Global Markets for Surgical Ophthalmology

Published January 2013 | 235 Pages | 116 Exhibits | Forecasts Through 2017

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Overview

The global market for products used in surgical ophthalmology-which includes diagnostic devices, surgical systems (e.g., lasers and phacoemulsification machines), intraocular lens (IOL) implants and disposables, accessories, and aftermarket revenues from services and parts-was valued at $7.4 billion in 2012.

Growth is expected through 2017, when the market reaches $9 billion, due to continued penetration of the population with cataracts (especially in emerging markets) as a result of efforts among national and international organizations to reduce blindness. Refractive surgeries will also contribute to revenue growth, although economic headwinds in key national markets will limit the performance of these procedures.

Other key trends, including pricing in local markets and product mix, will have key effects on competitive shares and product adoption. Critical issues covered in this report include:

  • The competitive landscape for these products in the U.S. and international markets;
  • discreet procedure volumes for ophthalmological surgeries, segmented by region;
  • and quantitative factors including pricing trends, licensing fees, and the revenue contribution from systems, disposables, services, and accessories.

Companies Covered

Abbott Medical Optics
Accutome
Alcon
Bausch & Lomb
Canon
Carl Zeiss Meditec
DGH Technology
Dutch Ophthalmic Research Center (DORC) International BV
Ellex
Haag-Streit AG
Heine
Hoya Surgical Optics
Huvitz
iCare
Iridex Corporation
Keeler Instruments
Kowa Optimed
LensAR
Lumenis Vision
Meda
Medtronic Xomed
Moria
Nidek Company, Ltd.
Oertli Instruments AG
Ophtec BV
Optimedica
Optos
Optovue
Quantel Medical
RightMedical
Santen
SMT Swiss Microtechnology
Sonogage
Staar Surgical
Technolas Perfect Vision
Tomey
Topcon Medical Systems
Tracey Technologies
US Ophthalmic
Volk Optical
Ziemer Ophthalmic Systems AG

Table of Contents

1. EXECUTIVE SUMMARY

1.1 The Global Market by Region 
1.2 The Global Market by Product Segment 
	1.2.1 Competitive Analysis 

Exhibit 1-1: Global Market Forecast for Surgical Ophthalmology Products, 2009-2017 
Exhibit 1-2: Global Burden of Blindness, Partial Sight, and Cataracts by Type, 2009-2017 
Exhibit 1-3: Global Market Forecast for Surgical Ophthalmology Products by Region, 2009-2017 
Exhibit 1-4: Global Market Forecast for Surgical Ophthalmology Products by Product Type, 2009-2017 
Exhibit 1-5: Global Supplier Shares, 2011 & 2012 

2. OVERVIEW

2.1 Anatomy of the Human Eye 
2.2 Blindness and Low Vision 
2.3 Cataract Surgery 
	2.3.1 Phacoemulsification 
	2.3.2 Extracapsular Cataract Extraction 
	2.3.3 Intracapsular Cataract Extraction 
2.4 Glaucoma Surgery 
	2.4.1 Surgeries to Reduce Production of Aqueous Humour 
	2.4.2 Surgeries to Improve the Flow of Aqueous Humour 
		2.4.2.1 Filtering Procedures 
			2.4.2.1.1 Penetrating Filtering Procedures 
			2.4.2.1.2 Non-Penetrating Filtering Procedures 
		2.4.2.2 Laser Trabeculoplasty 
		2.4.2.3 Iridotomy 
		2.4.2.4 Iridectomy 
		2.4.2.5 Glaucoma Implants 
2.5 Vitreoretinal Surgery 
2.6 Refractive Surgery 
	2.6.1 Flap Procedures 
	2.6.2 Surface Procedures 
	2.6.3 Corneal Incision Procedures 
	2.6.4 Phakic IOL Implantation 

Exhibit 2-1: General Types of Surgical Procedures for the Human Eye 
Exhibit 2-2: The Human Eye 
Exhibit 2-3: Causes of Blindness by Race/Ethnicity in the U.S., 2004 
Exhibit 2-4: Causes of Low Vision by Race/Ethnicity in the U.S., 2004 
Exhibit 2-5: Types of Glaucoma 

3. OPHTHALMIC DIAGNOSTIC DEVICES

3.1 Slit Lamps 
3.2 Ocular Tonometers 
3.3 Corneal Pachymeters 
3.4 Optical Coherence Tomography 
3.5 Optical Biometers 
3.6 Scanning Laser Polarimeters
3.7 Fundus Cameras 
3.8 Wavefront Aberrometers 

