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Bausch + Lomb ULTRA® ONE DAY

Reference Number Claim Reference
1 The Most Complete Silicone Hydrogel Daily Disposable Contact Lens Only Bausch + Lomb ULTRA® ONE DAY contact lenses offer a complete moisture + comfort system with Advanced MoistureSeal® and ComfortFeel Technologies plus a complete design of high Dk/t, low modulus, UV blocking and High Definition Optics. Bausch + Lomb ULTRA® ONE DAY contact lenses deliver health through its complete system working together to support a healthy ocular environment, the inclusion of eye health ingredients which are retained over 16 hours and the high allowance of oxygen permeability (Dk/t=134) (Applicable references 2-5)
2 Sustained high moisture for 16 hours Schafer J., Steffen R., Reindel W. A clinical assessment of dehydration resistance for a novel silicone hydrogel lens and six silicone hydrogel daily disposable lenses. Poster presented at AAO; October 2020.
3 The only contact lens with 2 breakthrough technologies working in synergy with the tear film as a complete system to help maintain ocular surface homeostasis and deliver outstanding comfort for a full 16 hours of wear Rah M. Ocular surface homeostasis and contact lens design. February 2021.
4   Data on File. Product Performance Evaluation of a Novel Silicone Hydrogel Contact Lens: kalifilcon A Daily Disposable Contact Lenses - Summary of kalifilcon A Patient Comfort and Vision Outcomes. Bausch & Lomb Incorporated, Rochester, NY, 2021.
5   Competitive grid packaging solutions with sources.
6 Today’s non-stop lives are pushing new boundaries. Half of adults spend 11+ hours a day on screens. A quarter spend over 14+ hours a day UK screen use 2022 - adult population study findings. https://eprints.whiterose.ac.uk/184618/1/PolicyLeeds-Brief9_UK-screen-use-in-2022.pdf.
7 From early morning to well into the night, patients are pushing themselves to new limits Wolffsohn JS, Lingham G, Downie LE, et al. TFOS Lifestyle: Impact of the digital environment on the ocular surface. Ocul Surf 2023; 28 (4); 213–252
8 Impacts on their contact lens wearing success. Barnett, M. Why cant I wear my lenses anymore? Contact Lens Spectrum 2017, July; 32: 30 - 35.
9 A study of SiHy daily disposable contact lens wearers found:
~70% have to settle for less comfort in order to wear contact lenses the entire day
74% blame their own lifestyle for eye issues		 Results of a consumer symptoms survey of 318 silicone hydrogel daily disposable contact lens wearers. Kadence International, April 2019.
10 Exacerbated lens dehydration due to reduced blink rates, reducing the quality and volume of the tear film Cardona G, García C, Serés C, Vilaseca M, Gispets J. Blink rate, blink amplitude, and tear film integrity during dynamic visual display terminal tasks. Curr Eye Res. 2011;36(3):190-197.
11-12 Increased tear film instability, which is linked to increased contact lens discomfort and reduced visual clarity 11. Willcox MDP, Argüeso P, Georgiev GA, et al. TFOS DEWS II Tear Film Report. Ocul Surf. 2017;15(3):366-403.
12. Craig JP, Willcox MD, Argueso P, Maissa C, Stahl U, Tomlinson A, et al. The TFOS International Workshop on Contact Lens Discomfort: report of the contact lens interactions with the tear film subcommittee. Invest Ophthalmol Vis Sci 2013;54. TFOS123e56
13-14 From indoor heating and air conditioning to external conditions such as wind and humidity, our eyes are constantly being exposed to varying environmental factors throughout the day - which can lead to increased tear evaporation 13. Wolkoff P, Kärcher T, Mayer H. Problems of the "outer eyes" in the office environment: an ergophthalmologic approach. J Occup Environ Med. 2012;54(5):621-631. doi:10.1097/JOM.0b013e31824d2e04
14. Martin-Montanez, Lopez-Miguel A, Arroyo C, Mateo ME, Gonzalez-Meijome JM, Calonge M, et. al. Influence of environmental factors in the in vitro dehydration of hydrogel and silicone hydrogel contact lenses. J Biomed Mater Res Part B Appl Biomater. 2014; 102(4):764-71
15-16 Improved health and wellness is important to us, yet body fluids get lost during physical exercise. 15. Holland JJ, Ray M, Irwin C, Skinner TL, Leveritt M, Desbrow B. Tear osmolarity is sensitive to exercise-induced fluid loss but is not associated with common hydration measures in a field setting. J Sports Sci. 2018 Jun;36(11):1220-1227.
16. Fortes MB, Diment BC, Di Felice U, Gunn AE, Kendall JL, Esmaeelpour M, Walsh NP. Tear fluid osmolarity as a potential marker of hydration status. Med Sci Sports Exerc. 2011 Aug;43(8):1590-7
17 Disruption of homeostasis is considered to be the unifying characteristic that describes the fundamental process in the development of dry eye. Craig JP, Nichols KK, Akpek EK, et al. TFOS DEWS II Definition and classification Report. Ocul Surf. 2017;15(3):276-283
18 To help maintain ocular surface homeostasis during contact lens wear, the lens design must consider the integrity and function of the pre- and post-lens tear film Downie LE, Craig JP. Tear film evaluation and management in soft contact lens wear: a systematic approach. Clin Exp Optom 2017;100:438-458. DOI:10.1111/cxo.12597
19 ComfortFeel Technology Smith R. ComfortFeel Technology: A Unique Combination of Comfort & Eye Health Ingredients.
20 Water-loving polymer PVP promotes Highest Moisture Retention*
* vs. Acuvue® Oasys Max 1-Day and Dailies Total1®		 Comparison of the water retention properties of Acuvue Oasys 1-Day with HydraLuxe (senofilcon A) and Acuvue Oasys MAX 1-Day (senofilcon A) contact lenses using thermogravimetric analysis.

