Caren Mason
Analyst · Canaccord
Thank you, Brian. Good afternoon, everyone, and thank you for joining us on today's call. The fourth quarter results we reported today are consistent with the preliminary results we announced last month. Fourth quarter results contributed to another record year of sales, profit, cash flow and growth achievements for STAAR in fiscal 2021. We achieved all of this despite some ongoing COVID and operations related headwinds. Our results were driven by global ICL unit growth for the full year fiscal 2021 which was up 48% year-over-year and almost three times the 17% increase in global industry refractive procedures. Turning to the fourth quarter, we achieved strong growth in several markets, including ICL unit growth in China, up 44%, Japan up 45%, South Korea up 35%, India up 74% and Latin America up 30%, all as compared to the prior year quarter. All the major regions we track achieved positive ICL unit growth year-over-year for the fourth quarter of 2021. European geographies, as many of you know, were most impacted by the emerging Omicron COVID variant during the fourth quarter of 2021. COVID impacted certain of our European customers and in the U.S. STAAR's manufacturing operations. Employee absenteeism was the major headwind in both cases, with staff and employees quarantining at various times during the fourth quarter, mostly due to household or contact tracing COVID protocols. We believe the worst of these headwinds are now lessening. Global demand for ICL continues unabated through the first seven weeks of the first quarter of 2022, including record orders from surgeons in China. Based on our current demand and supply forecasts, we are reaffirming our previously provided outlook for fiscal 2022 net sales of approximately $295 million subject to no unforeseen impacts from COVID on our business. $295 million in net sales represents 28% year-over-year growth, which is an acceleration from our pre-pandemic level of growth in fiscal 2019 and would represent another record year of sales for STAAR. Patrick will provide details on the calendarization and composition of our sales outlook shortly. Turning to the U.S., our submission of clinical data for STAAR's EVO family of myopia lenses remains under customary interactive FDA review. While our expectation of pre-COVID approval timelines by the FDA has now passed, we remain confident regarding an approval of our PMA supplement. We will provide further comments on the process and our interactions with the FDA, when permitted and appropriate to do so. The U.S. is the second largest market in the world for refractive procedures. We estimate that there are a very significant 100 million U.S. adults who are potential candidates for our implantable Collamer lenses. These adults are aged 21 to 45 with myopia in the range of -3 diopters and -15 diopters, which are our currently approved ranges in the U.S. In 2022, we plan to invest more heavily in consumer awareness building programs designed to accelerate the paradigm shift to lens based vision correction. We are seeking commitments from new and exciting celebrity brand ambassadors in the U.S. and abroad, who plan to share their journeys to the visual freedom provided by our EVO lenses. We will also continue to engage surgeons and their staffs globally through clinical validation, education and strategic cooperation in fiscal 2022. Our implantable Collamer lenses are suitable for a wide range of vision correction, which in some markets extends down the diopter curve to -0.5 diopters. I am pleased to report today that for the full year of fiscal 2021, almost two thirds of our ICLs sold globally were in the range of -0.5 to -10 diopters. In April, we will engage the academic community to refractive surgery, the ASCRS Annual Meeting in Washington DC, where we anticipate thousands of U.S. surgeons and clinic attendees. Our medical monitor for our U.S study, Dr. Mark Packer, submitted his abstract to ASCRS and we look forward to sharing the clinical data at that time. Later this year in September, we plan to host an expert's meeting ahead of the European Society of Cataract and Refractive Surgery, the ESCRS Annual Congress, which is also historically attended by a strong contingent of global sturgeons, where we plan to kick off the full commercialization of our presbyopia lenses. All told, we anticipate fiscal 2022 will be another record year of commercial and financial progress for STAAR. Patrick?