Our yearly report on the global IOL market is the leading industry source for accurate and timely information on intraocular lens markets throughout the world. We use eight geographic/economic categories to examine global markets: the US, Western Europe, Japan, other wealthy nations, China, India, Latin America, and the rest of the world. We compile and analyze data on IOL procedure volumes, IOL market shares by technology and manufacturer, and average prices. The data is drawn from our quarterly surveys of ophthalmic surgeons, company financial reporting, interviews with company executives and published clinical data. A five-year market forecast by segment and by geographic region is also included.
Now in its ninth edition, our 311 page report on the IOL market is a leading industry source for accurate and relevant information regarding all aspects of the IOL market, including market share, average pricing, and market projections.
The data included in our reports is based on quarterly surveys of ophthalmic surgeons, interviews with company executives and analysis of financial data.
Our Report is Organized into Key Areas and Includes:
· An overview of incidence and causes of cataracts globally as well as the treatment methods of cataracts worldwide.
· Demographics and economics of refractive lens exchange and phakic IOL surgery.
· An analysis of surgeons, ambulatory surgery centers, hospitals and other providers of cataract surgery with a description of decision processes and buying patterns.
· Description of intraocular lenses in use today with a detailed analysis of market share by units and dollars, plus projections for the next five years. IOL units, average sales price and revenue are broken down by region and by lens type.
· Overview of lens designs for the treatment of presbyopia including multifocal IOLs, accommodating IOLs, and other implantable devices.
· Descriptions of technologies and development programs for other novel implantable devices.
The report also profiles 44 companies involved in the development and manufacturing of IOLs. An abbreviated table of contents and list of the companies profiled in the report is available on the following page.
The 2009 Comprehensive Global IOL Market Report was published in June of 2009 and is in its ninth edition. Reports are printed in color and are spiral bound for ease of reading. The price of the report is $4,800; additional copies are available for use within your company for $300 each. We also offer a Cataract Bundle including the Global IOL Market Report, the Global Cataract Surgical Equipment Report and the Global Single-Use Ophthalmic Surgical Products Report for a discounted price of $9,000.
To keep the report current, we provide quarterly updates of key tables such as procedure volumes, market share, prices, etc. Quarterly Updates on the US Cataract Market are available approximately 45 days after the end of each calendar quarter and continue for a year, or four updates. The updates sell for $4,400 for all four quarterly updates.
Table of Contents
EXECUTIVE SUMMARY
The Global IOL Market (Cataract and Refractive)
Expected Fluctuations in Yearly IOL Market Growth
The Global IOL Market by Region
IOL Pricing Trends
Competitive Landscape
CATARACTS
Types of Cataracts
Progression of Cataracts
A Global View of Cataracts
Prevalence of Cataracts by Age
Patients Are Having Cataract Surgery at a Younger Age
The Search for a Cure for Cataracts
The Aging Population
Populations Age 60 Years and Older by Country
Baby Boom Generation Reaches 60 in the US
CATARACT SURGERY
A Brief History
Today’s Earlier Cataract Removal
Methods of Cataract Extraction
Manual ECCE, Automated ECCE
Phacoemulsification
A Global View of Cataract Surgery
Countries with Greatest Cataract Surgery Volume
