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Company Presentation
October 16, 2014
Overview
•  No change to the surgical procedure
•  Performance proven in clinical studies
•  Strong IP position
•  Multi-billion dollar market potential
•  Experienced management team
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
•  Proprietary FluidVision™ accommodating intraocular lens
(A-IOL)
•  Only technology that restores “true accommodation”
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Key Feature What it Means
Give Patients the
Ability to See Near,
Far and Anywhere in
Between
•  Distance acuity 20/20 or better
•  2.5 diopters of accommodation – can see well at near
(40 cm/16 inches)
•  Continuously variable between near and distance
Maintain the Natural
Mechanism of
Accommodation
•  Shape change
•  Intracapsular vs. sulcus fixated
•  Ciliary muscle-powered
•  “Forward” accommodation
Restoration of True Accommodation™
The PowerVision Approach
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
•  Efficiently harness natural muscular forces
in the eye to move fluids inside the lens
•  Translate that fluid movement into a shape
change, which leads to a large change in
power
•  Shape change is many times more “optically
efficient” than designs with a shifting/
vaulting lens
•  Maintains the natural mechanism of
accommodation
•  Restores True Accommodation™
To see the FluidVision lens in action, visit www.powervisionlens.com
•  When the eye moves to its natural
accommodated state, the capsular
bag, which now contains our IOL,
squeezes a tiny amount of fluid
from the haptics at the periphery
of our IOL into the center
•  This inflates our lens, giving near
vision
•  When the eye attempts to move
to its dis-accommodated state,
the capsular bag squeezes fluid
the other way
•  This deflates our lens, giving far
vision
How the FluidVision Lens Works
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
ACCOMMODATED
STATE
(NEAR VISION)
DISACCOMMODATED
STATE
(FAR VISION)
CAPSULAR BAG
PowerJect Delivery System
•  The FluidVision lens is paired with the novel PowerJect™
“injector”
•  The injector utilizes a unique fluid-based method of
delivering the lens into the capsular bag
•  No change to the surgical procedure
•  Lens comes pre-loaded for ease of use
INJECTOR
PRE-LOADED LENS WITH CARTRIDGE
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Summary of Clinical Studies
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Study Purpose Device N Key Results
Blind Eyes
(monocular) Single
Center
Completed 2008
Demonstrate lens
movement under
drug stimulation
Non-Optical,
Non-Injectable
5
•  Showed significant movement equivalent to
desired accommodation
Sighted Eyes
(monocular) Single
Center
Completed 2011
Demonstrate optical
performance in vivo
and accommodation
Optical,
Non-Injectable
13
•  Showed good visual performance and desired
accommodation
•  Demonstrated stability out to 1 year
Sighted Eyes
(monocular) Single
Center Pilot
Enrollment Completed 2013
Demonstrate
accommodation and
injectability
Optical,
Injectable
20
•  Showed injectability
•  Showed excellent distance (20/20) and
intermediate visual acuity
•  Showed excellent near visual acuity (~20/25
expected binocular)
•  Showed desired accommodation
See detailed slides
Sighted Eyes
(monocular/
binocular)
Multi Center
Ongoing
Support CE Mark
Approval
Optical,
Injectable
115 Early results consistent with pilot study
= Currently Enrolling
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Twelve Month Clinical Results – Pilot Study
Nichamin, LD, Clinical Investigation Status of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society
of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom
-0.20
-0.10
0.00
0.10
0.20
0.30
0.40
0.50
Month 1 Month 3 Month 6 Month 12
VisualAcuity,logMAR
Follow-up Period
BCDA
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Twelve Month Clinical Results – Pilot Study
Nichamin, LD, Clinical Investigation Status of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society
of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
Month 1 Month3 Month 6 Month 12
DefocusRange,D
Follow-up Period
Defocus Range (>0.3 logMAR)
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
1 Month 3 Month 6 Month 12 Month
Accommodation,D
Follow-up Period
Accommodation, Push-down
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Twelve Month Clinical Results – Pilot Study
Nichamin, LD, Clinical Investigation Status of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society
of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
1 M 3 M 6 M 12 M
CyclotoPiloAccommodation,D
Follow-up Period
Pilocarpine Induced Accommodation
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Twelve Month Clinical Results – Pilot Study
Roux P, Potgieter F, Nichamin, LD, Accommodative Capacity of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the
European Society of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom
Mesopic CS	

 Mesopic CS
3.5 mm incision
Near visual acuity to 20/20
2.8 mm incision
Post implant adjustment
Near Term
Longer Term
Product Development Plans
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
Company Plans
•  The Company is more than halfway through enrollment in its
multi-center CE mark trial in South Africa and Germany
•  This study is expected to lead to the CE mark next year
•  U.S. FDA trials are expected to begin in 2015
•  Company recently completed the final tranche of its $30MM Series
D round