Schafer,J. Steffen,R. Reindel,W; A clinical assessment of dehydration resistance for a novel silicone hydrogel lens and six silicone hydrogel daily disposable lenses. Poster presented at AAO; October 2020.
21-22 Moisturizers/Conditioners
(Glycerin, Poloxamine, Poloxamer 181)
help maintain tear proteins in their healthy state while providing a smooth, wettable surface to minimize disruption of the ocular surface.		 21. Scheuer CA et al. Effect of Contact Lens Solutions in Stabilizing the Activity of Tear Lysozyme. Clinical Optometry 2023:15 119–127.
22. Bausch + Lomb Crystal Lens Surface Smoothness and Wettability. April 15, 2020.
23 Osmoprotectants
(Glycerin, Erythritol) help maintain the balance of the ocular surface.		 Jones L, Downie LE, Korb D, et al. TFOS DEWS II management and therapy report. Ocul Surf. 2017;15(3):575-628.
24 Extensive Real World Results
Bausch + Lomb ULTRA® ONE DAY contact lenses have high approval ratings with over 1,300 ECPs across 11 countries.		 Analysis of patient satisfaction when wearing Bausch+Lomb ULTRA® ONE DAY contact lenses, January 2023
25 Acuvue Oasys Max 1-Day
Modulus 0.85 MPa*
*From Bausch+ Lomb measured value.		 Comparison of the tensile modulus of Acuvue® Oasys 1-Day with HydraLuxe (senofilcon A) and Acuvue® Oasys MAX 1-Day (senofilcon A) contact lenses.
26 Low modulus Jacob JT. Biocompatibility in the development of silicone-hydrogel lenses. Eye Contact Lens. Jan 2013;39(1):13–9. doi:10.1097/ICL.0b013e31827dbb00.
27 Incredible softness and reduced impact on the ocular surface Snyder C. Modulus and its effect on CL fit. CL Spectrum 2007.
28 Lens allows sufficient oxygen to reach the cornea for a high level of breathability Drien A. Holden and George W. Merrz. Critical Oxygen Levels to Avoid Corneol Edema for Daily and Extended Wear Contact Lenses. 1984.
29 11% Higher Dk/t vs. Acuvue® Oasys Max 1-Day https://jnjvisionpro.co.uk/products/acuvue-oasys-max-1-day
30 29% lower
modulus vs. Dailies Total1®		 https://www.myalcon.com/professional/contact-lenses/daily/dailies-total1/
31-32 Bausch + Lomb ULTRA® ONE DAY contact lenses provide the Highest Moisture
† vs. Dailies Total1® and Acuvue® Oasys 1-Day contact lenses		 31. Johnson & Johnson Acuvue® Oasys 1-Day with Hydraluxe™ Contact Lens Package Insert.
32. Alcon DAILIES TOTAL1®Contact Lens Package Insert.
33 Wearers overwhelmingly agreed that Bausch + Lomb ULTRA® ONE DAY contact lenses made their eyes feel Comfortable All Day Data on File. Product Performance Evaluation of a Novel Silicone Hydrogel Contact Lens: kalifilcon A Daily Disposable Contact Lenses - Summary of kalifilcon A Patient Comfort and Vision Outcomes for Patients Who Reported Dryness with Their Habitual Lenses. Bausch & Lomb Incorporated, Rochester, NY, 2021
34

UV Blocking

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.		 U.S. Food & Drug Administration 510(k) Summary K200528; Bausch + Lomb (kalifilcon A) Soft (hydrophilic) Contact Lens. May 2020.
35 Delivers outstanding comfort for a full 16 hours of wear.
Bausch + Lomb ULTRA® ONE DAY contact lenses go beyond today’s contact lens constraints.		 Data on file. Product Performance Evaluation of a Novel Silicone Hydrogel Contact Lens: kalifilcon A Daily Disposable Contact Lenses - Summary of kalifilcon A Patient Comfort and Vision Outcomes for Patients Who Wore Lenses for 16 or More Hours Per Day. Bausch & Lomb Incorporated, Rochester, NY, 2021.
36 Supports a stable and healthy ocular surface environment VanDerMeid K, et al. Evaluation of erythritol and glycerin osmoprotection characteristics on an ocular surface cell line under hyperosmotic conditions. Poster presentation at the American Academy of Optometry Annual Meeting 2020.
37 Bausch + Lomb ULTRA® ONE DAY contact lenses go beyond today’s contact lens constraints Results of a consumer symptoms survey of 318 silicone hydrogel daily disposable contact lens wearers. Kadence International, April 2019.

Bausch + Lomb ULTRA® Spherical

Reference Number Theme/claim Reference
1

For reusable contact lens wearers “good vision” and “comfort” are the most important attributes3

 Opinion Health., 2018. Contact Lens Survey: Sight into Drivers and Barriers of Contact Lens Usage.
2

MoistureSeal® technology
Proprietary, two-phase manufacturing process fuses water loving PVP (polyvinylpyrrolidone) into a silicone hydrogel matrix to drive high water content, moisture retention and exceptional surface wettability and durability for long-lasting comfort and visual performance

Wygladacz, K., Hook, D., Steffen, R., Reindel, W., 2014.
“Break the Cycle of Discomfort,” Contact Lens Spectrum/ Special Edition, pp. 23. (REF-CL spectrum).
3

Precision optics for sharp vision

Vision as clear at the end of the day as at the beginning

Bausch + Lomb, 2013. A study to evaluate the product performance of a new silicone hydrogel contact lens (#817). Rochester.
4

Superior surface smoothness and durability

Vs Acuvue® Oasys®, Biofinity® and Air Optix® Aqua

Merchea, M., Wygladacz, K.A., et al., 2014. Comparative Surface Smoothness Durability of a Novel Silicone Hydrogel Material. Association for Research in Vision and Ophthalmology 2014 annual meeting.
5

Long-lasting moisture retention

Hoteling, A., Nichols, W., et al., 2014. PVP content of a silicone hydrogel material with dual phase polymerisation processing. American Optometric Association Annual Meeting; 2014, Philadelphia, PA.
6

Maintains 95% of moisture for a full 16 hours.
MOISTURESEAL® TECHNOLOGY:
Delivers moisture retention and a highly wettable surface for long-lasting wear.