Exhibit 3-1: Selected Slit Lamps 
Exhibit 3-2: Ocular Tonometry Methods 
Exhibit 3-3: Selected Clinical Studies that Examine the Effectiveness of Various Methods of Ocular Tonometry 
Exhibit 3-4: Selected Optical Tonometers 
Exhibit 3-5: Selected Clinical Studies that Examine the Effectiveness of Ultrasound Corneal Pachymetry 
Exhibit 3-6: Selected Ultrasound Corneal Pachymeters 
Exhibit 3-7: Selected Clinical Studies that Examine the Effectiveness of Optical Coherence Tomography 
Exhibit 3-8: Selected Optical Coherence Tomography Imaging Systems 
Exhibit 3-9: Selected Clinical Studies that Examine the Effectiveness of Optical Biometers 
Exhibit 3-10: Selected Biometry Systems 
Exhibit 3-11: Selected Clinical Studies that Examine the Effectiveness of Scanning Laser Polarimetry 
Exhibit 3-12: Selected Fundus Photography and Imaging Systems 
Exhibit 3-13: Selected Clinical Studies that Examine the Effectiveness of Wavefront Aberrometry 
Exhibit 3-14: Selected Wavefront Systems or Aberrometers 

4. OPHTHALMIC SURGICAL SYSTEMS

4.1 Phacoemulsification Systems 
	4.1.1 Clinical Studies 
	4.1.2 Companies and Products 
4.2 Ophthalmic Laser Systems 
	4.2.1 Clinical Studies 
	4.2.2 Companies and Products 
		4.2.2.1 Photocoagulating Lasers 
		4.2.2.2 Photodisrupting Lasers 
		4.2.2.3 Photoablating Lasers 
		4.2.2.4 Femtosecond Lasers 
		4.2.2.5 Combination or Multi-Modal Lasers 

Exhibit 4-1: Selected Clinical Studies on the Effectiveness of Phacoemulsification 
Exhibit 4-2: Selected Phacoemulsification Systems 
Exhibit 4-3: Selected Clinical Studies on the Effectiveness of Ophthalmic Laser Systems 
Exhibit 4-4: Selected Photocoagulating Laser Systems 
Exhibit 4-5: Selected Photodisrupting Laser Systems 
Exhibit 4-6: Selected Photoablating Laser Systems 
Exhibit 4-7: Selected Femtosecond Lasers 
Exhibit 4-8: Selected Multi-Modality Laser Systems 

5. IMPLANTS AND DISPOSABLES

5.1 Intraocular Lenses 
	5.1.1 Clinical Results 
	5.1.2 Companies and Products 
		5.1.2.1 Monofocal Vs. Multifocal 
		5.1.2.2 Phakic vs. Aphakic IOLs 
		5.1.2.3 Other Types of IOLs 
		5.1.2.4 IOL Injectors or Insertion Instruments 
		5.1.2.5 Disposable Supplies and Accessories 
5.2 Glaucoma Implants 
	5.2.1 Clinical Results 
	5.2.2 Companies and Products 

Exhibit 5-1: Selected Clinical Studies on the Effectiveness of IOL Implantation 
Exhibit 5-2: Selected Monofocal Intraocular Lenses 
Exhibit 5-3: Selected Multifocal Intraocular Lenses 
Exhibit 5-4: Selected Toric Intraocular Lenses 
Exhibit 5-5: Selected Accommodating Intraocular Lenses 
Exhibit 5-6: Selected Phakic Intraocular Lenses 
Exhibit 5-7: Selected Preloaded IOL Insertion Instruments 
Exhibit 5-8: Selected Disposable IOL Insertion Instruments 
Exhibit 5-9: Selected Reusable IOL Insertion Instruments 
Exhibit 5-10: Selected IOL Cartridges 
Exhibit 5-11: Selected Ophthalmic Viscoelastic Devices and Other Solutions 
Exhibit 5-12: Selected Supplies and Accessories 
Exhibit 5-13: Selected Clinical Studies on the Effectiveness of Glaucoma Implants 
Exhibit 5-14: Selected Glaucoma Implants 
Exhibit 5-15: Selected Glaucoma Supplies and Accessories 

