Risk Factors Update Summary

• We are highly leveraged, with approximately $164 million in total indebtedness, limiting operational flexibility and cash flow. This may adversely affect our results of operations.
• Nasdaq initiated a delisting process due to noncompliance with Listing Rule 5250(c)(1), which could significantly impact liquidity and market price.
• We have limited capital and expect to need to raise additional capital in the near future, which could significantly impact our growth strategies and financial condition.
• Increased stockholder activism and securities litigation risks may divert management's attention and resources, potentially incurring significant legal fees.
• Our failure to timely file periodic reports with the SEC has led to stockholder litigation risks, which could materially affect our business and financial condition.
• Delisting from Nasdaq could breach existing material arrangements, triggering defaults that adversely affect financial condition and operations.
• The concentration of our revenue on a few large customers, including Alcon, poses risks of cancellations or delays that could adversely impact our business and profits.
• Cybersecurity risks have increased, with no assurance that risk management programs will effectively protect systems and information.
• Activist stockholders may disrupt our operations and seek changes conflicting with our strategic direction, potentially causing significant fluctuations in our stock price.
• The global economy's continued volatility may adversely affect business operations, financial condition, and results of operations.