Bausch + Lomb, 2013. 16 Hour bilateral dispensing evaluation of methacrylamide lenses as compared to Air Optix® Aqua, Acuvue® Oasys® and Biofinity® lenses (#ROC2-13-002).
7  

Reindel at al, Performance Of A Unique Silicone Hydrogel Lens Across The Recommended Wear Cycle Poster presented at AAO 2016.
8  

A Study to Evaluate the Safety and Effectiveness of a Silicone Hydrogel Soft Contact Lens When Worn on a 7-Day Extended Wear Basis. Bausch + Lomb; 2017.
9  

Bausch + Lomb ULTRA® Contact Lenses with MoistureSeal® Technology; Taking Contact Lens Properties and Design to the Next Level for Best in Class Performance by Greg DeNaeye.
10  

https://www.acuvue.com/contact-lenses/acuvue-oasys-2-week (Accessed 11/11/2022)
11

Exceptional wettability

Schafer, J., Reindel, W., et al. Use of a novel extended blink test to evaluate polyvinylpyrrolidone(PVP) contact lens containing polymer performance.
12

Comfort and visual performance day in, day out... month after month

At 12 months overall comfort rated as 91% and overall vision 95%

Reindel, W., Mosehauer, G., et al., 2018. Patient comfort, vision and cleanliness over 12-months of Samfilcon A Lens Wear. Poster presented at AAO.
13  

Galileo Business Consulting, 2019. Assessment of patient satisfaction after a fitting with the reusable contact lenses: Bausch + Lomb ULTRA® Spherical. Synthesis Report.
14  

Merchea, M., Steffen, R., et al., 2014. Clinical performance of Bausch + Lomb ULTRA® contact lenses with MoistureSeal® technology silicone hydrogel.
15

These contact lenses stay moist for a full 16 hours

Bausch + Lomb, 2013. 16 Hour bilateral dispensing evaluation of methacrylamide lenses as compared to Air Optix® Aqua, Acuvue® Oasys® and Biofinity® lenses.
16

And comfort day in, day out, for the whole month.

Reindel, W., Mosehauer,G, et al.,2018. Patient comfort, vision and cleanliness over 12-months of samfilcon A Lens Wear. Poster presented at AAO.
17

People give high satisfaction scores for these monthly contact lenses.

Rah, M., et al., 2015. Interest and Acceptance of a New Contact Lens Technology in Today’s Practice. Poster presented at the American Optometric Association Annual.
18  

Reindel, W., et al.,2016. Use of digital devices and reports of dry eyes: Performance of a novel silicone hydrogel lens among contact lens wearers. Poster presented at the American Optometric Association Annual Meeting, Boston, MA, June.
19  

Steffen et al. New technology yields dehydration resistance. Poster presented at the American Academy of Optometry Annual Meeting, Denver, Colorado, November, 2014
20  

Hoteling et al. Characterization and quantitation of PVP content in a silicone hydrogel contact lens produced by dual-phase polymerization processing. J Biomed Mater Res Part B: Appl Biomater (2018), 106B: 1064–1072. Rochester, NY, 2017.
21  

Gradient of PVP from surface to bulk Bausch + Lomb X-ray Photoelectron Spectroscopy analysis of samfilcon A of PVP gradient from surface to bulk. 2013.
22  

Katarzyna A. Wygladacz, Anthony Taddei, Daniel J. Hook, Surface and Bulk Properties of a Novel Inherently Wettable Silicone Hydrogel Material.
23  

Daniel Hook, Ph.D., Bausc+Lomb ULTRA comparison of properties with other market leading SiHy lenses. Rochester, NY. 2013.

Bausch + Lomb ULTRA® for Astigmatism

Reference Number Reference
1 Micromass Communications Inc., 2017. Statistical Analysis of Bausch + Lomb ULTRA® for Astigmatism Lenses Challenge Patient Survey. (n=426).
2 Bausch + Lomb., 2016. A study to evaluate the product performance of two designs of soft toric lenses (#ROC2-16-016). Rochester
3 Hovinga, K.R., 2016. ULTRA® for Astigmatism Design Description (#LDR168022).
4 Hovinga, K., 2013. Bench-top wavefront measurement comparison of Samfilcon A ULTRA® SVS Lens to competitor SVS products (#LDR138011).
5 Hovinga, K.R., 2016. Summary of ULTRA® for Astigmatism Spherical Aberration Control. (#LDR168021) (reduce halos and glare).
6 Hovinga, K.R., Ludington, P.D., et al., 2014. Preventing dehydration blur. Contact Lens Spectrum Special Edition, pp 39-42.
7 Hovinga, K.R., 2016. Summary of ULTRA® for Astigmatism Orientation and Axis Markings (#LDR168019).

