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Delighting irritated,
dry feeling eyes
Delighting eyes everywhere

   As an expert in refractive eye care, Abbott Medical Optics Inc.
   understands the importance of protecting the tear film from
   drying conditions.


   ‱ The tear film is the first refractive surface of the eye. It provides a natural defence
     against infection and is a highly effective lubricating device1



   ‱ Loss of moisture from the tear film can lead to reduced visual acuity as well as
     irritated, uncomfortable eyes2



   ‱ The blink eye drop range has a solution to suit most of your customer needs,
     from the lightly moisturising blink refreshing eye drops to the viscosity
     enhanced longer lasting blink intensive tears. For the contact lens wearer there
     is the specifically formulated blink contacts eye drops designed to keep eyes
     feeling fresh and comfortable.
blink refreshing daily eye drops

                   ‱ Instantly awakens tired feeling eyes

                   ‱ Designed for those occasions when
                     your eyes natural moisture needs
                     a boost - such as after late nights
                     out or long periods of working at a
                     computer




blink contacts soothing eye drops

                   ‱ Specifically formulated for contact
                     lens wearers

                   ‱ The visco-elastic formulation
                     increases tear film stability for longer,
                     comfortable contact lens wear




blink intensive tears protective eye drops

                   ‱ For longer lasting relief from irritated,
                     dry feeling eyes

                   ‱ Formulated for those experiencing
                     more frequent feelings of irritated,
                     dry feeling eyes
Long lasting relief from
irritated, dry feeling eyes
    blink intensive tears helps bring long lasting relief from irritated, dry
    feeling eyes through its triple action formula


     1   The hypotonic formulation lowers the tear film osmolarity3 to help bring
         greater stability4



     2   Contains a lubricating demulcent to soothe and protect



     3   Viscosity enhanced for a longer lasting effect - can hold moisture in the eye
         for more than 60 minutes with less blurring4,5
1 Hypotonic blink intensive tears helps to stabilise the
             tear film – breaking the negative cycle of ocular irritation



                            Inflammation can result in reduced
                             tear production so increasing tear                                             Drying environments take
                            film osmolarity and potential ocular                                             moisture from the eye
                                     surface damage6                                                     increasing tear film osmolarity7
                                                                       Hypotonic blink
                                                                    intensive tears helps
                                                                       maintain the tear
                                                                        film osmolarity
                                                                       better than other
                                                                           eye drops3




                                                                                  Results in
                                                                                the release of
                                                                                inflammatory
                                                                                    agents

                                                                    Cycle of ocular irritation


 Change in tear film osmolarity over a 30-day period3 (n = 20 per eye drop)
           325


           320

                                                                                                         ‱ An increased tear film osmolarity may
           315
                                                                                                           be linked to ocular surface damage
                                                                                                           and dry feeling eyes6,8
           310
mOsmol/l




                                                                                                         ‱ blink intensive tears significantly
           305                                                                                             reduced the tear film osmolarity over
                                                                                                           the 30-day study period compared to
           300                                                                                             competitor drops3

           295


           290
                      Day 1               Day 1                    Day 30               Day 30
                   before drop        5 minutes after           before drop          5 minutes after
                    instillation      drop instillation          instillation        drop instillation

                 17411 blink intensive tears         28811 Eye drop A            31211 Eye drop B
                 mOsmol/l                            mOsmol/l                   mOsmol/l

                                 Normal tear film 308 mOsmol/l12
2 Demonstrated to soothe dry, irritated eyes
                                                  ‱ In a recent study of VDT users after 3 weeks of using blink intensive tears, a 32%
                                                    reduction in OSDI score was observed. In the same study the NIBUT was seen to
                                                    increase by 5 seconds during the study period.9


    blink intensive tears were significantly more
    soothing than a competitor eye drop4

                                             80


                                             70
                                                               69*
% of patients who ‘highly agreed’ that the




                                             60
       study eye drop was soothing




                                             50


                                             40


                                             30


                                             20

                                                                                  18                           A significant fall in OSDI score for
                                             10                                                                blink intensive tears users9

                                                                                                               40
                                              0
                                                     blink intensive tears    A competitor
                                                                                                               35
                                                  * P = .021                    eye drop

                                                                                                               30


                                                                                                               25
                                                                                                  OSDI score




                                                                                                               20


                                                                                                               15


                                                                                                               10


                                                                                                                5


                                                                                                                0
                                                                                                                          Baseline           After 3 weeks
3 Demonstrated to hold moisture in the eye for over
    60 minutes for lasting comfort without blurring4,5

