Global Ophthalmic Instrumentation Market

  • May 2014
  • -
  • Global Industry Analysts
  • -
  • 500 pages

This report analyzes the worldwide markets for Ophthalmic Instrumentation in Units and US$ Thousands by the following Product Segments: Diagnostic Devices (OCT Systems/Ophthalmoscopes, Optical Biometers, Slit Lamps, Tonometers, AutoRefractors & Keratometers, Perimeters, Fundus Cameras, Diagnostic Ultrasound Equipment, Others), and Surgical Products (Ophthalmic Lasers, & Ophthalmic Surgical Microscopes). The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Middle East, and Latin America. Annual estimates and forecasts are provided for the period 2013 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 113 companies including many key and niche players such as -

Abbott Medical Optics, Inc.
Alcon, Inc.
Bausch & Lomb, Inc.
Carl Zeiss Meditec AG
Ellex Medical Lasers Limited

Table Of Contents




I. INTRODUCTION, METHODOLOGY and PRODUCT DEFINITIONS
Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation and Reporting Level I-2
Quantitative Techniques and Analytics I-3
Product Definitions and Scope of Study I-3
Diagnostic Devices I-4
OCT (Optical Coherence Tomography System) / Ophthalmoscopes I-4
Optical Biometer I-4
Slit Lamps I-4
Tonometers I-4
AutoRefractors and Keratometers I-4
Perimeters I-4
Fundus Cameras I-5
Diagnostic Ultrasound Equipment I-5
Others I-5
Corneal Topography Systems I-5
Diagnostic Imaging Systems I-5
Surgical Products I-5
Ophthalmic Lasers I-5
Ophthalmic Surgical Microscopes I-5


II. EXECUTIVE SUMMARY

1. MARKET OVERVIEW II-1
Prelude II-1
Factors Underpinning Demand for Ophthalmic Instrumentation II-2
Ophthalmic Fact File II-2
Current and Future Analysis II-2
Developing Markets Drive Momentum II-3
Healthcare Economics Amidst a Volatile Economic Climate II-3
Table 1: Per-Capita Healthcare Expenditure in Select Regions
(2013) (includes corresponding Graph/Chart) II-5

Table 2: Healthcare Spending as a Percentage of GDP (2012)
(includes corresponding Graph/Chart) II-5
Impact on Ophthalmic Instrumentation Market II-6
Long Term Growth Drivers II-6
Demographics Spell Opportunities II-6
Table 3: Global Population Statistics for the 65+ Age Group
(2013) (includes corresponding Graph/Chart) II-7

Table 4: Elderly Population (65+ Years) as a % of Total
Population (2000 and 2025) (includes corresponding
Graph/Chart) II-8

Table 5: Percentage of Population Aged 65 and Above in EU-27
Countries, the US and Japan (1960-2030) (includes
corresponding Graph/Chart) II-9

Table 6: Global Aging Population by Age Group: 1975-2050
(includes corresponding Graph/Chart) II-10

Table 7: Aging Population by Age Group in More Developed
Countries: 1975-2050 (includes corresponding Graph/Chart) II-11

Table 8: Aging Population by Age Group in Less Developed
Countries: 1975-2050 (includes corresponding Graph/Chart) II-12

Table 9: Aging Population by Age Group in Least Developed
Countries: 1975-2050 (includes corresponding Graph/Chart) II-13

Table 10: Life Expectancy at Age 60 and 80 Years -
(2010-2015), (2020-2025) and (2045-2050) (includes
corresponding Graph/Chart) II-14
Millennials Infuse New Growth II-14
Table 11: Percentage of Occurrence of Refractive Errors by
Age Group (includes corresponding Graph/Chart) II-15
Rising Prevalence of Diabetes Fuels Growth II-15
Table 12: Worldwide Prevalence of Diabetes Mellitus by
Region: 2013 and 2035 (includes corresponding Graph/Chart) II-16

Table 13: Incidence of Diabetes in Select Countries (2013 and
2035) (includes corresponding Graph/Chart) II-17
Introduction of Advanced MIS Procedures to Drive Market II-17
Cataract Treatment Market: Providing Lucrative Opportunities II-18
Table 14: Global Cataract Surgery Market by Product Segment
(2013) - Percentage Share Breakdown of Revenues for
Intraocular Lenses (IOLs), Viscoelastics, Equipment,
Instruments and Others (includes corresponding Graph/Chart) II-18