6. PROCEDURE VOLUMES AND MARKET FORECASTS

6.1 Global Procedure Volumes 
6.2 Global Market Analysis 
6.3 Competitive Analysis 
6.4 Regional Analysis 
	6.4.1 The United States 
		6.4.1.1 Procedure Volumes 
		6.4.1.2 Market Analysis 
		6.4.1.3 Competitive Analysis 
	6.4.2 Europe 
		6.4.2.1 Procedure Volumes 
		6.4.2.2 Market Analysis 
	6.4.3 AP & ROW 
		6.4.3.1 Procedure Volumes 
		6.4.3.2 Market Analysis 
		6.4.3.3 OUS Competitive Analysis 

Exhibit 6-1: Global Burden of Blindness, Partial Sight, and Cataracts, 2009-2017 
Exhibit 6-2: Global Burden of Blindness, Partial Sight, and Cataracts by Type, 2009-2017 
Exhibit 6-3: Cataract Procedure Volumes by Region, 2009-2017 
Exhibit 6-4: Refractive Eye Surgery, Procedure Volumes by Region, 2009-2017 
Exhibit 6-5: Global Market Forecast for Surgical Ophthalmology Products by Product Type, 2009-2017 
Exhibit 6-6: Global Market Forecast for Surgical Ophthalmology Products by Region, 2009-2017 
Exhibit 6-7: Global Supplier Shares, 2011 & 2012 
Exhibit 6-8: U.S. Burden of Blindness, Partial Sight, and Cataracts, 2009-2017 
Exhibit 6-9: U.S. Burden of Blindness, Partial Sight, and Cataracts by Type, 2009-2017 
Exhibit 6-10: Cataract Procedure Volumes in the U.S., 2009-2017 
Exhibit 6-11: Refractive Surgery Volumes in the U.S., 2009-2017 
Exhibit 6-12: Phacoemulsification Procedure Volumes in the U.S., 2009-2017 
Exhibit 6-13: Cataract IOL Implantations in the U.S., 2009-2017 
Exhibit 6-14: Surgical Ophthalmology Products, U.S. Market Forecast, 2009-2017 
Exhibit 6-15: Ophthalmic Surgical Systems by Type, U.S. Market Forecast, 2009-2017 
Exhibit 6-16: U.S. Market Forecast for Phacoemulsification, 2009-2017 
Exhibit 6-17: U.S. Market Forecast for Phacoemulsification: Systems, Accessories, and Service, 2009-2017 
Exhibit 6-18: U.S. Market Forecast for Refractive Laser Systems, 2009-2017 
Exhibit 6-19: U.S. Market Forecast for Refractive Laser Systems: Systems, Accessories, and Service, 2009-2017 
Exhibit 6-20: U.S. Market Forecast for Licensing Fees Associated with Refractive Laser Systems, 2009-2017 
Exhibit 6-21: U.S. Market Forecast for Implants and Disposables by Type, 2009-2017 
Exhibit 6-22: U.S. Market Forecast for Cataract IOLs, 2009-2017 
Exhibit 6-23: U.S. Market Forecast for Ophthalmic Viscosurgical Devices, 2009-2017 
Exhibit 6-24: U.S. Market Forecast for Phakic IOLs, 2009-2017 
Exhibit 6-25: U.S. Market Forecast for Diagnostic Ophthalmic Systems, 2009-2017 
Exhibit 6-26: U.S. Supplier Shares for Cataract IOLs, 2011 and 2012 
Exhibit 6-27: U.S. Supplier Shares for Other Cataract Surgical Products, 2011 and 2012 
Exhibit 6-28: U.S. Supplier Shares for Refractive Surgery Products, 2011 and 2012 
Exhibit 6-29: U.S. Supplier Shares for Ophthalmic Diagnostic Systems, 2011 and 2012 
Exhibit 6-30: European Burden of Blindness, Partial Sight, and Cataracts, 2009-2017 
Exhibit 6-31: European Burden of Blindness, Partial Sight, and Cataracts by Type, 2009-2017 
Exhibit 6-32: Cataract Procedure Volumes in Europe, 2009-2017 
Exhibit 6-33: Refractive Surgery Volumes in Europe, 2009-2017 
Exhibit 6-34: Phacoemulsification Procedure Volumes in Europe, 2009-2017 
Exhibit 6-35: Cataract IOL Implantations in Europe, 2009-2017 
Exhibit 6-36: Surgical Ophthalmology Products, European Market Forecast, 2009-2017 
