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Goodwill and intangible assets - Intangible asset assumptions (Details)
Dec. 31, 2020
Dec. 31, 2019
Surgical [member]    
Disclosure of detailed information about intangible assets [line items]    
Terminal growth rate 3.00% 3.00%
Discount rate (post-tax) 7.50% 7.50%
Vision Care [member]    
Disclosure of detailed information about intangible assets [line items]    
Terminal growth rate 3.00% 3.00%
Discount rate (post-tax) 7.00% 7.00%