Bausch + Lomb ULTRA® for Presbyopia

Reference Number Claim Reference
1   Micromass, 2017. Bausch + Lomb ULTRA Comfort Experience for Presbyopia Final Results Report
2   Bausch + Lomb, 2013. Perceptions of Bausch + Lomb PureVision® 2 for Presbyopia (#815). Rochester.
3   Wright, M., et al., 2016. Capturing the presbyopic opportunity. Review of Optometric Business.
4   Galileo Business Consulting, 2019. Assessment of PATIENT satisfaction after a fitting with the reusable contact lenses: Bausch+Lomb ULTRA® for Presbyopia.
5 The 3-Zone Progressive Design™ includes three distinct power zones to deliver exceptional vision and seamless transitions across all distances. Reindel, W., et al., 2015. Ergonomic Utility of Progressive Multifocal Contact Lenses: A Comparison of Power Profiles Across Near, Intermediate and Distance Zones. AAO Poster Presentation.

Bausch + Lomb ULTRA® Multifocal for Astigmatism

Reference Number Claim Reference
1 The OpticAlign™ Design provides ballasting in the lower hemisphere to minimise lens rotation— ≤5° rotation for 95% of patients. Bausch + Lomb ULTRA® Multifocal for Astigmatism stabilisation study.
2 Clear comfortable vision, seamless transition, at all distances Bausch + Lomb ULTRA® Multifocal for Astigmatism Patient Evaluation.2019.
3 Easy to fit Gallileo Business Consulting; 2022. Assessment of patient satisfaction with Bausch + Lomb ULTRA® Multifocal for Astigmatism. (n= 2914 patients and 565 ECP’s)
4 Ease of successful fit during first patient visit Results of an online survey with Eye Care Professionals who completed an evaluation programme for Bausch + Lomb ULTRA Multifocal for Astigmatism contact lenses and reported fitting 6 or more subjects (n=54 ECPs)
5 Presbyopia increases visual demands for astigmats. Schafer, J; Steffen, R. 2019. Early Clinical Experience with Bausch + Lomb ULTRA® Multifocal for Astigmatism Contact Lenses. Review of Optometry 32-25, June 15, 2019.
6 ~50% of vision corrected adults over 40 have astigmatism in at least one eye. Young, G; Sulley, A; Hunt, C; 2011. Prevalence of Astigmatism in Relation to Soft Contact Lens Fitting. Eye & Contact Lens, Volume 37, Number 1, January 2011.
7 83% of people will have some degree of presbyopia by the time they are 45. Holden,B; Fricke, T; Ho, S; et al.2008. Global vision impairment due to uncorrected presbyopia. Arch Ophthalmol 2008; 126: 1731-1739
8 As vision correction needs increase with age, contact lens wear decreases. Vision Needs Monitor (2013)
9 All presbyopes (astigmatic or not) have the same vision correction needs:
Sharp, clear vision at near
Sharp, clear vision at mid-range
Ease of transition between near and far		 The 2020 Study of US. Multifocal contact lens market.
10   Multi-sponsor Surveys Inc, 2019. The 2018 target report on contact lens marketing opportunities among 40+ presbyopes with astigmatism
11 75% of astigmatic presbyopes agree multifocal toric contact lenses offer benefits over current correction DeNovo Research Solutions,. 2018. Bausch + Lomb ULTRA® Multifocal for Astigmatism contact lens price sensitivity with consumers (n=502).
12   Steffen, R., Hook, D., et al. New Technology Yields Dehydration Resistance.
13 Maintains 95% of moisture for a full 16 hours Bausch + Lomb, 2013. 16 Hour bilateral dispensing evaluation of methacrylamide lenses as compared to Air Optix® Aqua, Acuvue® Oasys® and Biofinity® lenses (#ROC2-13-002).
14   Hook, D., 2013. Gradient of PVP from Surface to Bulk. Rochester.
15   Wygladacz, K., Taddei, A., Hook, D. Surface and Bulk Poperties of a Novel Inherently Wettable Silicone Hydrogel Material.
16   Bausch + Lomb, 2016. Bausch + Lomb ULTRA® for Astigmatism Design Description.
17   Hovinga, K.R., 2016. Summary of ULTRA® for Astigmatism Orientation and Axis Markings (#LDR168019).
18   Bausch + Lomb., 2019., Bausch + Lomb ULTRA® Multifocal for Astigmatism Patient Evaluations Survey.
19   Rah, Majorie. Bausch + Lomb ULTRA Multifocal for Astigmatism Patient Evaluation. Rochester, 2020.
20   Galileo Business Consulting. 2021. Assessment of Patient Satisfaction after a Fitting with Bausch+Lomb ULTRA Multifocal for Astigmatism.
21 Astigmatic presbyopes have to make many compromises with their vision correction Kadence, 2019. Presbyopic Astigmats Symptom Tracker Quantitative Report.

