IINTRODUCTION
Methodology
Executive Summary
About The Author
VISION CORRECTION
Vision Correction by Country
Primary Eye Care in the US
Number of Eye Care Visits
Primary Providers of Eye Care Services
Effects of Vision Care Insurance on Eye Care Providers
Contact Lenses vs. Glasses
Improvements in Contact Lenses
US Market by Vision Correction
Primary Eye Care Outside of the US
Contact Lenses
REFRACTIVE DISSORDERS
Overview
Refractive Errors
Myopic Population Estimates
Myopia Based on Age, Race, and Gender
Frequency of Myopia by Income Level
Educational Level and Myopia
Older Myopes and Refractive Surgery
Frequency of Hyperopia
Hyperopia and Accommodation
Hyperopia and Refractive Surgery
Astigmatism
Presbyopia
REFRACTIVE SURGERY TECHNIQUES
History of Refractive Surgery
Radial Keratotomy
Photorefractive Keratectomy
LASIK
LASEK
Epi-LASIK
Wavefront-Guided LASIK
Other Technologies
Intacs
Laser Thermokeratoplasty
Conductive Keratoplasty
Phakic IOLs
Refractive Lens Exchange
PATIENT ECONOMICS
Current Methods of Vision Correction
Perceived Benefits of Refractive Surgery
Long-Term Indirect Cost of Vision Correction
Sources of Payment
Financing Programs
Reimbursement, Health Insurance, Tax Treatment, Etc.
Prospective Patient Demographics
Procedure Pricing
Relationship Between Demand and Economic Conditions
LVC Penetration Rates and Available Market
REFRACTIVE SURGEONS
US Refractive Surgeons
WHERE SURGEONS OPERATE
Surgical Volume
Economics of US Surgeons’ Practice Models
Refractive Surgeons in Other Key Markets
Japan
Western Europe
China
Other Wealthy Nations
India
Rest of World
LASER CENTERS
US Laser Centers
The Corporate Laser Center Segment
Corporate Business Models
Number of US Corporate Laser Centers
US Corporate Laser Center Procedure Volumes
Corporate Segment
Institution-Owned Laser Centers
Annual Procedure Volume
Surgeon-Owned Laser Center
Laser Center Economics
Laser Centers Outside of the US
Japan
Western Europe
Other Wealthy Countries
China
India
Medical Tourism
LASER MANUFACTURERS
Laser Market Development
Regulatory Issues
US Regulatory Issues
European Regulatory Approval
Japanese Regulatory Approval
Installed Base of Excimer Lasers
US Market Share by Excimer Laser
US Procedure Market Share
Excimer Laser Market in Japan
Excimer Laser Market in Western Europe
Other Wealthy Nations Excimer Laser Markets
China Excimer Laser Market
Market for Excimer Lasers in India
Market for Excimer Lasers in the Rest of World
Market for Excimer Lasers
US Excimer Laser Market
Japanese Excimer Laser Market
Western Europe Excimer Laser Market
Excimer Laser Market in Other Wealthy Nations
Excimer Laser Market in China, India, and the Rest of World
Design Aspects of Excimer Lasers
Wavefront Analysis and Other Optical Measurement Devices
Profiles of Lasers on the Market
Alternative Technologies
Thermokeratoplasty
Intacs
Phakic IOLs
Presbyopia and Accommodating Technology
Monovision Excimer Laser Ablation
Multifocal Excimer Laser Ablation
Multifocal IOLs
Accommodating IOLs
Corneal Inlays
Scleral Relaxation
Wavefront Diagnostic Instruments
Disposables
Microkeratomes
Historical Perspective
Current Products
Global Microkeratome Market
Global Market Share by Manufacturer
INDEX OF TABLES
Global Laser Refractive Market Summary
Population Data by Country—Wealthy Nations
Population Data by Country—Emerging Nations
Population Data by Country—Underdeveloped Nations
US Ophthalmologists by Specialty
US Population Wearing Contact Lenses, by Age and Type
Ophthalmologists by Country
Studies of the Frequency of Myopia
Prevalence of Myopia in Children from Selected Studies
Frequency of Myopia by Age and Family Income
Frequency of Hyperopia by Age
Postoperative LASIK Complications
Perceived Benefits and Risks of Vision-Correction Methods
2007 Retail Market for Vision Correction (millions)
Percentage of Patients Who Opt to Finance Procedures
Vision Disorders in the United States
Projected Available US Patient Pool
