Alcon Launches TOTAL30 Multifocal for Astigmatism, Monthly Multifocal Toric Contact Lens with Water Gradient Technology

[Gretchyn Bailey]

GENEVA, Feb 17, 2026—Alcon (SIX/NYSE: ALC) announced the U.S. launch of TOTAL30® Multifocal for Astigmatism, the world’s only multifocal toric contact lens with Water Gradient Technology, helping patients stay in lenses comfortably,† as their vision changes from standard correction to age-related presbyopia.1 These lenses provide excellent end-of-day comfort with wearers rating nearly 8/10, even on day 30, providing patients clear, seamless and stable vision at all distances, near through far.1 The lenses are now available across the U.S., enabling ECPs to offer them to patients nationwide.

“With the introduction of TOTAL30 Multifocal for Astigmatism, Alcon is unlocking new possibilities with contact lens innovation,” said Kristen Brotherson, VP, General Manager U.S. Vision Care, at Alcon. “As the world’s only Water Gradient multifocal toric contact lens, this launch expands our industry-leading portfolio and demonstrates our commitment to solving some of the most complex vision challenges. By uniting advanced material science with proven optical design, we’re delivering a new contact lens option for ECPs who have been waiting to better serve their presbyopic patients with astigmatism.”

As the contact lens patient population ages, the need for multifocal toric contact lenses continues to grow. However, the current multifocal toric segment remains underdeveloped, offering ECPs limited contact lens options to recommend. Presently, contact lens drop-out rate is four times higher in presbyopes versus wearers below age 40 due to comfort.4-6 Astigmatic presbyopic patients also have fewer choices to stay in contact lenses. These factors contribute to the lower adoption rate of multifocal toric contact lenses—just 7% of astigmatic presbyopes are prescribed contact lenses only.7

TOTAL30 Multifocal for Astigmatism contact lenses combine unique lens material and leading optical designs to provide astigmatic presbyopes with unmatched benefits at a comfortable price, including:

Water Gradient Material: Featuring nearly 100% water at the surface,+ so nothing touches the eye but a gentle cushion of moisture.8-9

PRECISION PROFILE®: The leading optical design for presbyopia correction in the world.1,10

PRECISION BALANCE 8|4®: Delivering the on-eye stability astigmats need for consistent, stable vision.1,10

CELLIGENT™ Technology: The biomimetic contact lens surface that helps resist bacteria and lipid deposits, providing patients with an inherently+ clean lens.11-14+

UV Blocking and Blue-Violet Light Filtering: TOTAL30 is the only monthly replacement contact lens family providing Ultraviolet blocking# and Blue-Violet Light filtration.##

In clinical assessments, patients wearing TOTAL30 Multifocal for Astigmatism reported clear 20/20 vision, offering seamless vision at all distances for early, moderate and advanced presbyopia.1 Most notably, ECPs also rated ease of fit 9/10 and the broad range of diopters accommodates nearly 90% of astigmatic presbyopes.10,15 Additionally, the PRECISION PROFILE and PRECISION BALANCE 8|4 innovations made meaningful contributions to the reported 97% success rate for first-lens fit.10‡

“The lens provides excellent stability on the eye, which makes the fitting process straightforward,” said April L. Jasper OD, FAAO, Advance Eyecare Specialists. 1,10 “It has been especially rewarding to see patients who were considering dropping out of contact lenses feel confident wearing them again. With the broad parameter range available, I can fit the vast majority of my astigmatic presbyopes right in the chair, making a meaningful difference for both my patients and my practice. This is a welcome addition to the TOTAL30 Family of Lenses—allowing me to offer the complete portfolio to all of my patients’ unique needs.”

TOTAL30 Multifocal for Astigmatism is now available in the U.S. and will soon be launched in limited International markets in 2026.

For more information, ECPs can visit MyAlcon.com.