Biotrue® ONEday Spherical

Reference Number Claim Reference
1   ACLM Year Book Online. https://www.aclm.org.uk/online-access.
2   Bausch + Lomb, 2011. Hypergel Surface Characterisation Memo, Rochester.
3   Bausch + Lomb, 2012. A clinical evaluation of Biotrue® ONEday compared to 1-DAY ACUVUE® MOIST ®, 1-DAY ACUVUE® TruEye® and DAILIES® AquaComfort PLUS® dehydration data preliminary results and claims support (ROC2-11-63). Rochester.
4   Tomy, L., Chan, O., Reindel, B., Steffen, R., January 2020. Non-Invasive Tear Break-Up Time Evaluation of Six Unique Daily Disposable Lens Materials After 10 Hours of Wear. Global Specialty Lens Symposium.
5   Bausch + Lomb, 2012. A study to evaluate the product performance of a daily disposable soft contact lens (#700). Rochester.
6   Bergmanson J., Clinical Ocular Anatomy and Physiology. 14th ed. 2007.
7   Bausch + Lomb, 2012. Bausch + Lomb nesofilcon A contact lens (#510(k) Summary). Rochester, NY.
8   Schafer, J., Steffen, R., Reindel, W., et al., 2015. Evaluation of surface water characteristics of novel daily disposable contact lens materials, using refractive index shifts after wear. Clinical Ophthalmology, 9, pp. 1973-1979
9 40% of contact lens wearers want a lens with a high moisture level Gallup., 2017. Study of the US Consumer Contact Lens Market.
10 60% would like to be able to wear their lenses longer Assottica Gruppo contattologia., May 2018. Italy.
11   Compredo Research., February 2019. Qualitative Research Findings in UK.
12 The natural tear film is largely responsible for everyday visual comfort. Dry eyes are often a result of unstable tear film that breaks up, reducing its ability to keep the water from evaporating Craig, J.P., et al., 2017. TFOS DEWS II Report Executive Summary. The Ocular Surface journal homepage http://dx.doi.org/10.1016/j.jtos.2017.08.003
13   TFOS DEWS II Tear Film Report
14   Giancarlo Montani, Maurizio Martino. Tear Fim Characteristics During Wear of Daily Disposable Contact Lenses. Clinical Ophthalmology 2020:14 1521–1531
15   Assessment of Patient Satisfaction After a Fitting with:
Bausch+Lomb Biotrue® ONEday. Italy. Gallileo Consulting. Dec 2021
16   Assessment of Patient Satisfaction After a Fitting with:
Bausch+Lomb Biotrue® ONEday. DACH. Gallileo Consulting. Feb 2020
17   Lee, Rosa. Design Intent of Spherical Aberration Control Using Nesofilcon A Family of Lenses. Bausch + Lomb 2013.
18 Tear film serves to: Protect and lubricate the eyes Reduce the risk of eye infection Wash away foreign particles Providing a smooth optical surface. Bron, A.J., Tiffany, J.M., Gouveia, S.M., Yokoi, N., Voon, L.W., 2003. Functional Aspects of the Tear Film Lipid Layer. Experimental Eye Research, 78 (2004), pp.347-360.
19 Split tear film causes quicker tear film evaporation. Buch, J., Canavan, K., Fadli, Z., et al., 2016. The tear film and contact lens wear: Part of the challenge of achieving comfortable contact lens wear is to mimic the functions of the tear film. Contact Lens Spectrum, 31, pp.34-37
20 When a contact lens is inserted, it splits the tear film and causes the tear film to evaporate more quickly. This can lead to discomfort and poor visual quality. Craig, J.P., Willcox, MDP., Argueso, P., et al., 2013. The TFOS international workshop on contact lens discomfort: report of the contact lens interactions with the tear film subcommittee. Investigative Ophthalmology & Visual Science, 54(11), pp.123-156
21   Nichols, J., Sinnot, L.T., 2006. Tear Film, Contact Lens, and Patient-Related Factors Associated with Contact Lens-Related Dry Eye. Investigative Ophthalmology & Visual Science, 47(4), pp.1319-1328
22   Kadence International, 2013. Exploring Contact Lens Drop-Off
23 Dryness, discomfort and poor visual performance are the main causes of contact lens dissatisfaction, decreased wearing time and discontinuation18 and result from “reduced compatibility between the contact lens and the ocular environment”. Nichols, K.K., et al., 2013. The TFOS International Workshop on Contact Lens Discomfort: Report of the Definition and Classification Subcommittee. The Association for Research in Vision and Ophthalmology, Inc
24 Contact lenses must retain moisture to preserve tear film stability, prevent light scatter and optical aberrations, retain lens shape and minimise friction that lead to discomfort. Montani, G., Giuffrida, S. and Carla, F., 2016. Effects of three different daily disposable contact lenses on prelens tear film. Poster Presentation. [Tear Film & Ocular Surface (TFOS) Conference Program & Abstract Book]
25 Surface Active TechnologyTM preserves stable tear film. Schafer J, et al. Comparing On Eye Dehydration and Corneal Staining of Three Daily Disposable Contact Lenses in a Low Humidity Environment. Presented during the 2012 meeting of the British Contact Lens Association. Birmingham, England
26 A patented dehydration barrier helps the lens maintain its shape Lee, R.H., Fahy, K., Richardson, G., 2012. Understanding Lens Shape Dynamics During Off-Eye Dehydration of Contact Lens Materials with Varying Water Contents. BCLA Poster Presentation #32. Birmingham
27 Provides even more oxygen than the open eye needs to remain healthy and white Barr, J., Donnelly, C., Rah, M.J. Measuring Oxygen Transmissibility: How Much is Enough for Healthy Contact Lens Wear?
28   Rah, M., 2016. Blink Rate Review. Rochester
29   Patel, S., et al., 1991. Effect of visual display unit use on blink rate and tear stability. Optometry and Vision Science,68 (11), pp. 888-892
30 Spherical aberration control to reduce halos and glare, even in low-light conditions Lee, R., 2013. Verification of Aspheric Optics on Biotrue ONEday SVS (nesofilcon A) Lenses (#LDR 137006). Rochester.
31  

Alcon Dailies Aqua Comfort Plus Parameters: https://www.myalcon.com/professional/contact-lenses/daily/dailies-aquacomfort-plus/
32  

Johnson & Johnson Acuvue® Moist Contact Lenses Parameters: https://www.jnjvisionpro.com/products/1-day-acuvue-moist
33   Rah, Majorie. Spherical Abberation Control of Nesofilcon A SVS, Dailies AquaComfort Plus and 1-Day Acuvue Moist Daily Disposable Contact Lenses. Bausch + Lomb, 2023.