Table 15: World Cataract Surgeries (2013E): Percentage
Breakdown of Procedures by Country (includes corresponding
Graph/Chart) II-19

Table 16: Distribution of Ophthalmic Devices by Treatment
Modality (in %) (includes corresponding Graph/Chart) II-19

2. MARKET TRENDS and ISSUES II-20
OCT - Revolutionizing the Diagnosis Spectrum II-20
Mobile Technology based Diagnosis and Communication Tools Gain
Ground II-20
New Generation of Optical Biometry Devices II-21
Advancements in Surgical Microscopes II-21
Innovations in Fundus Cameras Space II-22
Evolving Technologies in Corneal Topography II-22
Viewing Beyond the Conventional Visual Boundaries II-23
New Tonometer Probes to Eliminate Risks of Cross-Infection II-24
Innovations in Perimeters Space Centered on Improved
Functionalities II-24
Major Innovations in Slit Lamp Techniques II-25
New Lensmeters Focus on Improved Functionality and Better
Accuracy II-25
Latest Surgical Tools to Propel Ophthalmic Equipment Sector II-26
Early Developments in Micropulse Laser Therapy for Retinal
Disorders II-26
FLAK - Better Graft Strength Compared to PKP II-27
Femtosecond Laser - Heralds Next Generation of Refractive Surgery II-27
Femtosecond Lasers from Leading Players: Regulatory Status II-28
ORA Systems Eliminate the Wait Periods II-28
Integration of Ophthalmology and Material Science II-29

3. COMPETITIVE SCENARIO II-30
Table 17: Leading Players in the Global Ophthalmic Diagnostic
Instrument Market (2013): Percentage Share Breakdown of
Revenues for Topcon Corp., Carl Zeiss AG, and Others (includes
corresponding Graph/Chart) II-30
Worldwide Ophthalmic Diagnostic Market: Market Presence of
Select Market Participants II-31
Table 18: Leading Players in the Glaucoma Surgical Devices
Market Worldwide (2013E): Percentage Breakdown of Value Sales
for Abbott Medical Optics, Alcon, Ellex, Glankos, Lumenis, New
World Medical and Others (includes corresponding Graph/Chart) II-31

Table 19: Leading Players in the OCT Market (2013E):
Percentage Breakdown of Value Sales for Carl Zeiss,
Heidelberg, Optovue, Topcon and Others (includes corresponding
Graph/Chart) II-32

Table 20: Leading Players in the Fundus Camera Market (2013E):
Percentage Breakdown of Value Sales for Carl Zeiss, Kowa,
Nidek, Optos, Topcon and Others (includes corresponding
Graph/Chart) II-32

Table 21: Leading Players in the Ophthalmic Microscopes Market
(2013E): Percentage Breakdown of Value Sales for Carl Zeiss
and Others (includes corresponding Graph/Chart) II-32
Ophthalmic Laser Market Registers Steady Growth II-33
Table 22: Leading Players in the Global Ophthalmic Laser
Market (2013): Percentage Breakdown of Value Sales for Alcon,
Ellex, Iridex, Lumenis, Nidek, Quantel, Topcon, Zeiss and
Others (includes corresponding Graph/Chart) II-33

