Portfolio Comparison
Alcon Portfolio Strategy

Two Devices. One Vision.

How Voyager™ DSLT and Valeda™ work together to capture the two largest age-related eye disease markets — from the same patient demographic.

Voyager™ DSLT
Glaucoma · Anterior Segment
+
Valeda™
Dry AMD · Posterior Segment
The Business Case

Why Practices Need Both

Glaucoma and dry AMD are the two most prevalent age-related eye diseases, affecting the same patient demographic. A practice that treats both captures the full opportunity.

16M+
Combined U.S. Patients
~5M glaucoma + ~11M AMD — the same 60+ demographic
80%
Patient Overlap Age Group
Both diseases peak in patients over 60; your existing patients likely have both
$500K+
Combined Annual Revenue Potential
Dual revenue streams from the same patient base and infrastructure
0
Additional OR Time Required
Both are office-based, non-invasive, and delegatable to QHPs
01

Stop the Referral Leak

The Problem

Without Voyager DSLT, your glaucoma patients are referred out for SLT. Without Valeda, your dry AMD patients hear 'there's nothing we can do' and seek care elsewhere. Every referral is lost revenue and a weakened patient relationship.

The Solution

Both devices keep patients in-house. Voyager DSLT enables any ophthalmologist to perform SLT — no gonio lens, no specialist training. Valeda transforms the dry AMD conversation from 'watch and wait' to 'let's start treatment today.'

The Impact

Practices report retaining 30-40% more patients who would otherwise be referred out or lost to attrition.

02

One Patient, Two Treatments

The Problem

A 68-year-old patient presents with both open-angle glaucoma and early dry AMD — an extremely common comorbidity in the 60+ population. Today, most practices can only address one condition and refer for the other.

The Solution

With both devices, the same patient receives Voyager DSLT for their glaucoma (2.4 seconds, one visit) and Valeda for their dry AMD (< 5 min/eye, 9 sessions). Same practice, same staff, same infrastructure.

The Impact

Each dual-diagnosis patient generates ~$235 (Voyager DSLT) + ~$2,700 (Valeda course) = ~$2,935 in combined procedure revenue — from a single patient.

03

Maximize Your Capital Investment

The Problem

A single device purchase carries risk — what if volume doesn't meet projections? The fixed cost of one device must be justified by one revenue stream.

The Solution

Two devices share the same exam lane infrastructure, staff training model, and patient demographic. The marginal cost of adding the second device is lower than the first because the practice workflow is already adapted.

The Impact

Practices with both devices report faster ROI on each individual device because the shared infrastructure reduces per-procedure overhead.

04

Build a Referral Magnet

The Problem

Optometrists and primary care physicians need somewhere to send their aging patients with eye disease. They prefer a single, trusted referral destination.

The Solution

A practice offering both Voyager DSLT and Valeda becomes the go-to referral center for the two most common age-related eye diseases. Optometrists can send both their glaucoma and dry AMD patients to one practice.

The Impact

Early adopters of both technologies report 2-3x increase in optometric referrals within the first year — the 'innovation halo' effect.

05

Recurring Revenue Engine

The Problem

Most ophthalmic procedures are one-time events. Revenue is unpredictable and depends on new patient acquisition.

The Solution

Valeda requires maintenance treatments every 4 months — creating a predictable, compounding revenue stream. Voyager DSLT is repeatable as needed. Together, they create a recurring revenue model that grows with your patient base.

The Impact

A practice treating just 10 Valeda patients/month generates ~$324K in annual recurring revenue from maintenance alone — on top of Voyager DSLT procedure revenue.

Revenue Projections

Combined Portfolio ROI

Three scenarios based on weekly procedure volume. All figures assume standard Medicare reimbursement and typical Valeda course pricing.

Voyager™ DSLT
Procedures/week15
Revenue/procedure~$235
Annual Revenue$176,250
Valeda™
New courses/week8
Revenue/course~$2,700
Annual Revenue$1,080,000
Combined Annual Revenue (Moderate Scenario)
$301K
Estimated ROI payback: 10–14 months
Based on 50 working weeks/year · Standard Medicare reimbursement · Excludes click fees and device costs
Head-to-Head

Product Comparison

Category
Voyager™ DSLT
Valeda™
Therapeutic Area
Glaucoma & Ocular Hypertension
Early & Intermediate Dry AMD
Technology
Automated SLT (Q-switched Nd:YAG laser, 532 nm)
Photobiomodulation (3-wavelength LED: 590/660/850 nm)
FDA Status
510(k) Cleared — February 2025
De Novo Authorized — November 2024
Treatment Goal
Lower IOP, reduce/eliminate medication burden
Improve visual acuity, slow disease progression
Treatment Duration
~2.4 seconds (120 pulses)
< 5 minutes per eye
Patient Experience
Non-contact, no gonio lens, no blurry vision
Non-invasive, no injections, no dilation, pain-free
Treatment Protocol
Single session; repeatable as needed
9 sessions over 3–5 weeks; maintenance every 4 months
Pivotal Trial
GLAUrious (RCT vs. manual SLT)
LIGHTSITE III (2-year, 10-site U.S. RCT)
Key Efficacy
62% medication-free at 12 months; 3.2 mmHg IOP reduction
88% maintained/gained vision at 24 months; ~1 line improvement
Safety Profile
Zero ocular SAEs; mild punctate hemorrhage most common AE
Zero treatment-related SAEs across all LIGHTSITE trials
Reimbursement
CPT 65855 — ~$235 Medicare reimbursement
CPT 0936T (Category III) — ~$150/session, hybrid billing
Business Model
Capital equipment (~$75K) + per-procedure click fee (~$50–90)
Capital equipment + per-treatment cost; recurring revenue every 4 months
Portfolio Strategy

Selling the Alcon Platform

Six key talking points for positioning Voyager DSLT and Valeda as a unified Alcon technology platform rather than standalone products.

Complete Anterior & Posterior Coverage

Voyager DSLT addresses the anterior segment (trabecular meshwork for glaucoma), while Valeda treats the posterior segment (retina for dry AMD). Together, they cover the two most prevalent age-related eye diseases.

Same Patient Demographic

Both glaucoma and dry AMD primarily affect patients over 60. A practice investing in both devices captures a larger share of the same aging patient population, maximizing chair time and patient lifetime value.

Complementary Workflow

Both devices are office-based, non-invasive, and delegatable to qualified health professionals. They share the same practice infrastructure — no OR time, no sedation, minimal consumables.

Dual Revenue Streams

Voyager DSLT generates revenue per procedure with established CPT 65855 reimbursement. Valeda creates a recurring revenue stream with maintenance treatments every 4 months. Together, they build predictable, compounding practice income.

Practice Differentiation

Offering both first-of-their-kind technologies positions the practice as a cutting-edge center of excellence. This drives referrals, attracts new patients, and strengthens the practice's competitive moat.

Alcon Innovation Platform

Both products are backed by Alcon — the world's largest eye care company. A dual-product relationship deepens the partnership, unlocks potential volume incentives, and positions the practice for future Alcon innovations.

Target Practices

Portfolio Pitch by Practice Type

Tailor your dual-product pitch based on the practice structure. Click each profile to see specific talking points for Voyager DSLT and Valeda.

Deep Dive

Ready to Master Each Product?

Access the full training guide for each product — including clinical evidence, competitive intelligence, quizzes, flashcards, and role-play practice.