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Intangible assets other than goodwill (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Disclosure of detailed information about intangible assets [line items]          
Impairment of intangibles $ 41   $ 0 $ 57 $ 0
Vision Care          
Disclosure of detailed information about intangible assets [line items]          
Recoverable amount of CGU $ 88     $ 88  
Surgical          
Disclosure of detailed information about intangible assets [line items]          
Impairment of intangibles   $ 16