4. PRODUCT OVERVIEW II-34
Introduction II-34
Ophthalmology and Instrumentation II-34
Human Eye Analysis - A Valuable Health Indicator II-34
Types of Ophthalmic Instruments II-34
A. Ophthalmic Diagnostic Systems II-35
Ophthalmic Diagnostics Goes High Tech II-35
Technologies and Devices Used for Various Ocular Diagnoses II-35
The Constituents II-35
Procedures for Measuring Eye Defects II-36
Procedure and Purpose of Measurement for Eye Related Errors II-36
Perimeters II-36
Refractometer II-36
Auto refractometer and Keratometer II-36
Optical Coherence Tomography System (OCT) II-37
Optical Biometry II-37
Slit Lamps II-37
Tonometers II-38
Fundus Cameras and Fundus Reflectometers II-38
Ocular Fundus Reflectometry II-38
Types of Ocular Fundus Reflectometry II-39
Lens Meters II-40
Ophthalmoscopes II-40
Ultrasound Equipment II-40
Corneal Topography Systems II-40
Use of Corneal Topography in Data Measurement and
Presentation II-41
Method of Studying Topographic Displays II-41
Use of Topography in Refractive Surgery II-41
B. Ophthalmic Surgical Products II-42
Ophthalmic Disposables II-42
Ophthalmic Lasers II-43
Role of Lasers in Medical and Ophthalmic Fields II-43
Origin and Development of Laser Surgery Techniques II-44
Types of Lasers II-44
Therapeutic Ophthalmic Lasers II-44
Use of Medical Laser in Treating Wet AMD II-45
Argon Laser II-45
Q-switched Nd-YAG Laser II-46
Neodymium-YAG Vs Argon Laser II-46
Krypton Laser II-46
CO2 Laser II-46
Diode Laser II-47
Erbium Lasers II-47
Excimer Laser II-47
Frequency-Doubled, Tripled, Quadrupled Lasers II-47
Laser Sources for Surgical Effect II-47
Laser-Tissue Interactions II-48
Laser Photodisruption II-48
Laser Photocoagulation II-48
Role of Iris Color II-49
Disadvantages of Using Laser Scalpel II-49
Laser Phaco II-50
Ophthalmic Surgical Microscopes II-50
Other Ophthalmic Devices II-50
Keratometers II-50
Phaco Splitter II-51
Scalpel II-51
Ophthalmodynamometer II-51
Ophthalmodiaphanoscope II-51

5. OPHTHALMIC SURGERY MARKET - OVERVIEW II-52
Table 23: Global Ophthalmic Surgery Market Breakdown by
Surgery Procedure (includes corresponding Graph/Chart) II-52
A. Cataract Surgery II-52
B. Refractive Surgery II-52
Types of Refractive Surgery Procedures II-53
Laser Vision Correction - A Broader Insight II-53
Photorefractive Keratectomy (PRK) II-54
Bottlenecks in PRK Procedure II-55
Radial Keratotomy (RK) II-55
Laser in-situ Keratomileusis (LASIK) II-55
LASIK Vs. PRK II-56
Custom LASIK - A New Milestone II-56
Major Players in the Custom LASIK Market and FDA-Approved
Indications for Custom LASIK Systems II-57
Advantages of Custom LASIK technology II-57
Wavefront: A Revolutionary Technology for Irregular Astigmatism II-57
Manufacturers Offering Wavefront Technology II-57
Femtosecond Laser - A New Innovation II-58
Other Alternative Refractive Procedures II-58
LASEK (Laser Epithelial Keratomileusis) II-58
PAI (Photoablative Inlay) II-58
Phototherapeutic Keratectomy (PTK) II-59
Intrastromal Corneal Ring (Intacs) II-59
Phakic Intraocular Lenses II-59

6. AN INSIGHT INTO EYE and EYE DISEASES II-60
Human Eyes - The Most Precious Possession II-60
Anatomy of Human Eye II-60
Process of Vision II-60
Effect of Sun Rays II-60
A Review of Various Eye Diseases II-61
A. Corneal Diseases II-61
Table 24: Leading Causes of Blindness Worldwide (includes
corresponding Graph/Chart) II-61
Macular Degeneration II-61
Cataract II-62
Types of Cataracts and their Common Causes II-62
Cataract Removal Techniques II-62
Phacoemulsification II-63
Glaucoma II-63
Surgical Treatment of Glaucoma II-63
Angiogenesis II-64
Astigmatism II-64
Presbyopia II-64
B. Ocular Defects Related to Nutritional Disorders II-64
Xerophthalmia, Caused by Vitamin A Deficiency II-64
Deficiency of Thiamine Leads to Amblyopia II- II-64
Retinal Anemia and Optic Atrophy Due to Vitamin B-12
DeficiencyII- II-64
Vitamin C Deficiency Leads to Eye Related HemorrhagesII- II-64
C. Common Eye Related Problems Among Diabetics II-65
Blurred Vision II-65
Cataract in Diabetics (Differing from Normal Cataract) II-65
Macular Edema II-65
Mucormycosis II-65
Diplopia II-66
Gout II-66
Wilson’s Disease II-66
Hyperlipoproteinemias II-66
Ocular Albinism II-67
Keratoconus II-67