           ‱ In a further study, blink intensive tears users reported improved eye comfort over time
             with an initial average improvement of 20%10

           ‱ After using blink intensive tears a statistically significant reduction in visual aberrations
             was found11



            Increasing comfort over time10


                                            8
        where 0 = poor and 10 = excellent




                                            7
                Comfort ratings




                                            6




                                            5




                                            4
                                                Start   Day 7     Day 14              Day 21




‱ After just 21 days, 48% of blink intensive users reported an
  improvement in vision quality10

‱ In a comparative study, a combined 89% of those using a
  competitor eye drop experienced blurring compared to only
  20% with blink intensive tears.4
blink eye drop range


                                                     blink                                             blink                                                                      blink
                                                     refreshing                                        contacts                                      blink-n-clean                intensive tears
                                                     daily eye drops                                   soothing eye drops                            eye drops                    protective eye drops
                                                     10ml multi-dose                                   10ml multi-dose                                                            10ml multi-dose
  Pack size                                          20 x 0.5ml                                        20 x 0.35ml                                   15ml multi-dose              20 x 0.4ml
                                                     single use vials                                  single use vials                                                           single use vials
                                                     Polyvinyl                                         Sodium                                        Hydroxypropyl-               Polyethylene glycol
  Lubricant                                          alcohol                                           hyaluronate                                   methylcellulose              (PEG 400)
                                                     1.4%                                              0.15%                                         (HMPC) 0.15%                 0.25%
  Viscosity                                                                                                                                                                       Sodium hyaluronate
                                                     -                                                 -                                             -
  enhancer                                                                                                                                                                        0.2%

                                                                                                                                                     Tromethamine 1.2%
  Cleaning agent                                     -                                                 -                                                                          -
                                                                                                                                                     Tyloxapol 0.025%

  pH close to
                                                     Yes                                               Yes                                           Yes                          Yes
  natural tears

  Viscosity (CP)                                     3.612                                             5.5512                                        -                            12.212

  Osmolarity
                                                     30512                                             26712                                         -                            17412
  (mOsmol/l)

  Buffer                                             Phosphate                                         Phosphate                                     Phosphate                    Borate

  Preservative                                       Chlorite/peroxy                                   OcuPure                                       Polyhexamethylene            OcuPure
  (multi-dose only)                                  compound (CPC)                                    preservative                                  biguanide                    preservative
                                                     10ml - 45 days                                    10ml - 45 days                                                             10ml - 45 days
  Discard                                            Vials - Immediately                               Vials - Immediately                           60 days                      Vials - Immediately
                                                     after use                                         after use                                                                  after use

References:
1. Craig J. Structure and function of the preocular tear film. In: Korb D, et al. Tear film: structure, function and clinical examination. Butterworth-Heinemann Ltd; 2002.
p18–50. 2. Reiger G. BJO 1992; 76: 157–8. 3. Albert T, Benelli U, Posarelli C. Evaluation of the change in tear osmolarity after using different eye drops. Manufacturer’s
showcase presentation. BCLA Conference & Exhibition 2009. 4. Thomas Kislan MD. Randomized, Cross-Over Evaluation of PEG-400 based Artificial Tear (blink) versus HP-Guar
based Artificial Tear (Systane) for Signs and Symptoms of Dry Eye. Hazleton Eye Specialists, PA. USA. Poster presented at the Annual Meeting of the American Academy of
Optometry, October 22-25,2008, Anaheim, CA. 5. Wavelength-Dependent Optical Interferometry Measurements of Change in Thickness of Apical Corneal Tear Film Following
Eye Drop Instillation S. Huth*, D. Tran*, C. Skotnitsky ‡, L. Lasswell‡, P. Mahmud†, T. Kim‡. *Advanced Medical Optics, Inc. (CR: E, P) ‡ Advanced Medical Optics, Inc. (CR: E)
†spherion, Inc., Santa Ana, CA (CR: N). POSTER ARVO. 6. THE OCULAR SURFACE. Dews. Management and Therapy. April. 2007; 5(2): 87. 7. Santosh Khanal et al. Dry Eye
Diagnosis. Ophthalmology and Visual Science. April 2008. 8. Katsuyama I, Arakawa T. A convenient rabbit model of ocular epithelium damage induced by osmotic dehydration.
J Ocul Pharmacol Ther. 2003 Jun;19(3):281-9. 9. Montani G, lndrio P. Effect of blink intensive and blink contacts on the Ocular Dryness in VDT Users. University of Salento.
Presentation at Assottica Meeting, Rome Nov. 2008. 10. Consumer assessment of blink intensive tears over time. A study commissioned by Abbott Medical Optics Inc. AMO data
on file. 11. Robert Montés-Micó, Alejandro Cerviño, Teresa Ferrer-Blasco, Santiago García-Låzaro, Susana Ortí-Navarro. Optical Quality of the Interface Air-tear Film Following
Instillation of Eye Drops in Dry Eyes. J Cataract Refract Surg June 2010. 12. Eye drop comparison. Data on File Abbott Medical Optics Inc.
OcuPure, blink and blink-n-clean are trademarks owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates.
© 2010 Abbott Medical Optics Inc.                 2010.10.25-CN2493                   DoC:01Nov10.v6