Biotrue® ONEday for Astigmatism

Reference Number Claim Reference
1

97% of patients experienced rotation of 10˚or less at dispensing

98% of ECPs were satisfied with the speed of fitting

91% of patients had consistent lens stability

 Bausch + Lomb, 2016. A study to evaluate product performance of two designs of soft toric lenses (# 828:15-003). Rochester
2   Bausch + Lomb, 2016. A study to evaluate product performance of two designs of soft toric lenses (# 828:15-003). Rochester.
3   Bausch and Lomb, 2016. Biotrue® ONEday for Astigmatism (nesofilcon A Toric) Design Description. (#LDR165005). Rochester
4   Biotrue ONEday for Astigmatism Spherical Aberration Correction Report
5 96% of patients are satisfied with Biotrue® ONEday for Astigmatism Saxon, J., Rah, M., Reindel, W. Satisfaction of astigmatic patients with toric nesofilcon A contact lenses. Rochester, NY.
6 The ONLY daily toric with a -2.75D cyl*
* Excluding made-to-order lenses.		 Based on a comparison of manufacturer-provided parameter ranges on May 2020.
7   Statistical Analysis of Biotrue ONEday for Astigmatism Challenge Patient Survey. 2017.
8   Rah, Majorie. Spherical Aberration Control of Biotrue ONEday for Astigmatism, Dailies AquaComfort Plus Toric and 1-Day Acuvue Moist for Astigmatism Daily Disposable Contact Lenses. Bausch + Lomb, 2023.

Biotrue® ONEday for Presbyopia

Reference Number Claim Reference
1   Bausch + Lomb, 2013. Perceptions of Bausch + Lomb PureVision® 2 for Presbyopia (#815).
2   Wright, M., et al., 2016. Capturing the presbyopic opportunity. Review of Optometric Business.
3   Bausch + Lomb., 2016. Statistical Analysis of Biotrue® ONEday For Presbyopia Patient Survey. (n=261).
4   Optical Design and Power Profiles for Biotrue ONEday for Presbyopia, Rochester NY, 2013
5   Vogt, A.K.S., Hovinga, K.R. Introducing a New Technology in Multifocal Lenses. Satisfy your patients at all distances. ContactLens SPECTRUM MARCH 2014
6   Optical Design and Power Profiles for Biotrue ONEday for Presbyopia, Rochester NY, 2013
7

3 distinct zones each with consistent power

Stable power profile across the lens for all powers

Accurate add power at every power

 AAO 2014_Consistency of MF CL Designs Poster. Biotrue ONEday for Presbyopia Rosa Lee / Vogt, A.K.S., Hovinga, K.R. Consistency of Multifocal Contact Lens Design. Poster Presentation
8   Bausch + Lomb. 2013. A Study to Evaluate a Mid Add Multi-Focal Soft Contact Lens Clinical Smmary Report. Rochester, NY.

Soft Contact Lens Solution:
Biotrue® Multi-Purpose Solution

Reference Number Claim Reference
1

1 in 4 drop out o contact lens entirely due to discomfort.

9 out of 10 who considered stopping lens wear, significantly reduced their likelihood of dropping out of contact lens wear after using Biotrue® Multi-purpose solution for just 2 weeks

 Rah, M., et al., 2014. Reducing dropout of contact lens wear with Biotrue® multipurpose solution. Clinical Ophthalmology, 8, pp. 293-299.
2 Dual disinfection system contains an optimal combination of two disinfectants Biotrue® Multi-Purpose Solution package insert.
3 Offers unsurpassed disinfection efficacy* (*All soak times as per manufacturer recommended minimum soak time.) David, B., et al. Evaluation of multipurpose solutions for in vitro biocidal efficacy against a challenge of ocular clinical isolates including methicillin resistant staphylococcus aureus and methicillin-resistant staphylococcus epidermidis strains. Rochester.
4 An innovative protein management system to maintain natural tear protein function Wright, E.A., et al,2012. Preservation of human tear protein structure and function by a novel contact lens multipurpose solution containing protein stabilizing agents. Eye & Contact Lens, 38(1),pp.36-42.
5 Delivers patient convenience when cleaning with just a 4 hour soak time to achieve clean lenses Biotrue® Multi-Purpose Solution package insert.
6 Rehydrates - provides up to 20 hours of moisture to cushion and rehydrate your lenses for comfortable wear throughout the day Scheuer A. C., 2009 . Adsorption and Controlled Release of a Polysaccharide Conditioning Agent from Soft Contact Lenses. Rochester.
7 All day continuous patient comfort Millward Brown., 2010. Biotrue® Product Test (#640).
8 90% say that Biotrue® keeps their lenses feeling clean throughout the day Bausch + Lomb, 2008. A study to evaluate the product performance of Bausch + Lomb BL-3100 BPZ02 multi-purpose solution compared to Alcon Opti-Free Replenish multi-purpose solution when used with silicone hydrogel contact lenses worn on a daily wear basis (#562). Rochester.
9 87% say that Biotrue® keeps their eyes feeling healthy Bausch + Lomb, 2008. A study to evaluate the product performance of Bausch + Lomb BL-3100 BPZ02 multi-purpose solution compared to Alcon Opti-Free Replenish multi-purpose solution when used with silicone hydrogel contact lenses worn on a daily wear basis (#562). Rochester.
10 97% of patients are satisfied with Biotrue® Multi-Purpose Solution Bausch + Lomb. 2010. Consumers Claims/Preference Study Topline Results. Conducted by Bruno and Ridgway.
11 81% say it feels like their natural tears Acreman, T, Jack, A, Easton, J. Study #567. Feb 2009. Millward Brown Healthcare
12-13 Matches the pH of healthy tears (7.5)