7. PRODUCT INTRODUCTIONS/APPROVALS II-68
Haag-Streit UK Introduces Ellex Integre Pro Laser II-68
Topcon Medical Systems Introduces IMAGEnet® 5 Digital Imaging
System II-68
Topcon Introduces KR-800S Auto Refractor II-68
Haag-Streit UK Introduces Octopus 600 perimeter II-68
Lumenis Launches AcuPulse DUO CO2 Laser II-68
Optomed Obtains FDA Clearance for Smartscope Pro II-68
Welch Allyn Receives FDA Approval for iExaminer II-69
Quantel Medical Receives FDA Clearance for Solutisâ„¢ II-69
Keeler Launches Spectra Iris II-69
Leica Microsystems and TrueVision® 3D Surgical Launches
Digital 3D-Integrated Ophthalmic Microscope II-69
Abbott Expands Healon Range of Ophthalmic Viscosurgical Devices II-69
Optomed Receives Chinese SFDA Approval for Optomed Smartscope® M5 II-69
Bioptigen Obtains FDA Clearance for Envisuâ„¢ Imaging Systems II-69
NIDEK and MARCO Obtains FDA Clearance for AFC-330 II-69

8. RECENT INDUSTRY ACTIVITY II-70
Escalon® Medical Corp Enters into Distribution Agreement with
BiCOM, Inc. II-70
Montagu Takes Over Dorc II-70
Ellex Takes Over iScience Interventional II-70
Cortec Group Acquires IOP Ophthalmics II-70
Alcon Japan and Ciba Vision Completes Corporate Integration II-70
Synergetics USA Takes Over MISS Ophthalmics II-70
Lumenis Partners with Visionix II-70
Boston Micromachines Receives Grant from NEI II-71
BAUSCH and LOMB Enters into Distribution Agreement with Leica
Microsystems II-71
Abbott Acquires OptiMedica II-71
Valeant Pharmaceuticals Purchases Bausch and Lomb II-71
Bausch and Lomb Takes over Technolas Perfect Vision II-71
Halma Acquires MicroSurgical Technology II-71
Ellex Medical Takes Over Minority Stake in Ellex Australia II-71
NicOx Enters into Licensing Agreement With Rapid Pathogen
Screening II-72
NicOx Purchases Altacor II-72
Technolas Perfect Vision Enters into Distribution Agreement
with Sigmacon Ophthalmic II-72
Alcon Takes Over SensoMotoric Instruments II-72
Alcon Takes Over Endure Medical Systems II-72

9. FOCUS ON SELECT GLOBAL PLAYERS II-73
Abbott Medical Optics, Inc. (US) II-73
Alcon, Inc. (Switzerland) II-73
Bausch and Lomb, Inc. (US) II-74
Carl Zeiss Meditec AG (Germany) II-74
Ellex Medical Laser Limited (Australia) II-75
Huvitz Co., Ltd. (South Korea) II-75
Iridex Corp. (US) II-76
Lumenis Ltd. (Israel) II-76
Nidek Co. Ltd (Japan) II-77
Topcon Corporation (Japan) II-77
Topcon Medical Systems, Inc. (US) II-77
Visionix Ltd. (Israel) II-78

10. GLOBAL MARKET PERSPECTIVE II-79
I. Unit Analytics II-79
Table 25: World Recent Past, Current and Future Analysis for
Ophthalmic Instrumentation by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin America
Markets Independently Analyzed with Annual Sales Figures in
Units for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-79

Table 26: World Historic Review for Ophthalmic
Instrumentation by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-80

Table 27: World 15-Year Perspective for Ophthalmic
Instrumentation by Geographic Region - Percentage Breakdown
of Volume Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-81

Table 28: World Recent Past, Current and Future Analysis for
Ophthalmic Diagnostic Devices by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in Units for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-82

Table 29: World Historic Review for Ophthalmic Diagnostic
Devices by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-83

Table 30: World 15-Year Perspective for Ophthalmic Diagnostic
Devices by Geographic Region - Percentage Breakdown of Volume
Sales for US, Canada, Japan, Europe, Asia-Pacific, Middle
East and Latin America Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-84

Table 31: World Recent Past, Current and Future Analysis for
Ophthalmic Diagnostic Devices by Product Segment - OCT
Systems, Optical Biometers, Corneal Topography Systems, Slit
Lamps, Diagnostic Imaging Systems, Tonometers, Refractors,
Perimeters, and Fundus Cameras Independently Analyzed with
Annual Sales Figures in Units for Years 2013 through 2020
(includes corresponding Graph/Chart) II-85