About TOTAL30® Multifocal for Astigmatism Contact Lenses
TOTAL30® Multifocal for Astigmatism contact lenses are designed for astigmatic people with presbyopia and are intended to be used on a monthly replacement schedule. See product instructions for complete wear, care, and safety information. The contact lenses are available with a full power range of +6.00 D to -10.00 D (in 0.25D steps), three ADD powers (Low, Med, High) and Cylinder Offerings: 0.75, 1.25, 1.75. In most markets, TOTAL30® Multifocal for Astigmatism contact lenses are medical devices that must be prescribed by an eye care professional.

About Alcon
Alcon helps people see brilliantly. As the global leader in eye care with a heritage spanning over 75 years, we offer the broadest portfolio of products to enhance sight and improve people’s lives. Our Surgical and Vision Care products touch the lives of more than 260 million people in over 140 countries each year living with conditions like cataracts, glaucoma, retinal diseases and refractive errors. Our more than 25,000 associates are enhancing the quality of life through innovative products, partnerships with Eye Care Professionals and programs that advance access to quality eye care. Learn more at www.alcon.com.


^Rated after at least 12 hours of wear.

†Toric contact lens wearers with presbyopia can wear Multifocal Toric lenses; hyperopic and myopic lens wearers with presbyopia can wear Multifocal lenses.

*Based on critical coefficient of friction as measured by nano-tribometer (“worn” lenses were worn on-eye for a full wearing schedule: 14 days for ACUVUE OASYS^, 30 days for Biofinity^, ACUVUE VITA^, Bausch + Lomb ULTRA^); p<0.05.

**Based on surface modulus measured with AFM nanoindentation (“worn” lenses were worn

on-eye for a full wearing schedule: 14 days for ACUVUE OASYS^, 30 days for Biofinity^, ACUVUE VITA^, Bausch + Lomb ULTRA^); p<0.05.

+Based on in vitro measurements of unworn lenses.

#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. The patient should continue to use UV absorbing eyewear as directed.

##Filtering of HEV light (HEVL) by contact lenses has not been demonstrated to confer any health benefit to the user, including but not limited to retinal protection, protection from cataract progression, reduced eye strain, improved contrast, improved acuity, reduced glare, improved low light vision, or improved circadian rhythm / sleep cycle. Consult your eye care professional for more information.


References
1. Based on a clinical performance evaluation of TOTAL30® Multifocal for Astigmatism contact lenses; Alcon data on file, 2025. REF-27092.
2. Surface lubricity testing of lehfilcon A and commercial lenses using nano-tribometer; Alcon data on file, 2021.
3. Laboratory analysis of surface modulus of lehfilcon A and commercial lenses using atomic force microscope; Alcon data on file, 2021.
4. Presbyopia Fact Pack. Alcon data on file, 2021; REF-27827.
5. Naroo SA, Nagra M, Retallic N. Exploring contact lens opportunities for patients above the age of 40 years. Cont Lens Anterior Eye.2022;45(6):101599. doi.org/10.1016/j.clae.2022.101599.
6. Multi-sponsor Surveys, Inc. 2022 Syndicated Study of the U.S. Consumer Contact Lens Market.
7. Based on an online survey of 152 Eye Care Professionals in US; Alcon data on file, 2024.
8. In vitro analysis of lehfilcon A contact lenses outermost surface softness and correlation with water content; Alcon data on file, 2021.
9. In vitro analysis of lens oxygen permeability, water content, and surface imaging; Alcon data on file, 2021.
10. Based on a clinical performance evaluation of TOTAL30® Multifocal for Astigmatism contact lenses; Alcon data on file, 2025. REF-27332.
11. Shi X, Cantu-Crouch D, Sharma V, et al. Surface characterization of a silicone hydrogel contact lens having bioinspired 2-methacryloyloxyethylphosphorylcholine polymer layer in hydrated state. Colloids Surf B: Biointerfaces. March 2021;199:111539.
12. In vitro evaluation of bacterial adherence in commercial sphere lenses: Alcon data on file, 2020.
13. In vitro evaluation of bacterial biofilm in commercial sphere lenses: Alcon data on file, 2020.
14. Ishihara K, Fukazawa K, Sharma V, Liang S, et al. Antifouling silicone hydrogel contact lenses with a bioinspired 2-methacryloyloxyethylphosphorylcholine polymer surface. ACS Omega. 2021;6:7058-7067.
15. Luensmann D. Toric Lens Prescription Coverage in a Presbyopic Population. Centre for Ocular Research and Education, University of Waterloo, Waterloo, ON Canada. October 2021.