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Long-lasting relief from irritated, dry feeling eyes

  • 2. Delighting eyes everywhere As an expert in refractive eye care, Abbott Medical Optics Inc. understands the importance of protecting the tear film from drying conditions. ‱ The tear film is the first refractive surface of the eye. It provides a natural defence against infection and is a highly effective lubricating device1 ‱ Loss of moisture from the tear film can lead to reduced visual acuity as well as irritated, uncomfortable eyes2 ‱ The blink eye drop range has a solution to suit most of your customer needs, from the lightly moisturising blink refreshing eye drops to the viscosity enhanced longer lasting blink intensive tears. For the contact lens wearer there is the specifically formulated blink contacts eye drops designed to keep eyes feeling fresh and comfortable.
  • 3. blink refreshing daily eye drops ‱ Instantly awakens tired feeling eyes ‱ Designed for those occasions when your eyes natural moisture needs a boost - such as after late nights out or long periods of working at a computer blink contacts soothing eye drops ‱ Specifically formulated for contact lens wearers ‱ The visco-elastic formulation increases tear film stability for longer, comfortable contact lens wear blink intensive tears protective eye drops ‱ For longer lasting relief from irritated, dry feeling eyes ‱ Formulated for those experiencing more frequent feelings of irritated, dry feeling eyes
  • 4. Long lasting relief from irritated, dry feeling eyes blink intensive tears helps bring long lasting relief from irritated, dry feeling eyes through its triple action formula 1 The hypotonic formulation lowers the tear film osmolarity3 to help bring greater stability4 2 Contains a lubricating demulcent to soothe and protect 3 Viscosity enhanced for a longer lasting effect - can hold moisture in the eye for more than 60 minutes with less blurring4,5
  • 5. 1 Hypotonic blink intensive tears helps to stabilise the tear film – breaking the negative cycle of ocular irritation Inflammation can result in reduced tear production so increasing tear Drying environments take film osmolarity and potential ocular moisture from the eye surface damage6 increasing tear film osmolarity7 Hypotonic blink intensive tears helps maintain the tear film osmolarity better than other eye drops3 Results in the release of inflammatory agents Cycle of ocular irritation Change in tear film osmolarity over a 30-day period3 (n = 20 per eye drop) 325 320 ‱ An increased tear film osmolarity may 315 be linked to ocular surface damage and dry feeling eyes6,8 310 mOsmol/l ‱ blink intensive tears significantly 305 reduced the tear film osmolarity over the 30-day study period compared to 300 competitor drops3 295 290 Day 1 Day 1 Day 30 Day 30 before drop 5 minutes after before drop 5 minutes after instillation drop instillation instillation drop instillation 17411 blink intensive tears 28811 Eye drop A 31211 Eye drop B mOsmol/l mOsmol/l mOsmol/l Normal tear film 308 mOsmol/l12
  • 6. 2 Demonstrated to soothe dry, irritated eyes ‱ In a recent study of VDT users after 3 weeks of using blink intensive tears, a 32% reduction in OSDI score was observed. In the same study the NIBUT was seen to increase by 5 seconds during the study period.9 blink intensive tears were significantly more soothing than a competitor eye drop4 80 70 69* % of patients who ‘highly agreed’ that the 60 study eye drop was soothing 50 40 30 20 18 A significant fall in OSDI score for 10 blink intensive tears users9 40 0 blink intensive tears A competitor 35 * P = .021 eye drop 30 25 OSDI score 20 15 10 5 0 Baseline After 3 weeks