Table 32: World Historic Review for Ophthalmic Diagnostic
Devices by Product Segment - OCT Systems, Optical Biometers,
Corneal Topography Systems, Slit Lamps, Diagnostic Imaging
Systems, Tonometers, Refractors, Perimeters, and Fundus
Cameras Independently Analyzed with Annual Sales Figures in
Units for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-86

Table 33: World 15-Year Perspective for Ophthalmic Diagnostic
Devices by Product Segment - Percentage Breakdown of Volume
Sales for OCT Systems, Optical Biometers, Corneal Topography
Systems, Slit Lamps, Diagnostic Imaging Systems, Tonometers,
Refractors, Perimeters, and Fundus Cameras for Years 2006,
2014 and 2020 (includes corresponding Graph/Chart) II-87

Table 34: World Recent Past, Current and Future Analysis for
OCT Systems by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-88

Table 35: World Historic Review for OCT Systems by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in Units for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-89

Table 36: World 15-Year Perspective for OCT Systems by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-90

Table 37: World Recent Past, Current and Future Analysis for
Optical Biometers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-91

Table 38: World Historic Review for Optical Biometers by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets Independently Analyzed
with Annual Sales Figures in Units for Years 2006 through
2012 (includes corresponding Graph/Chart) II-92

Table 39: World 15-Year Perspective for Optical Biometers by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-93

Table 40: World Recent Past, Current and Future Analysis for
Slit Lamps by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-94

Table 41: World Historic Review for Slit Lamps by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in Units for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-95

Table 42: World 15-Year Perspective for Slit Lamps by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-96

Table 43: World Recent Past, Current and Future Analysis for
Tonometers by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-97

Table 44: World Historic Review for Tonometers by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in Units for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-98

Table 45: World 15-Year Perspective for Tonometers by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-99

Table 46: World Recent Past, Current and Future Analysis for
Auto Refractors / Keratometers by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in Units for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-100

Table 47: World Historic Review for Auto Refractors /
Keratometers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-101

Table 48: World 15-Year Perspective for Auto Refractors /
Keratometers by Geographic Region - Percentage Breakdown of
Volume Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-102

Table 49: World Recent Past, Current and Future Analysis for
Perimeters by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-103

Table 50: World Historic Review for Perimeters by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in Units for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-104

Table 51: World 15-Year Perspective for Perimeters by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-105

Table 52: World Recent Past, Current and Future Analysis for
Fundus Cameras by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-106

Table 53: World Historic Review for Fundus Cameras by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets Independently Analyzed
with Annual Sales Figures in Units for Years 2006 through
2012 (includes corresponding Graph/Chart) II-107

Table 54: World 15-Year Perspective for Fundus Cameras by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-108

Table 55: World Recent Past, Current and Future Analysis for
Diagnostic Ultrasound Equipment by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in Units for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-109

Table 56: World Historic Review for Diagnostic Ultrasound
Equipment by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-110

Table 57: World 15-Year Perspective for Diagnostic Ultrasound
Equipment by Geographic Region - Percentage Breakdown of
Volume Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-111

Table 58: World Recent Past, Current and Future Analysis for
Other Diagnostic Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin America
Markets Independently Analyzed with Annual Sales Figures in
Units for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-112

Table 59: World Historic Review for Other Diagnostic Devices
by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-113

Table 60: World 15-Year Perspective for Other Diagnostic
Devices by Geographic Region - Percentage Breakdown of Volume
Sales for US, Canada, Japan, Europe, Asia-Pacific, Middle
East and Latin America Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-114

Table 61: World Recent Past, Current and Future Analysis for
Ophthalmic Surgical Products by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in Units for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-115

Table 62: World Historic Review for Ophthalmic Surgical
Products by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-116

Table 63: World 15-Year Perspective for Ophthalmic Surgical
Products by Geographic Region - Percentage Breakdown of
Volume Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-117

Table 64: World Recent Past, Current and Future Analysis for
Ophthalmic Surgical Products by Segment - Ophthalmic Lasers
and Ophthalmic Surgical Microscopes Markets Independently
Analyzed with Annual Sales Figures in Units for Years 2013
through 2020 (includes corresponding Graph/Chart) II-118

Table 65: World Historic Review for Ophthalmic Surgical
Products by Segment - Ophthalmic Lasers and Ophthalmic
Surgical Microscopes Markets Independently Analyzed with
Annual Sales Figures in Units for Years 2006 through 2012
(includes corresponding Graph/Chart) II-119