 

[Van Hardman]

I wish the contact lens manufacturers would go back to naming their lenses torics. It would be so much easier on my writing hand; much easier to write x toric than x for astigmatism; that's nine more letters!

 

[Charles A McBride]

I've mostly ignored their naming and stick to toric.

It's interesting that they've come out with this lens. I have only a little experience with Total30 toric lenses (the fitting set is fantastic) but combining it with a multi-focal seems like a risky financial decision for Alcon to take from my vantage point. They must know something. -Charlie

 

[William R. Hall]

I've mostly ignored their naming and stick to toric.

It's interesting that they've come out with this lens. I have only a little experience with Total30 toric lenses (the fitting set is fantastic) but combining it with a multi-focal seems like a risky financial decision for Alcon to take from my vantage point. They must know something. -Charlie

CooperVision's MF/Toric did reasonably well. May be in part because higher astigmats are used to suboptimal vision anyway.

 

[Larry Bickford O.D.]

I've mostly ignored their naming and stick to toric.

It's interesting that they've come out with this lens. I have only a little experience with Total30 toric lenses (the fitting set is fantastic) but combining it with a multi-focal seems like a risky financial decision for Alcon to take from my vantage point. They must know something. -Charlie

I've been asking/wanting this for years! The DT1 and T30 are for me the most wearable material out there. Just ordered some trials so we'll see. My personal go-to is Cooper Biofinity Toric Multifocal and they're just fine. Only issue for me is the variable usable longevity. Sometime they last two weeks, most of time a month (as marketed) but sometimes two months! Sometimes left, sometime right is the winner. Some boxes end up half empty, some half full.

CooperVision's MF/Toric did reasonably well. May be in part because higher astigmats are used to suboptimal vision anyway.

No, I am not used to or happy with sub-optimal vision. Just the opposite. I'll do what is necessary to NOT have double lines of captioning on the TV.

As far as risky financial decisions, just look at J&J. They decided to come out with a multifocal toric in one lower power cylinder in limited parameters in limited markets. Now THATS a risky decision. Or not. Im sure their market research indicated that they should put their toe in the waters but not the whole foot.

 

[AdminWolf]

As far as risky financial decisions, just look at J&J. They decided to come out with a multifocal toric in one lower power cylinder in limited parameters in limited markets. Now THATS a risky decision. Or not. Im sure their market research indicated that they should put their toe in the waters but not the whole foot.

I have no insider knowledge, but I wonder if the soft launch might be due to ramping of production -- MF Torics are the sum-of-all-fears when it comes to manufacturing and stocking different SKUs.

 

[Steve Silberberg]

You are correct here, Adam. You cannot possibly have a trial set that you can dispense out of except for say, 10 degrees around 90 and 180. In the past MF toric deliveries were really slow. MFs as a rule are hardly magically perfect the first try when you don't have a trial lens close to the real RX. Hope they ramp it up

 

[Andrew Gore]

I have only a little experience with Total30 toric lenses (the fitting set is fantastic)

I remember some posters in here saying that the Total 30 material could not make it through one month. I have not used the Total 30 lens at all yet. Is the consensus moving towards the idea that the lens does last 30 days?

 

[Larry Bickford O.D.]