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Powervision

  • 2. Overview •  No change to the surgical procedure •  Performance proven in clinical studies •  Strong IP position •  Multi-billion dollar market potential •  Experienced management team CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE •  Proprietary FluidVision™ accommodating intraocular lens (A-IOL) •  Only technology that restores “true accommodation”
  • 3. CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Key Feature What it Means Give Patients the Ability to See Near, Far and Anywhere in Between •  Distance acuity 20/20 or better •  2.5 diopters of accommodation – can see well at near (40 cm/16 inches) •  Continuously variable between near and distance Maintain the Natural Mechanism of Accommodation •  Shape change •  Intracapsular vs. sulcus fixated •  Ciliary muscle-powered •  “Forward” accommodation Restoration of True Accommodation™
  • 4. The PowerVision Approach CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE •  Efficiently harness natural muscular forces in the eye to move fluids inside the lens •  Translate that fluid movement into a shape change, which leads to a large change in power •  Shape change is many times more “optically efficient” than designs with a shifting/ vaulting lens •  Maintains the natural mechanism of accommodation •  Restores True Accommodation™ To see the FluidVision lens in action, visit www.powervisionlens.com
  • 5. •  When the eye moves to its natural accommodated state, the capsular bag, which now contains our IOL, squeezes a tiny amount of fluid from the haptics at the periphery of our IOL into the center •  This inflates our lens, giving near vision •  When the eye attempts to move to its dis-accommodated state, the capsular bag squeezes fluid the other way •  This deflates our lens, giving far vision How the FluidVision Lens Works CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE ACCOMMODATED STATE (NEAR VISION) DISACCOMMODATED STATE (FAR VISION) CAPSULAR BAG
  • 6. PowerJect Delivery System •  The FluidVision lens is paired with the novel PowerJect™ “injector” •  The injector utilizes a unique fluid-based method of delivering the lens into the capsular bag •  No change to the surgical procedure •  Lens comes pre-loaded for ease of use INJECTOR PRE-LOADED LENS WITH CARTRIDGE CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
  • 7. Summary of Clinical Studies CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Study Purpose Device N Key Results Blind Eyes (monocular) Single Center Completed 2008 Demonstrate lens movement under drug stimulation Non-Optical, Non-Injectable 5 •  Showed significant movement equivalent to desired accommodation Sighted Eyes (monocular) Single Center Completed 2011 Demonstrate optical performance in vivo and accommodation Optical, Non-Injectable 13 •  Showed good visual performance and desired accommodation •  Demonstrated stability out to 1 year Sighted Eyes (monocular) Single Center Pilot Enrollment Completed 2013 Demonstrate accommodation and injectability Optical, Injectable 20 •  Showed injectability •  Showed excellent distance (20/20) and intermediate visual acuity •  Showed excellent near visual acuity (~20/25 expected binocular) •  Showed desired accommodation See detailed slides Sighted Eyes (monocular/ binocular) Multi Center Ongoing Support CE Mark Approval Optical, Injectable 115 Early results consistent with pilot study = Currently Enrolling
  • 8. CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Twelve Month Clinical Results – Pilot Study Nichamin, LD, Clinical Investigation Status of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom -0.20 -0.10 0.00 0.10 0.20 0.30 0.40 0.50 Month 1 Month 3 Month 6 Month 12 VisualAcuity,logMAR Follow-up Period BCDA
  • 9. CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Twelve Month Clinical Results – Pilot Study Nichamin, LD, Clinical Investigation Status of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 Month 1 Month3 Month 6 Month 12 DefocusRange,D Follow-up Period Defocus Range (>0.3 logMAR) 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 1 Month 3 Month 6 Month 12 Month Accommodation,D Follow-up Period Accommodation, Push-down
  • 10. CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Twelve Month Clinical Results – Pilot Study Nichamin, LD, Clinical Investigation Status of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 1 M 3 M 6 M 12 M CyclotoPiloAccommodation,D Follow-up Period Pilocarpine Induced Accommodation
  • 11. CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Twelve Month Clinical Results – Pilot Study Roux P, Potgieter F, Nichamin, LD, Accommodative Capacity of a Novel Fluid Filled Hydrophobic Acrylic Accommodative Intraocular Lens. Presented at: XXXII Congress of the European Society of Cataract and Refractive Surgeons; 13-17 September 2014; London, United Kingdom Mesopic CS Mesopic CS
  • 12. 3.5 mm incision Near visual acuity to 20/20 2.8 mm incision Post implant adjustment Near Term Longer Term Product Development Plans CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE
  • 13. CONFIDENTIAL – DO NOT DUPLICATE OR DISTRIBUTE Company Plans •  The Company is more than halfway through enrollment in its multi-center CE mark trial in South Africa and Germany •  This study is expected to lead to the CE mark next year •  U.S. FDA trials are expected to begin in 2015 •  Company recently completed the final tranche of its $30MM Series D round