEX REVERSE Gelflex Custom designed per consult GEOMETRY Laboratories POST SURGICAL KERASOFT IC Art Optical Silicone to to 9.40 Any sphere or Diagnostic/120 hydrogel (0.2) cylinder 3-pacl/ NOVAKONE Alden Optical to to 8.8 Plano to ±30 Sphere single/ std. 8.3, 8.6, 8.9 std 4-pack/ to 10 Toric single/ Full circle 4-pack/ º steps Fully warranted OCU-FLEX-38 Ocu-ease/Optech HEMA to Plano KERATOCONUS Piggyback custom REVITALEYES Metro Optics GMA , 8.4, 8.7 Any power POST-REFRACTIVE of Austin HEMA (equivalents) Sphere or cylinder SURGERY Visitint REVITALEYES DEFINITIVE Metro Optics Silicone , 8.1, 8.4, 8.7 Any power Single/50.00 POST-REFRACTIVE SURGERY of Austin hydrogel (equivalents) Sphere or cylinder 4-pack/ AND POST-PKP Clear or visitint YAMAKONE IC GP Specialists Silicone hydrogel to to 9.0 Spheres ± Std Toric ± Cylinder 0.25 to Any axis 18 From the publishers of CONTACT LENS SPECTRUM

19 Daily Wear Tinted Enhancer and Opaque Hydrogels Trade Name Manufacturer Material %H 2 O Thickness Diameters Base Curves Powers Price AIR OPTIX COLORS Alcon Silicone hydrogel to +6 Subtle colors: Pure hazel, blue (0.25D steps) green, gray, brown 8 to 6 Vibrant colors: Honey, brilliant blue, (0.50D steps) gemstone green, sterling gray ALDEN CLASSIC 38 Alden Optical Lab HEMA to to to SPHERE Aqua, azure, blue, (0.1 steps) (0.1 steps ±10.25 to ± brown, gray, green, jade, walnut, yellow ALDEN HP 49 Alden Optical Lab HEMA to to to SPHERE Aqua, azure, blue, (0.1 steps) (0.1 steps) ±10.25 to ± brown, gray, green, jade, walnut, yellow EXPRESSIONS CooperVision HEMA to +4 6-pack/40.00 Gray, green, hazel, blue, aqua, blue topaz, brown, jade METROTINT M SERIES Metro Optics of Austin HEMA to Plano blue, aqua, green METROTINT Metro Optics of Austin HEMA , 8.6, 8.9 Plano to ± Blue, aqua, green Over ± OE Ocu-Ease/Optech HEMA , 14.5, Plano Opaque white UNITED COLOR VISION United Contact Lens HEMA 46 & , , 8.5, to Amber, aqua, blue, black, brown, green, orange, red, violet, yellow UNITED TRESOFT COLORS United Contact Lens HEMA 46, to to to + 20 Any UCL lens can Enhanced tints be tinted for $40 Sport tints: Yellow, amber, aqua/teal per lens on top Special tints: Red for colorblind, purple for migraine headaches of lens price Cosmetic enhanced tints: Amber, aqua, blue, brown, red, green, teal, violet, yellow Customized Tinting Adventures In Color, Alden Optical, Crystal Reflections, Custom Color Contacts, MedCorp International, Orion Vision Group, and Specialty 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 at the end of this booklet. Orion Vision 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 Alden HEMA to to to to 10 Any Prism TORIC Optical Aqua, azure, (0.1 steps) (0.1 steps) ±10.25 to blue, brown, gray, green, jade walnut, yellow ALDEN CLASSIC Alden HEMA to to to to Any Prism TORIC Optical Aqua, azure, (0.1 steps) (0.1 steps) ±10.25 to blue, brown, gray, green, jade walnut, yellow\ ALDEN HP 49 Alden GMA/HEMA , 8.6, to to 10 Any DES TORIC Optical ±10.25 to ± to 10 Any DES ALDEN HP 54 Alden GMA/HEMA , 8.6, to to 10 Any DES TORIC Optical ±10.25 to ± to 10 Any DES ALDEN HP 59 Alden GMA/HEMA , 8.6, to to 10 Any DES TORIC Optical ±10.25 to ± to 10 Any AQUAEASE Ocu-Ease/ GMA/HEMA , 8.5, to to 3 Any Prism or TORIC Optech slab-off AQUAEASE Ocu-Ease/ GMA/HEMA , 8.5, to to 6 Any Prism or TORIC Optech slab-off MTO C-VUE CUSTOM Unilens HEMA , 8.5, 8.8, 20 to to 5 Any Prism TORIC to CONTINENTAL Continental HEMA 45, to to to to 12 Any Prism TORIC Soft Lens to Contact Lens and Solutions Summary 19

