Of all the years that I've worked here, it is now one of the meanest work environments I've ever seen. Upper management will berate and rip presenters apart in front of co-workers and literally tell them they are stupid. This then trickles down to everyone else. There is NO appreciation of the hard work, long hours of overtime, and multiple projects that employees juggle - never a positive phrase or thank you. The motto is to just work harder. There is no career development plan for employees. They often hire from the outside bringing in managers with no knowledge of the industry or with management experience. Often the managers can't contribute to the R&D pipeline or to strategy so they in turn bully their direct reports due to insecurity. The theme is to acquire companies and then run them into the ground and then buy another company to make up for it. There has not been an upgrade to the VISX or IntraLase pipeline in 6 years and the cataract pipeline is riddled with problems. Managers never have your back and the theme is "every man for themselves".