Cataract Surgeries Analyzed by Global Region
PRESBYOPIA AND REFRACTIVE LENS EXCHANGE
Presbyopia
Presbyopic Population in US
Global Presbyopic Population
Refractive Errors
IOLs for Correcting Presbyopia and Refractive Error
Refractive Lens Exchange
US CATARACT SURGERY PROVIDERS
Ambulatory Surgery Centers (ASCs)
History of ASCs
ASCs in the US
Cataract Surgery in ASCs
ASC Growth
Corporate-Owned ASCs
Cataract Surgeries Performed at ASCs
ASC Regulation and Reimbursement
Cataract Surgery in Hospitals
Cataract Surgery Worldwide
Move to Outpatient Surgery
Profile of the Cataract Surgeon
US Cataract and Cataract/Refractive Surgeons
Cataract/IOL Reimbursement
THE 2009 GLOBAL IOL MARKET
Market Leaders and Market Dominance
Market Tiers in the Global IOL Market
Key Competitive Factors
Market Leaders in the Global IOL Market
Competitors’ Market Shares in the US, Western Europe, Japan, Other Wealthy Nations, China, India, Latin America, Rest of World
The World’s Most Frequently Used IOL Models
Lens Pricing and Margins
Pricing by Country
Pricing by Material
Pricing by Customer Segment
The Future of IOL Pricing Worldwide
OIG Study Clouds the Future of IOL Pricing at US ASCs
Manufacturing Costs of IOLs
Lens Design and Price
IOL Technologies That Will Drive Growth Through 2014
PRESBYOPIA-CORRECTING IOLS
A Brief Introduction to Presbyopia-Correcting IOLs
MULTIFOCAL PC-IOLS
PC-IOL Mixing and Matching Strategies
Multifocal IOLs on the Market and in Development
Aaren Scientific, Inc. (formerly OII) OptiVis
Alcon ReStor
AMO Tecnis ZA9003, ReZoom
CZM Acri.Tec Acri.Lisa, Acri.Twin Multifocal
Hoya
Rayner
Other Multifocal IOL Suppliers
Most Recent Insights into Accommodation
Accommodating IOL Design Challenges
Accommodating IOLs on the Market and in Development
Bausch & Lomb/Eyeonics Crystalens
Acuity C-Well
Adoptics
Akkolens
AMI Care WIOL-CF
AMO/Quest Vision IOL
Bausch & Lomb Opal
EVision/PixelOptics
HumanOptics AG Akkommodative 1CU
Medennium SmartIOL
Morcher BioComFold 43E
Lenstec
Mehta Clamshell IOL
NuLens
PowerVision FluidVision IOL
Sarfarazi Elliptical Accommodating Intraocular Lens (EAIOL)
Staar Surgical Collamer Plate IOL
Tekia
Visiogen Synchrony
Vision Solution Technologies
Accommodating IOLs of Injectable Gel
Bascom Palmer Project
Nishi Eye Project
IOLS WITH PREMIUM FEATURES
Aspheric IOLs
Alcon AcrySof IQ
AMO/Pharmacia Tecnis Z-9000/ZA-9003
Bausch & Lomb SofPort AO
Hoya Surgical Optics AF-1 iSymm Aspheric
CZM/Acri.Tec
IOLs that Filter Visible Blue or Violet Light
Alcon AcrySof Natural
Hoya AF-1 (UY) and Hoya AF-1 (UV)
Bausch & Lomb SofPort Violet Shield
Medennium Photochromatic IOL
Ophtec Orange Series Model 440
Other IOL Manufacturers with IOLs that Filter Blue Light
Toric IOLs
Astigmatism in Cataract Patients
Alcon AcrySof Toric IOL
Staar Toric IOL
CZM/Acri.Tec Acri.Smart Toric
Rayner T-Flex
Human Optics MicroSil 6116 TU
Micro-Incision IOLs
CZM/Acri.Tec Acri.Smart & Acri.Lisa
Bausch & Lomb Akreos
Hoya iMICS
Other Micro-incision IOLs
IOLs with Postoperative Adjustment
Calhoun Vision LAL
Piggyback IOLs
Other IOL Design Trends
Fixed vs. Foldable IOLs
Optic Materials
Single-piece IOLs vs. Multi-piece IOLS
Surgeon Responses Regarding Most Important IOL Features
PHAKIC IOLS
History of Phakic IOLs
Phakic IOL Design Considerations
Phakic IOLs on the Market and in Development
AMO Verisyse/Ophtec Artisan
Staar Visian ICL
Alcon AcrySof Angle-Supported Phakic IOL
Carl Zeiss/IOLTech PRL
Tekia Kelman Duet
Hoya/Vision Membrane Technology
The Phakic IOL Market
Candidates for Phakic IOLs
Surgeons Most Likely to Implant Phakic IOLs
Phakic IOL Pricing
FORECAST FOR THE GLOBAL IOL MARKET
Premium Monofocal IOL Conversion to Continue
Substantial but Unspectacular Growth for PC-IOLs
Modest RLE IOL Growth Expected
Overview of the Global IOL Market by Region
