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Goodwill and intangible assets - Intangible asset assumptions (Details)
Dec. 31, 2019
Surgical [member]  
Disclosure of detailed information about intangible assets [line items]  
Growth rate used to extrapolate cash flow projections 3.00%
Discount rate (post-tax) 7.50%
Vision Care [member]  
Disclosure of detailed information about intangible assets [line items]  
Growth rate used to extrapolate cash flow projections 3.00%
Discount rate (post-tax) 7.00%