12. Moses, R.A., Hart, W.M., Adler’s: Physiology of the eye. Clinical Application. 1987.
13. Burke, S.E., Fridman, K.M., Scheuer, C.A., Barniak, V.L. Physical properties of multipurpose contact lens care solutions. Rochester, NY. 2010.
14 Promotes comfort upon insertion Biotrue® MPS 2018 IHUT Final Report. Valeant Pharmaceuticals North America.
15-19 Works like your eyes 15. Moses, R.A., Hart, W.M., Adler’s: Physiology of the eye. Clinical Application. 1987.
16. Burke, S.E., Fridman, K.M., Scheuer, C.A., Barniak, V.L. Physical properties of multipurpose contact lens care solutions. Rochester, NY.2010.
17. Barniak V.L., Burke S.E., Vernkatesh S. Contact Lens & Anterior Eye publication: “Comparative evaluation of multi-purpose solutions in the stabilization of tear lysozyme”. Rochester, NY. 2010.
18. M. Jones, A. YaYa,D. Heiler. Protein Removal Study with Biotrue Multi-Purpose Solution. Rochester, NY. 2016.
19. C.A. Scheuer et al., Retention of conditioning agent hyaluronan on hydrogel contact lenses. Rochester, NY. 2010.
19 Makes wearing contact lenses easier on patients’ eyes. Rah, M., et al., 2014. Reducing dropout of contact lens wear with Biotrue® Multi-Purpose Solution. Clinical Opthalmology, 8pp. 293-299. 6
20-21 Keeps key beneficial tear proteins such as lysozyme active in their natural state 20. Barniak V.L., Burke S.E., Vernkatesh S. Contact Lens & Anterior Eye publication: “Comparative evaluation of multi-purpose solutions in the stabilization of tear lysozyme”. Rochester, NY. 2010.
21. M. Jones, A. YaYa, D. Heiler. Protein Removal Study with Biotrue Multi-Purpose Solution. Rochester, NY. 2016.

Biotrue® MPS & Ultra Monthly contact lenses

Reference Number Claim Reference
20-24 The ultimate comfort combination 20. Millward Brown., 2010. Biotrue® Product Test (#640).
21. Bausch + Lomb; 2013. A study to evaluate the product performance of a new silicone hydrogel contact lens.
22. Results from a 7-investigator, multi-site 2-week study of Bausch + Lomb ULTRAR for Astigmatism contact lenses on 157 current soft contact lens wearers.2017.
23. Micromass; 2017.Bausch + Lomb ULTRA Comfort Experience for Presbyopia Final Results Report
24. Results of an online survey with patients who completed an evaluation program for Bausch + Lomb ULTRAR for Astigmatism contact lenses and wore their trial lenses for ≥4 days (n=426). Survey results include patients who strongly agreed, agreed, or slightly agreed (on a 6-point agreement scale) with the surveyed statement, with a margin of error up to }2.7%. 2017
25 MoistureSeal Technology maintains 95% moisture for 16 hours. Bausch + Lomb, 2013. 16 Hour bilateral dispensing evaluation of methacrylamide lenses as compared to Air Optix® Aqua, Acuvue® Oasys® and Biofinity® lenses

ReNu® Advanced Multi-Purpose Solution

Reference Number Claim Reference
1 67% of contact lens wearers notice a difference in how eyes feel depending on the contact lens solution used. Opinion Health, 2019. Lens Care Targeting and Segmentation Study
2 Most important contact lens solution benefits: cleaning and disinfection MMR, 2020. Lens and Lens Care Consumer Segmentation EUCAN Initial Report.
3 “Good cleaning ability” is a top driver for contact lens solution satisfaction Opinion Health, 2019. Lens Care Targeting and Segmentation Study
4 Triple Disinfectant System kills 99.9% of microbes in 4 hours* to provide excellent disinfection efficacy. *Standardized testing (ISO 14729) against S. aureus, P. aeruginosa, S. marcescens, C. albicans, F. solani. Bausch + Lomb data on file; 2017. Results of stand alone testing procedure (ISO 14729) of ReNu® Advanced cleaning and disinfecting solution against the 5 panel organisms for disinfecting products.
5-6 All day comfort: conditions and hydrates providing 20 hours of moisture 5. Bausch + Lomb data on file; 2016. High Resolution Accurate Mass-Selected Ion Monitoring / Mass Spectrometry (HRAMSIMLC/MS) Determination of Poloxamer 181 Retention from Worn Lenses Soaked in ReNu® Advanced cleaning and disinfecting solution.
6. Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
7 After using ReNu® Advanced for 7 days 93% of consumers agreed it keeps lenses feeling clean Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
8 Loosens and removes accumulations of film, debris and deposits. Dissolves proteins ReNu® Advanced packaging insert
9 Disinfection efficacy International Standards Organization ISO 14729, 2001. Ophthalmic optics — Contact lens care products — Microbiological requirements and test methods for products and regimens for hygienic management of contact lenses.
10 Delivers the efficacy of a peroxide with the ease of a multi-purpose solution Bausch + Lomb, 2020. Disinfection efficacy and statistical analysis of ReNu® Advanced Multi-Purpose Solution vs Clear Care® Plus cleaning and disinfecting solution.
11 Cleans, Disinfects and Comforts Bausch + Lomb data on file; 2007. Results from a 11-investigator multi-site 2-month study of ReNu® Multi-Purpose Solution on 129 habitual silicone hydrogel contact lens wearers.
12 After 7 days 93% patients agree keeps lenses feel clean Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
13 90% patients agree makes lenses comfortable upon insertion Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
14-15 90% patients agree is gentle on eyes 14. Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
15. Bausch + Lomb data on file; 2020. Biocompatibility Assessment by Analysis of Graded Slit Lamp of ReNu® Advanced Multi-Purpose Solution Subjects Over Three Months of Use.
16 87% patients agree helps prevents lens dryness. Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
17 89% agree helps keep lenses moist all day Bausch + Lomb data on file; 2018. Results of an in home use test of ReNu® Advanced cleaning and disinfecting solution.
18-19 Tough on germs, gentle on eyes 18. Bausch + Lomb data on file; 2017. Results of stand alone testing procedure (ISO 14729) of ReNu® Advanced cleaning and disinfecting solution against the 5 panel organisms for disinfecting products.
19. Bausch + Lomb data on file; 2020. Biocompatibility Assessment by Analysis of Graded Slit Lamp of ReNu® Advanced Multi-Purpose Solution Subjects Over Three Months of Use

