Advanced Medical Optics (EYE)

FORM OF REPURCHASE NOTICE

The undersigned registered owner of this Note hereby irrevocably acknowledges receipt of a notice from Abbott Medical Optics Inc. (formerly Advanced Medical Optics, Inc.) (the “Company”) regarding the right of holders to elect to require the Company to repurchase the Notes and requests and instructs the Company to repay the entire principal amount of this Note, or the portion thereof (which is $1,000 or an integral multiple thereof) below designated, in cash, in accordance with the terms of the Indenture, dated as of June 22, 2004 (as amended, supplemented or otherwise modified, the “Indenture”), between the Company and U.S. Bank National Association, as trustee and paying agent, at the price of 100% of such entire principal amount or portion thereof, together with accrued and unpaid interest to, but excluding, the Fundamental Change Repurchase Date to the registered holder hereof. Capitalized terms used herein but not defined shall have the meanings ascribed to such terms in the Indenture. The Notes shall be repurchased by the Company as of the Fundamental Change Repurchase Date pursuant to the terms and conditions specified in the Indenture.

Dated:                                                                                                                                                                                                                                                

Signed:                                                                                                                                                                                                                                              

NOTICE: The above signatures of the holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.

Note Certificate Number (if applicable):                                                                                                                                                                              

Principal amount to be repurchased (if less than all,

must be $1,000 or whole multiples thereof):                                                                                                                                                                       

Social Security or Other Taxpayer Identification Number:                                                                                                                                            

A-1

FORM OF REPURCHASE NOTICE

The undersigned registered owner of this Note hereby irrevocably acknowledges receipt of a notice from Abbott Medical Optics Inc. (formerly Advanced Medical Optics, Inc.) (the “Company”) regarding the right of holders to elect to require the Company to repurchase the Notes and requests and instructs the Company to repay the entire principal amount of this Note, or the portion thereof (which is $1,000 or an integral multiple thereof) below designated, in cash, in accordance with the terms of the Indenture, dated as of June 13, 2006 (as amended, supplemented or otherwise modified, the “Indenture”), between the Company and U.S. Bank National Association, as trustee and paying agent, at the price of 100% of such entire principal amount or portion thereof, together with accrued and unpaid interest to, but excluding, the Fundamental Change Repurchase Date to the registered holder hereof. Capitalized terms used herein but not defined shall have the meanings ascribed to such terms in the Indenture. The Notes shall be repurchased by the Company as of the Fundamental Change Repurchase Date pursuant to the terms and conditions specified in the Indenture.

Dated:                                                                                                                                                                                                                                                

Signed:                                                                                                                                                                                                                                              

NOTICE: The above signatures of the holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.

Note Certificate Number (if applicable):                                                                                                                                                                              

Principal amount to be repurchased (if less than all,

must be $1,000 or whole multiples thereof):                                                                                                                                                                       

Social Security or Other Taxpayer Identification Number:                                                                                                                                            

A-1

FORM OF REPURCHASE NOTICE

The undersigned registered owner of this Note hereby irrevocably acknowledges receipt of a notice from Abbott Medical Optics Inc. (formerly Advanced Medical Optics, Inc.) (the “Company”) regarding the right of holders to elect to require the Company to repurchase the Notes and requests and instructs the Company to repay the entire principal amount of this Note, or the portion thereof (which is $1,000 or an integral multiple thereof) below designated, in cash, in accordance with the terms of the Indenture, dated as of July 18, 2005 (as amended, supplemented or otherwise modified, the “Indenture”), between the Company and U.S. Bank National Association, as trustee and paying agent, at the price of 100% of such entire principal amount or portion thereof, together with accrued and unpaid interest to, but excluding, the Fundamental Change Repurchase Date to the registered holder hereof. Capitalized terms used herein but not defined shall have the meanings ascribed to such terms in the Indenture. The Notes shall be repurchased by the Company as of the Fundamental Change Repurchase Date pursuant to the terms and conditions specified in the Indenture.

Dated:                                                                                                                                                                                                                                                

Signed:                                                                                                                                                                                                                                              

NOTICE: The above signatures of the holder(s) hereof must correspond with the name as written upon the face of the Note in every particular without alteration or enlargement or any change whatever.

Note Certificate Number (if applicable):                                                                                                                                                                              

Principal amount to be repurchased (if less than all,

must be $1,000 or whole multiples thereof):                                                                                                                                                                       

Social Security or Other Taxpayer Identification Number:                                                                                                                                            

A-1