Forecast by the IOL Market by Region for the US, Western Europe, Japan, Other Wealthy Nations, China, India, Latin America, Rest of World including breakouts of units, ASP, and revenues for monofocal, premium monofocal, multifocal, accommodating, phakic IOLs
IOL INJECTORS
Clinical Background
Advantages of Forceps Delivery
Advantages of Injector Delivery
Types of Injectors
Reusable Injectors with a Separate Loadable Cartridge
Disposable Injectors
Desirable Attributes of IOL Injectors
Patent Issues
Injector Makers and Models
TABLES INCLUDED
2009 Global IOLs Implanted by Surgery Type
Forces Driving Forecast Growth Rates
Populations and 60-&-Older Population Segments by Region
Advancements in Cataract Surgical Technology
Estimated 2009 Cataract Surgeries by Country
Global Forecast for Cataract Surgery by Region
Refractive Error in the US Population
US ASCs with Eye Surgeries
Corporate ASC Providers & Cataract Surgeries Performed
Best Eye Hospitals in the US
Global Demographic Model for Cataract Surgery
US Cataract and Refractive Surgeons
Medicare Reimbursement Rates for Cataract Procedures
Tier-Three IOL Competitors by Country
Early-Stage IOL Companies
2009 Global IOL Sales & Market Shares of Leading Companies
2009 Sales & Market Shares of IOL Market Leaders in the US, Western Europe, Japan, OWN, China, India, Latin America, ROW
IOL Models with Expected 2009 Sales of $100 Million or More
Average Monofocal IOL Prices in 18 Countries
Estimated 2009 Market Shares of Premium IOL Technologies
Performance of Multifocal IOLs with US FDA Regulatory Approval
Staged-Implant IOL-Strength/Weakness Matrix
Regulatory Status of Multifocal IOLs
ReStor and Visual Disturbances According to FDA Label
Regulatory Status of Accommodating IOLs
Current Aspheric Optics by Design Strategy
Spherical Aberration Induced by Select IOL Models
IOLs that Filter Blue or Violet Light
Current Toric IOL Models
Regulatory Status of Toric IOLs
Current Micro-incision IOLs
Regulatory Approval of Micro-Incision IOLs
Advantages and Disadvantages of Three Phakic IOL Designs
Phakic IOLs on the Market and in Development
Regulatory Status of Phakic IOLs
Estimated Global 2009 Sales of Phakic IOLs
Phakic IOL Skills by Surgeon Segment
Average Sales Price of Phakic IOL Models
Forecast for the Global IOL Market by Lens Type
Forecast for the Global Premium Monofocal IOL Market
Forecast for Global Refractive Lens Exchange
Forecast for the IOL Market in the US by Lens Type
Forecast for the Premium Monofocal IOL Market in the US
Forecast for the RLE Market in the US
Forecast for the IOL Market in Western Europe by Lens Type
2009 Cataract Surgeries in Western Europe by Country
Forecast for Premium Monofocal IOLs in Western Europe
Forecast for the RLE Market in Western Europe
Forecast for the IOL Market in Japan by Lens Type
Forecast for the Premium Monofocal IOL Market in Japan
Forecast for the RLE Market in Japan
Cataract Surgeries in Other Wealthy Nations by Country
Forecast for the IOL Market in Other Wealthy Nations by Lens Type
Premium Monofocal IOLs in Other Wealthy Nations
Forecast for the RLE Market in Other Wealthy Nations
Forecast for the IOL Market in China by Lens Type
Forecast for the Market in Premium Monofocal IOLs in China
Forecast for RLE IOL Surgery in China
Forecast for the IOL Market in India
Forecast for India’s Market in Premium Monofocal IOLs
Forecast for RLE IOL Procedures in India
2009 Cataract Surgeries in Latin America by Country
Forecast for the IOL Market in Latin America by Lens Type
Forecast for the Market in Premium Monofocal IOLs in Latin America
Forecast for the RLE Market in Latin America
Forecast for the IOL Market in ROW by Lens Type
The Most Attractive ROW IOL Markets
Forecast for Premium Monofocal IOLs in ROW
Forecast for RLE IOL Procedures in ROW
Most Common Types of IOL Injectors
INDEX OF FIGURES