  • 7. 3 Demonstrated to hold moisture in the eye for over 60 minutes for lasting comfort without blurring4,5 ‱ In a further study, blink intensive tears users reported improved eye comfort over time with an initial average improvement of 20%10 ‱ After using blink intensive tears a statistically significant reduction in visual aberrations was found11 Increasing comfort over time10 8 where 0 = poor and 10 = excellent 7 Comfort ratings 6 5 4 Start Day 7 Day 14 Day 21 ‱ After just 21 days, 48% of blink intensive users reported an improvement in vision quality10 ‱ In a comparative study, a combined 89% of those using a competitor eye drop experienced blurring compared to only 20% with blink intensive tears.4
  • 8. blink eye drop range blink blink blink refreshing contacts blink-n-clean intensive tears daily eye drops soothing eye drops eye drops protective eye drops 10ml multi-dose 10ml multi-dose 10ml multi-dose Pack size 20 x 0.5ml 20 x 0.35ml 15ml multi-dose 20 x 0.4ml single use vials single use vials single use vials Polyvinyl Sodium Hydroxypropyl- Polyethylene glycol Lubricant alcohol hyaluronate methylcellulose (PEG 400) 1.4% 0.15% (HMPC) 0.15% 0.25% Viscosity Sodium hyaluronate - - - enhancer 0.2% Tromethamine 1.2% Cleaning agent - - - Tyloxapol 0.025% pH close to Yes Yes Yes Yes natural tears Viscosity (CP) 3.612 5.5512 - 12.212 Osmolarity 30512 26712 - 17412 (mOsmol/l) Buffer Phosphate Phosphate Phosphate Borate Preservative Chlorite/peroxy OcuPure Polyhexamethylene OcuPure (multi-dose only) compound (CPC) preservative biguanide preservative 10ml - 45 days 10ml - 45 days 10ml - 45 days Discard Vials - Immediately Vials - Immediately 60 days Vials - Immediately after use after use after use References: 1. Craig J. Structure and function of the preocular tear film. In: Korb D, et al. Tear film: structure, function and clinical examination. Butterworth-Heinemann Ltd; 2002. p18–50. 2. Reiger G. BJO 1992; 76: 157–8. 3. Albert T, Benelli U, Posarelli C. Evaluation of the change in tear osmolarity after using different eye drops. Manufacturer’s showcase presentation. BCLA Conference & Exhibition 2009. 4. Thomas Kislan MD. Randomized, Cross-Over Evaluation of PEG-400 based Artificial Tear (blink) versus HP-Guar based Artificial Tear (Systane) for Signs and Symptoms of Dry Eye. Hazleton Eye Specialists, PA. USA. Poster presented at the Annual Meeting of the American Academy of Optometry, October 22-25,2008, Anaheim, CA. 5. Wavelength-Dependent Optical Interferometry Measurements of Change in Thickness of Apical Corneal Tear Film Following Eye Drop Instillation S. Huth*, D. Tran*, C. Skotnitsky ‡, L. Lasswell‡, P. Mahmud†, T. Kim‡. *Advanced Medical Optics, Inc. (CR: E, P) ‡ Advanced Medical Optics, Inc. (CR: E) †spherion, Inc., Santa Ana, CA (CR: N). POSTER ARVO. 6. THE OCULAR SURFACE. Dews. Management and Therapy. April. 2007; 5(2): 87. 7. Santosh Khanal et al. Dry Eye Diagnosis. Ophthalmology and Visual Science. April 2008. 8. Katsuyama I, Arakawa T. A convenient rabbit model of ocular epithelium damage induced by osmotic dehydration. J Ocul Pharmacol Ther. 2003 Jun;19(3):281-9. 9. Montani G, lndrio P. Effect of blink intensive and blink contacts on the Ocular Dryness in VDT Users. University of Salento. Presentation at Assottica Meeting, Rome Nov. 2008. 10. Consumer assessment of blink intensive tears over time. A study commissioned by Abbott Medical Optics Inc. AMO data on file. 11. Robert MontĂ©s-MicĂł, Alejandro Cerviño, Teresa Ferrer-Blasco, Santiago GarcĂ­a-LĂĄzaro, Susana OrtĂ­-Navarro. Optical Quality of the Interface Air-tear Film Following Instillation of Eye Drops in Dry Eyes. J Cataract Refract Surg June 2010. 12. Eye drop comparison. Data on File Abbott Medical Optics Inc. OcuPure, blink and blink-n-clean are trademarks owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates. © 2010 Abbott Medical Optics Inc. 2010.10.25-CN2493 DoC:01Nov10.v6