20 Daily Wear Toric Hydrogels - continued Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders Axis Ballast Price CO SOFT California Optics HEMA , , 8.9, to to 10 Any Prism; Eccentric lenticulation to FLEXLENS X-Cel Contacts HEMA/NVP 45, 49, 55, 13.5 to to to to 10 Any Prism First lens/55.00 TORIC 59, 74 Custom designs available 3-pack/ pack/ MTO/99.00 FRE-FLEX Ocu-Ease/ HEMA to to 3 Any Prism CUSTOM TORIC Optech FRE-FLEX Ocu-Ease/ HEMA to to to to 16 Any Prism MTO/95.00 SPECIAL DESIGN Optech TORIC GELFLEX Gelflex HEMA , to 9.2 (0.2) 40 to +40 Unlimited Any Call for pricing CUSTOM Laboratories GMA/HEMA , 14.8, 8.0, 8.3, 8.6, 40 to +40 Unlimited Any TORIC MTO HEMA/NVP , 9.2 HD-T PolyVue HEMA to , º ±20º Prism Single/24.00 Handling tint 90º ±20º Multipack (3+1)/72.00 HORIZON SOFT Westcon HEMA 55, to 16.5, 6.8 to to to 10 Any Prism TORIC (0.1) (0.1) to HYDRASOFT CooperVision HEMA , to to 10 Any Prism TORIC , 8.6, 8.9, 9.2 Eccentric lenticulation HYDRASOFT CooperVision HEMA , to 0.75 to 10 Any Prism 4-pack/ APHAKIC TORIC +20 Eccentric lenticulation INTELLIWAVE Art Optical Silicone hydrogel 74 MTO MTO 20 to +20 To º to 180º Prism Diagnostic/ ASPHERIC 1º steps TORIC HEMA with 49 To 5.00 Replacement/ handling tint isight MTO GP Specialists HEMA 55, to to to to 8.50 Any CUSTOM TORIC Silicone hydrogel 74 KONTUR 55 Kontur HEMA , 8.6, to to 5 Any Prism TORIC Kontact Lens Eccentric to lenticulation METROSOFT Metro Optics HEMA , 8.7, to to 5 Any Prism TORIC of Austin 5.25 to 9 5º steps OCU-FLEX-55 Ocu-Ease/ HEMA/MA , 14.5, 8.4 to 9.0 (0.2) 20 to +20 Up to 8 Any Prism or Optech 15.0 slab-off to OPTIMA Bausch + HEMA/NVP , 8.6, to , 1.25, Full circle Prism Single/82.00 TORIC Lomb 1.75, 2.25, 5º steps 2.75, 3.25, 2-pack/ , 4.25 PR-46 United HEMA , 14.5, , 8.3, 8.6, 20 to +20 Up to 7 Any Prism Contact Lens 8.9, 9.2 SATUREYES Metro Optics GMA/HEMA , to to 4 Any Prism TORIC of Austin 5º steps SATUREYES Metro Optics GAM/HEMA , to to 4 Any Prism TORIC VISIBILITY of Austin 5º steps TINT SPECIALEYES SpecialEyes HEMA to to to to 8 Any Prism TORIC Handling tint (0.1 steps) (0.1 steps) UCL United HEMA , 14.5, 8.3, 8.6, 20 to to 10 Any Prism TORIC 55 Contact Lens , 9.2 Slab-off Non-warranted/ UCL TRESOFT United HEMA , , 8.5, to to 7 Any Prism TORIC Contact Lens Slab-off Non-warranted/ WESTHIN Westcon HEMA 38, 49, to to to to 10 Any Double TORIC (0.1) (0.1) slab-off to Extended Wear Toric Hydrogels Trade Name Manufacturer Material %H 2 O Diameters Base Curves Spheres Cylinders (1) Axis Ballast Price ACUVUE OASYS Vistakon Silicone hydrogel to , 1.25, Full circle Blink 6-pack/25.20 FOR ASTIGMATISM Visibility tint (0.25D steps) 1.75, º steps Stabilized UV blocker (Class 1) 9 to 6.50 Design Hydraclear Plus Technology (0.50D steps) 20 From the publishers of CONTACT LENS SPECTRUM