Exhibit 6-37: Ophthalmic Surgical Systems by Type, European Market Forecast, 2009-2017 
Exhibit 6-38: European Market Forecast for Phacoemulsification, 2009-2017 
Exhibit 6-39: European Market Forecast for Phacoemulsification: Systems, Accessories, and Service, 2009-2017 
Exhibit 6-40: European Market Forecast for Refractive Laser Systems, 2009-2017 
Exhibit 6-41: European Market Forecast for Refractive Laser Systems: Systems, Accessories, and Service, 2009-2017 
Exhibit 6-42: European Market Forecast for Licensing Fees Associated with Refractive Laser Systems, 2009-2017 
Exhibit 6-43: European Market Forecast for Implants and Disposables by Type, 2009-2017 
Exhibit 6-44: European Market Forecast for Cataract IOLs, 2009-2017
Exhibit 6-45: European Market Forecast for Ophthalmic Viscosurgical Devices, 2009-2017 
Exhibit 6-46: European Market Forecast for Phakic IOLs, 2009-2017 
Exhibit 6-47: European Market Forecast for Diagnostic Ophthalmic Systems, 2009-2017 
Exhibit 6-48: AP & ROW Burden of Blindness, Partial Sight, and Cataracts, 2009-2017 
Exhibit 6-49: AP & ROW Burden of Blindness, Partial Sight, and Cataracts by Type, 2009-2017 
Exhibit 6-50: Cataract Procedure Volumes in AP & ROW, 2009-2017 
Exhibit 6-51: Refractive Surgery Volumes in AP & ROW, 2009-2017 
Exhibit 6-52: Phacoemulsification Procedure Volumes in AP & ROW, 2009-2017 
Exhibit 6-53: Cataract IOL Implantations in AP & ROW, 2009-2017 
Exhibit 6-54: Surgical Ophthalmology Products, AP & ROW Market Forecast, 2009-2017 
Exhibit 6-55: Ophthalmic Surgical Systems by Type, AP & ROW Market Forecast, 2009-2017 
Exhibit 6-56: AP & ROW Market Forecast for Phacoemulsification, 2009-2017 
Exhibit 6-57: AP & ROW Market Forecast for Phacoemulsification: Systems, Accessories, and Service, 2009-2017 
Exhibit 6-58: AP & ROW Market Forecast for Refractive Laser Systems, 2009-2017 
Exhibit 6-59: AP & ROW Market Forecast for Refractive Laser Systems: Systems, Accessories, and Service, 2009-2017 
Exhibit 6-60: AP & ROW Market Forecast for Licensing Fees Associated with Refractive Laser Systems, 2009-2017 
Exhibit 6-61: AP & ROW Market Forecast for Implants and Disposables by Type, 2009-2017 
Exhibit 6-62: AP & ROW Market Forecast for Cataract IOLs, 2009-2017 
Exhibit 6-63: AP & ROW Market Forecast for Ophthalmic Viscosurgical Devices, 2009-2017 
Exhibit 6-64: AP & ROW Market Forecast for Phakic IOLs, 2009-2017 
Exhibit 6-65: AP & ROW Market Forecast for Diagnostic Ophthalmic Systems, 2009-2017 
Exhibit 6-66: OUS Supplier Shares for Cataract IOLs, 2011 and 2012 
Exhibit 6-67: OUS Supplier Shares for Other Cataract Surgical Products, 2011 and 2012 
Exhibit 6-68: OUS Supplier Shares for Refractive Surgery Products, 2011 and 2012 
Exhibit 6-69: OUS Supplier Shares for Ophthalmic Diagnostic Systems, 2011 and 2012 

7. COMPANY PROFILES

7.1 Abbott Medical Optics 
7.2 Accutome 
7.3 Alcon 
7.4 Bausch & Lomb 
7.5 Carl Zeiss Meditec 
7.6 Dutch Ophthalmic Research Center (DORC) International BV 
7.7 Ellex 
7.8 Haag-Streit AG 
7.9 Iridex Corporation 
7.10 LensAR 
7.11 Lumenis Vision 
7.12 Nidek Company, Ltd. 
7.13 Oertli Instruments AG 
7.14 Ophtec BV 
7.15 Optimedica 
7.16 Quantel Medical 
7.17 Staar Surgical 
7.18 Technolas Perfect Vision 
7.19 Topcon Medical Systems 
7.20 Ziemer Ophthalmic Systems AG 

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