You are correct here, Adam. You cannot possibly have a trial set that you can dispense out of except for say, 10 degrees around 90 and 180. In the past MF toric deliveries were really slow. MFs as a rule are hardly magically perfect the first try when you don't have a trial lens close to the real RX. Hope they ramp it up

All you need is, as. you wrote, something close, 10 degrees close so simply ordering that as a trial (if you don't have a minimal fitting kit) and over refract, order the resultant and you are 90% of the time done. The problem is, indeed, that the ordering>refitting>ordering>dispensing time frame means that there is no instant gratification going on. So let the patient know that this is a process and it will take a few weeks to get there, but you will get there. If they don't get it, don't proceed and move on to someone else.

Back in my day I fitted a ton of torics and multifocal torics with great success. Like 80%+. Even if the don't get perfect near acuity most of them will be fine with +1.25 readers for those "special times." But they WILL balk at poor distance but even so, most will tolerate a little compromise for the overall convenience.

Not me, personally. I demand no-compromise 20/20 distance and okay with using readers "once in a while." Beware dry eye and DLS. (Dirty lens syndrome).

Now who's got the fix for my (onset yesterday) PVD "floater" too close to my central vision?

 

[Charles A McBride]

All you need is, as. you wrote, something close, 10 degrees close so simply ordering that as a trial (if you don't have a minimal fitting kit) and over refract, order the resultant and you are 90% of the time done. The problem is, indeed, that the ordering>refitting>ordering>dispensing time frame means that there is no instant gratification going on. So let the patient know that this is a process and it will take a few weeks to get there, but you will get there. If they don't get it, don't proceed and move on to someone else.

Back in my day I fitted a ton of torics and multifocal torics with great success. Like 80%+. Even if the don't get perfect near acuity most of them will be fine with +1.25 readers for those "special times." But they WILL balk at poor distance but even so, most will tolerate a little compromise for the overall convenience.

Not me, personally. I demand no-compromise 20/20 distance and okay with using readers "once in a while." Beware dry eye and DLS. (Dirty lens syndrome).

Now who's got the fix for my (onset yesterday) PVD "floater" too close to my central vision?

You gotta watch Nata Lighthizer's video on attacking these with a Yag on CEWire 2026. -c

 

[Alex Lukens OD]

So far I've been impressed with the Total30 MF Toric. N of 1 (myself). I've been wearing them for a few weeks now. Distance vision, during the day and at night, has been fantastic and the near vision has been great with the medium add. The high add was too strong for computer work. Good comfort too.

I have a very mild distance Rx after having had LASIK in 1999, OD: +0.75 -0.75 x 150, OS: +0.75 -0.75 x030, Add: +2.25. Personally, I haven't had success with Biofinity MF toric and AV Oasys MAX 1 Day MF Toric (over-corrected my cyl). Blurry DVA with both. Although I have plenty of patients doing well with both. Prior to the Total30 MF Toric, I was wearing both Clariti 1 Day MF High OU and AV Oasys MAX 1 Day MF High OU. They worked well enough but night vision was not clear enough to feel comfortable with freeway driving.

No other patients wearing the Total30 MF Toric yet but I have ordered trials for 4 patients.

 

[Charles A McBride]

Okay Adam. Let's do it. The Alcon MF (non-toric). As an effective monocular you make a good guinea pig in my view, although others would argue otherwise. -Charlie

P.S. Thanks for the thorough review Alex!

 

[Larry Bickford O.D.]

I've said this before but it worth repeating.

If someone has an significant cylinder, especially if axis 90ish, if you do not correct it they will fail at multifocal contact lenses. Like don't even bother. On the flip side, if they have .50-.75 residual cylinder axis 180 in the near/non-dominant eye, that can work to their advantage. Sometimes, not always. Not necessarily so for the distance/dominant eye. That said, fully correcting the cylinder is still the better way to go.

This is why J&J is setting up their doctors to fail. 1D cyl won't cut it for the majority of astigmats. Too much for low astigs and not enough for most.