Forecast for Global IOL Revenue (Cataract and Refractive)
Forecast Annual IOL Growth Rates, 2008–2014
Forecast for Global IOL Market by Region
Global 2009 IOLs Implants by IOL Type and Region
Global 2009 IOL Revenues by IOL Type and Region
2009 & 2014 Average Selling Prices of IOLs by Type
2009 Market Shares of IOL Competitors
Incidence of Cataract Type (Location in the Eye)
Prevalence of Cataracts in the US by Age Group
Cataracts in the US by Age Group (2009)
Percent of Population 60 Years and Older in 2009 and 2020
Forecast for US Population Growth by Age Group
Forecast for US Cataract Procedures by Type
Cataract Surgeries by Global Region
Change in Accommodative Amplitude by Age
Presbyopic Population in the US
Forecast for Growth of the Global Presbyopic Population
Diagram of Refractive Error, Presbyopia and Cataract
ASC Procedures by Specialty
2009 US Cataract Surgeries by Location
Cataract Procedures by Surgery Locations
Expected 2009 Cataract Surgery Share by ASC Ownership
ASC and Hospital Outpatient Reimbursements for CPT Code 66984
Cataract Surgeon’s Membership in Professional Organizations
Cataract Surgeons by Types of Practice
Cataract Surgeons’ in Group Practices by Group Size
Cataract Surgeons Grouped by Annual Cataract Procedure Volume
Sources of Revenue for Cataract Surgeons
Marketing Methods Used for Cataract Practices
Medicare-Covered vs. Privately-Covered Cataract Surgeries
Market Share by Company 75
Global IOL Market Revenues by Market Leaders and All Others (2000-2009)
Market Share by Revenue Tiers
Key Products as a Percent of Surgeons’ Cross-Merchandizing Arrangements
Global Monofocal IOL and PC-IOL Revenues, 2002-2009
PC-IOL Mix and Match Frequency
The Wearing of Glasses with the ReStor and Other IOLs
ReZoom’s Optic Re-balancing Design
Hoya AF-1 iSii Multifocal IOL
Crystalens Monocular UCVA, One Year Post-Op
Monocular Intermediate Vision through Distance Correction, One Year Post-Op
UCVA Binocular Distance, Intermediate and Near, 11 to 15 Months Post-Op
Uncorrected Near Visual Acuity with Monocular Crystalens AT-45, 5.0, and HD
Percent of Patients Seeing Each Line at Far, Intermediate & Near w/o Correction
Percent of Patients Seeing Each Line at Far, Intermediate & Near, w/Correction
Percentage of Synchrony and ReStor Patients Complaining of Halos
Synchrony Distance-Corrected Near Visual Acuity (DCNVA)
Market Share of Aspheric Monofocal IOL Optics in the US, 2005–2009
Market Share of IOLs with Blue-Light-Filtering Optics in the US, 2005–2009*
US Cataract Surgeon’s Opinion of the Value of Blue-Light Filtering
Frequency of Surgical Treatments for Astigmatism
Alcon’s Toric IOL Calculator
Global Market Share of Micro-Incision IOLs, 2004–2009
Market Shares for Foldable and Fixed IOLs in the US
Market Share for IOL Optic Materials in the US (2001-2009)
US Market Shares for Single-piece and Multi-piece IOLs
Ratings for IOL Features Update
Estimated 2009 Phakic Implants in Western Europe by Country
Severely Myopic Population in the US
US Surgeons Offering or Planning to Offer Phakic IOLs
Forecast for Multifocal and Accommodating PC-IOL Units & Shares
Forecast for Global IOL Market Revenues by Region
Forecast for the Multifocal and Accommodating PC-IOL Markets in the US
Average US Patient Costs for LASIK, Cataract and RLE
Forecast for Growth in Markets for Multifocal and Accommodating PC-IOLs
Estimated 2009 Phakic IOL Use in Western Europe by Country
Forecast for PC-IOLs in Japan
Forecast for PC-IOLs in Other Wealthy Nations
IOL Market in China, Unit Share by Material
Forecast for the PC-IOL Market in China
IOL Unit Share in India by Type of IOL
IOL Unit Share in Latin America by Type of IOL
Forecast for PC-IOLs in Latin America
IOL Unit Share in ROW by IOL Type
Forecast for the PC-IOL Market in ROW
Hoya iSert Operating Instructions