ReNu® MultiPlus Purpose Solution

Reference Number Claim Reference
1 Provides fresh Lens comfort all-day Bausch + Lomb data on file; 2006. Results from a 26-investigator multi-site 1-month study of ReNu® MultiPlus Multi-Purpose Solution on 153 habitual silicone hydrogel contact lens wearers.
2 Built-in protein remover to remove accumulations of protein, film and other deposits when used daily. ReNu® MultiPlus packaging insert.
3-4 Effectively cleans and disinfects 3. ReNu® MultiPlus packaging insert.
4. Bausch + Lomb, 2006. Proven Performance in soft lens care.

ReNu® MPS Multi-Purpose Solution

Reference Number Claim Reference
1-2 Keeps sensitive eyes comfortable with a solution as gentle as ones’ natural tears 1. Bausch + Lomb. Abstract Book. 2009.
2. ReNu® MPS Packaging Insert.
3-4 Cleans, disinfects and helps with lens comfort 3. Bausch + Lomb, 2006. A study to compare ReNu Multi-purpose solution vs Alcon Opti-Free Express® Multi-purpose solution when used with silicone hydrogel lenses worn on a daily wear basis (#497). Rochester.
4. Bausch + Lomb data on file; 2007. Results from a 11-investigator multi-site 2-month study of ReNu® Multi-Purpose Solution on 129 habitual silicone hydrogel contact lens wearers.

EasySept® Hydrogen Peroxide Solution

Reference Number Claim Reference
1 High level disinfection suitable for sensitive eyes Callahan, D, McGrath, D; 2010. Results from ISO/ FDA Stand Alone Procedure for Disinfecting Products of EasySept. Rochester.

RGP and Hard Contact Lens Solution:
Boston ADVANCE® Cleaner

Reference Number Claim Reference
1 Prevents accumulation of stubborn deposits Packaging Insert
2 Visibly tinted formula for improved rinsing Packaging Insert
3 Effectively Cleans Packaging Insert
4 Contain a patented multi-polymer comfort system to cushion the lens upon insertion. Packaging Insert

Boston ADVANCE® Conditioner

Reference Number Claim Reference
5 Maintains and enhances lens wettability throughout the day Packaging Insert
6 Reduces friction against both the cornea and the eyelid to help reduce irritation and discomfort Packaging Insert
7 Destroys harmful organisms on the lens surface Packaging Insert

Boston® Simplus Multi Action Solution

Reference Number Claim Reference
8 Remove protein and stubborn deposits Packaging Insert
9 A cushioning system provides soothing effect to the eyes Packaging Insert
10 Cleans and destroys harmful organisms on the lens surface Packaging Insert
11 Boston® brand is UK’s No.1 RGP brand Euromcontact Data 2023. RGP contact lens solution market share.

Lens Care Compliance

Reference Number Claim Reference
1 85% of patients perceive themselves to be compliant with lens wear and care good practice, but only 2% of patients actually meet the recommended safety levels Robertson, D.M., and Cavanagh, H.D, 2011, Optom Vis Sci. [e-journal] 88(12), pp 1402-1408. Available through National Centre for Biotechnology Information website https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223553/
[Accessed 01 July 2020].
2 92% of consumers seek lens care compliance info from their ECP or in practice Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
3 64% of consumer do not follow five key steps of a compliant lens care regime Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
4 67% don’t rinse their lenses with fresh solution every time before insertion Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
5 67% don’t always thoroughly rinse each side of the contact lens after rubbing and before storing. Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
6 59% don’t soak their contact lenses overnight after each use. Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
7 55% don’t place their cleaned lenses into the lens case with fresh solution every time Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
8 71% don’t always rub each side of he les to clean thoroughly using solution. Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
9 Over a 1/3 of wearers use something other than contact lens solution to clean their lens case:
  • 27% use water
  • 14% use saline
  • 13% use water and soap / detergent
 Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
10 75% of wearers clean their contact lens case less frequently than daily Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
11 8% of wearers never clean their lens case at all Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
12 A clean lens means a comfortable lens Millward Brown., 2010. Biotrue® Product Test (#640).
13 Half of contact lens patient experience frequent discomfort and on average 1 in every 4 drop out of contact lens wear entirely. Bickle, K., Nichols, K., 2014. Contact lens discomfort defined. Contact Lens Spectrum/ Special Edition, pp. 18-22.
14 Good cleaning ability ranks as the top reason why a patient is happy with their current contact lens solution (55%) Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.
15 35% are satisfied with their contact lens solution because it improves their contact lens comfort Opinion Health, 2019. Lens Care Solutions Study. United Kingdom.