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AcuFocus Yari L. Mitchell Chief Business Development Officer

AcuFocus - OIS · AcuFocus PhysIOL Zeiss Medicontour Oculentis Alcon J&J Vision Small aperture method of action is the 2nd most utilized PC-IOL type at 25.3% OF ALL PC-IOLs implanted

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AcuFocus

Y a r i L . M i t c h e l l

C h i e f B u s i n e s s D e v e l o p m e n t O f f i c e r

The IC-8® Small Aperture IOL

The IC-8 IOL combines the principle of small aperture optics with a high quality aspheric

monofocal lens platform to deliver the first implantable small aperture intraocular lens

Hydrophobic acrylic

UV-blocking

12.5 mm overall length

6.00 mm optic diameter

Polyvinylidene fluoride

Carbon nano-particles

1.36 mm aperture

3.23 mm total diameter

2

AcuFocus’ Measured Approach

From Concept to Commercialization

L I M I T E D

R E L E A S E

Began with limited product

release in select markets and

surgeons across Europe and

Asia-Pacific in 2016.

C L I N I C A L

E VA L U AT I O N

Six prospective international

studies evaluating lens

performance in normal and

irregular cornea patients

starting in 2012.

U S M A R K E T

E N T R Y

Initiated clinical trial in

November 2018. Anticipated

US market entry

Q4 2020/ Q1 2021.

F O C U S E D

G R O W T H

Expanded commercialization

in Australia in 2018 resulting in

50%+ year over year growth in

accounts and 100%+ growth

in implants.

P R O C E D U R E

R E F I N E M E N T

Patient selection and

application refined through

continuous review of

commercial outcomes.

3

IC-8® IOL SHARE Study4

General and

Refractive

Practice

Southport, QLD

Pure Refractive

Practice

Sydney, NSW

Corneal Specialist

Practice

Melbourne, VIC

Cataract and Retinal

Specialist Practice

Launceston, TAS

General, Cataract

and Refractive

Practice

Melbourne, VIC

Anterior Segment

Specialist Practice

Melbourne, VIC

General, Pediatric

and Glaucoma

Specialist

Perth, WA

• Study Purpose: To assess IC-8 IOL utilization potential and current penetration in varying practice types across Australia

• Account Selection: Accounts selected based on size of overall cataract business, type of practice and experience with the IC-8 IOL

• 11% (7/ 63) accounts selected to participate

• Data captured on all patients treated in a consecutive 3 month period:

• Implants performed between:

• June – August 2018, or

• January - March 2019

• 1146 IOL surgeries

• 573 patients

Surgeon Monofocal IOLsMonofocal

Toric IOLsPC-IOLs PC-IOL Toric IC-8 IOL

IC-8 IOL

Segment Utilization

Surgeon 1 21.6% 13.7% 17.6% 25.5% 21.6%Irregular Cornea,

PC-IOL Patients

Surgeon 2 0.0% 47.6% 33.6% 4.9% 14.0%Irregular Cornea,

Advanced Monovision

Surgeon 3 66.2% 8.5% 12.3% 3.8% 9.2%Irregular Cornea,

Low Myopia

Surgeon 4 29.4% 25.8% 18.6% 19.1% 7.2%Irregular Cornea,

Advanced Monovision

Surgeon 5 31.8% 20.0% 23.5% 20.0% 4.7%Irregular Cornea,

Advanced Monovision

Surgeon 6 35.3% 58.8% 1.5% 0.0% 4.4%Irregular Cornea,

Advanced Monovision

Surgeon 7 73.8% 23.5% 0.0% 0.0% 2.7% Irregular Cornea

IC-8® IOL SHARE Study: IOL Mix by Surgeon5

31.6% AVERAGE

PC-IOL UTILIZATION

68.4% AVERAGE

MONOFOCAL IOL

UTILIZATION

All surgeons, despite practice type and IOL mix, have a place for the IC-8 IOL in their practice

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N=888 eyes, 573 patients

IC-8® IOL SHARE Study:

IOL Utilization by Type and Manufacturer

8% of all eyes, 11% of all patients,

presenting for surgery received the IC-8® IOL

AcuFocus is the 6th most utilized lens

manufacturer for all IOLs

23.2%

15.5%

14.2%

13.6%

8.8%

8.0%

7.0%

2.7%2.7%

2.5%1.5%

0.3%

IOL Utilization by Manufacturer

1- J&J Vision

2 - Medicontur

3 - MBI

4 - Zeiss

5 - Alcon

6 - AcuFocus

7 - PhysIOL

38.2%

30.2%

14.8%

8.9%

8.0%

IOL Lens Type Distribution

Monofocal Monofocal Toric PC-IOL

PC-IOL Toric IC-8 IOL

84.4%

2.3%

8.9%2.9% 1.5%

0%

20%

40%

60%

80%

100%

Normal Eye Naturally Occuring

Corneal Irregularity

Corneal Pathology Prior Corneal

Surgery

Both*

Corneal Status by Eye

IC-8® IOL SHARE Study:

Distribution of Regular and Irregular Corneas

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N=910

*Eyes with a history of both corneal pathology and corneal surgery

15.6% of eyes

presented with

irregular cornea

18.7% of all patients

presenting for lens

surgery had at least one

irregular cornea eye

41.9%

26.5%

16.9%

2.2% 0.7% 2.2% 1.5%5.9%

2.2%

0%

20%

40%

60%

80%

100%

Monofocal Monofocal Toric IC-8 IOL Bifocal Bifocal Toric EDOF EDOF Toric Trifocal Trifocal Toric

IOL Type for Irregular Cornea Eyes

IC-8® IOL SHARE Study:

IC-8 IOL Takes Share In Irregular Cornea

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N=136 eyes, N=107 patients

16.9% of irregular cornea eyes received an IC-8 IOL.

20.6% of irregular cornea patients received an IC-8 IOL.

IC-8® IOL SHARE Study:

IC-8 IOL Takes Share in PC-IOL Segment

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N=281

The IC-8® IOL is the single

MOST UTILIZED PC-IOL LENS model

25.3%

22.1%

18.9%

13.2%

8.5%

7.8%4.3%

PC-IOL by Manufacturer

AcuFocus PhysIOL Zeiss Medicontour

Oculentis Alcon J&J Vision

Small aperture method of action is the 2nd

most utilized PC-IOL type at 25.3% OF ALL

PC-IOLs implanted including toric models

40.6%

25.3%

23.1%

11.0%

PC-IOL Utilization by Type

TrifocalBifocal

IC-8 IOL

EDOF

IC-8® IOL SHARE Study:

IC-8 IOL Takes Share and Grows the Premium Segment

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N=43

20.2% of all normal eyes receiving a

PC-IOL, including toric models,

received an IC-8 IOL

43.3%

20.2%

25.6%

10.9%

PC-IOL Type - Normal Cornea

Eyes

TrifocalBifocal

IC-8 IOL

EDOF

N=238

53.5% of all irregular cornea eyes

receiving a PC-IOL, including toric,

received an IC-8 IOL

25.6%

53.5%

9.3%

11.6%

PC-IOL Type - Irregular Cornea

EyesTrifocal

Bifocal

IC-8 IOL

EDOF

IC-8® IOL SHARE Study:

IC-8 IOL Implantation Strategy

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Irregular Cornea

Normal Cornea

N=63

69%

31%

Patient Type

The surgeons involved in this analysis use

the IC-8 IOL in both normal AND irregular

cornea patients

87.3%

12.7%

Implant Strategy

While the majority of patients receive the IC-8

IOL in one eye. Bilateral implantation was

used in 12.7% of patients.

Binocular

Monocular

IC-8® IOL:

Taking Share & Growing the Premium Channel

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11% 8.7%

Percent of eyes with < 1.50 D of pre-op corneal

astigmatism receiving an

IC-8 IOL

25.3%16.9%

Percent of all

patients treated

with an IOL

received an

IC-8 IOL

Percent of

irregular cornea

eyes that were

treated with an

IC-8 IOL

Percent of all

eyes treated

with a PC-IOL

that received an

IC-8 IOL

MOST UTILIZED

PC-IOL LENS

PLATFORM

#1

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Thank you!