US Refractive Surgeons
Refractive Surgeons by State
Where Surgeons Operate
Surgeons’ Procedure-Volume Distribution
Economics of US Surgeon-Owned Lasers in 2006
US Surgeon’s Average Price for LASIK
LVC in Western Europe
LVC in Other Wealthy Nations
Global Laser Centers by Region
2007 Laser Center Market by Segment
Laser Center Business Models
US Corporate Laser Centers by Company
Procedure Volume Market Share in US Corporate Segment
Institutional Laser Centers by Annual Procedure Volume
Surgeon-Owned Laser Centers by Volume
Cost of a Typical Laser Facility ($000)
Revenues and Operating Costs of Excimer Laser Centers
US Laser Center Market
Projected Laser Centers Outside of the US
Snapshot of the Japanese Laser Center Market
Snapshot of Western European Laser Center Market
Snapshot of Laser Centers in Other Wealthy Nations
Snapshot of Laser Centers in China
Snapshot of Laser Centers in India
Refractive Laser Manufacturers
US FDA Regulatory Approvals for Refractive Lasers
Refractive Lasers with CE Mark Regulatory Approval
Installed Base of Refractive Lasers
US Excimer Lasers Unit Sales and Installed Base
Japan Excimer Lasers Unit Sales and Installed Base
Western European Excimer Laser Sales and Installed Base
Other Wealthy Nations Excimer Laser Sales- Installed Base
China Excimer Lasers Unit Sales and Installed Base
India Excimer Lasers Unit Sales and Installed Base
ROW Excimer Lasers Unit Sales and Installed Base
US Excimer Laser Market
Japanese Excimer Laser Market
Western Europe Excimer Laser Market
Other Wealthy Nations Excimer Laser Market
China, India and ROW Excimer Laser Market
Comparison of Excimer Lasers
2007 Market for Presbyopia Correction
WaveFront Analyzers
Global Microkeratome Market
INDEX OF FIGURES
Global Refractive Procedures
Global Population by Economic Groups
Global GDP by Economic Groups
Worldwide Contact Lens Wearers by Lens Type
US Method of Vision Correction
Contact Lens Wearers Over Time
US Vision-Care Population by Segment
Diagram of Refractive Errors within the US Population
LASIK Remains Procedure of Choice for Vision Correction
Projected Growth of Wavefront–Driven LASIK
Preoperative Methods of Vision Correction
Ten-Year Cost of Vision Correction
Sources of Payment
Average Age of US Refractive Patients
Income Levels of LASIK Patients
Education Levels of Refractive Patients
US Population and LVC Patients by Refractive Errors
Average Price Charged for Refractive Surgery
Quarterly LASIK Procedures vs. Consumer Confidence
Geographic Location of Refractive Surgeons
Percent of Revenues from Refractive Surgery
Average Surgeon Revenues from Refractive Surgery
Type of Practice
Trends in Surgical Location
Global Laser Centers by Country
Laser Centers by Region by Year
Laser Centers by Owner
Refractive Procedures by Segment
Procedures per Laser Center
Installed Base of US Excimer Lasers
US Procedure Market by Quarter
Global Excimer Laser Market by Region
Global Excimer Laser Market
Phakic IOL Market Share
Femtosecond & Mechanical Microkeratome Market Share
Mechanical Microkeratome Procedure Market Share
Procedure Market Share by Manufacturer
Global Revenues Microkeratome Market Share
COMPANIES PROFILED
20/10 Perfect Vision GmbH
AceVision Group
AcuFocus, Inc.
Addition Technology, Inc.
Advanced Medical Optics, Inc.
Alcon, Inc.
Allergan, Inc.
Bausch & Lomb
Becton Dickinson & Co./ BD Ophthalmic Systems
BioVision AG
Carl Zeiss Meditec AG/ IOL Tech
Clinica Baviera SA
CustomVis PLC
Eyeonics, Inc.
iVis Technologies
Katana International AG
Laser Eye Centers
Lasik Vision Institute, LLC
LaserSight Technologies, Inc.
LCA-Vision, Inc.
Medennium, Inc.
Moria SA
Nidek, Inc.
Norwood Abbey Ltd.
NovaMed Eyecare, Inc.
Ophtec BV
Refocus Group, Inc.
Refractec, LLC
ReVision Optics, Inc.
Schwind Eye-Tech-Solutions GmbH
Staar Surgical
SurgiLight, Inc.
Tekia, Inc.
TLC Vision, Inc.
Tracey Technologies Corporation
WaveLight AG
Ziemer Ophthalmic Systems AG