Table 66: World 15-Year Perspective for Ophthalmic Surgical
Products by Segment - Percentage Breakdown of Volume Sales
for Ophthalmic Lasers and Ophthalmic Surgical Microscopes
Markets for Years 2006, 2014 and 2020 (includes corresponding
Graph/Chart) II-120

Table 67: World Recent Past, Current and Future Analysis for
Ophthalmic Lasers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2013 through 2020 (includes corresponding Graph/Chart) II-121

Table 68: World Historic Review for Ophthalmic Lasers by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets Independently Analyzed
with Annual Sales Figures in Units for Years 2006 through
2012 (includes corresponding Graph/Chart) II-122

Table 69: World 15-Year Perspective for Ophthalmic Lasers by
Geographic Region - Percentage Breakdown of Volume Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-123

Table 70: World Recent Past, Current and Future Analysis for
Ophthalmic Surgical Microscopes by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in Units for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-124

Table 71: World Historic Review for Ophthalmic Surgical
Microscopes by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in Units for
Years 2006 through 2012 (includes corresponding Graph/Chart) II-125

Table 72: World 15-Year Perspective for Ophthalmic Surgical
Microscopes by Geographic Region - Percentage Breakdown of
Volume Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-126
II. Value Analytics II-127
Table 73: World Recent Past, Current and Future Analysis for
Ophthalmic Instrumentation by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin America
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-127

Table 74: World Historic Review for Ophthalmic
Instrumentation by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-128

Table 75: World 15-Year Perspective for Ophthalmic
Instrumentation by Geographic Region - Percentage Breakdown
of Value Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-129

Table 76: World Recent Past, Current and Future Analysis for
Ophthalmic Diagnostic Devices by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) II-130

Table 77: World Historic Review for Ophthalmic Diagnostic
Devices by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-131

Table 78: World 15-Year Perspective for Ophthalmic Diagnostic
Devices by Geographic Region - Percentage Breakdown of Value
Sales for US, Canada, Japan, Europe, Asia-Pacific, Middle
East and Latin America Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-132

Table 79: World Recent Past, Current and Future Analysis for
Ophthalmic Diagnostic Devices by Product Segment - OCT
Systems, Optical Biometers, Slit Lamps, Tonometers, Auto
Refractors/Keratometers, Perimeters, Fundus Cameras,
Diagnostic Ultrasound Equipment and Others Independently
Analyzed with Annual Sales Figures in US$ Thousands for Years
2013 through 2020 (includes corresponding Graph/Chart) II-133

Table 80: World Historic Review for Ophthalmic Diagnostic
Devices by Product Segment - OCT Systems, Optical Biometers,
Slit Lamps, Tonometers, Auto Refractors/Keratometers,
Perimeters, Fundus Cameras, Diagnostic Ultrasound Equipment
and Others Independently Analyzed with Annual Sales Figures
in US$ Thousands for Years 2006 through 2012 (includes
corresponding Graph/Chart) II-134

Table 81: World 15-Year Perspective for Ophthalmic Diagnostic
Devices by Product Segment - Percentage Breakdown of Value
Sales for OCT Systems, Optical Biometers, Slit Lamps,
Tonometers, Auto Refractors/Keratometers, Perimeters, Fundus
Cameras, Diagnostic Ultrasound Equipment and Others for Years
2006, 2014 and 2020 (includes corresponding Graph/Chart) II-135

Table 82: World Recent Past, Current and Future Analysis for
OCT Systems by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-136

Table 83: World Historic Review for OCT Systems by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) II-137

Table 84: World 15-Year Perspective for OCT Systems by
Geographic Region - Percentage Breakdown of Value Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-138

Table 85: World Recent Past, Current and Future Analysis for
Optical Biometers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-139

Table 86: World Historic Review for Optical Biometers by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets Independently Analyzed
with Annual Sales Figures in US$ Thousands for Years 2006
through 2012 (includes corresponding Graph/Chart) II-140

Table 87: World 15-Year Perspective for Optical Biometers by
Geographic Region - Percentage Breakdown of Value Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-141

Table 88: World Recent Past, Current and Future Analysis for
Slit Lamps by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-142

Table 89: World Historic Review for Slit Lamps by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) II-143

Table 90: World 15-Year Perspective for Slit Lamps by
Geographic Region - Percentage Breakdown of Value Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-144

Table 91: World Recent Past, Current and Future Analysis for
Tonometers by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-145

Table 92: World Historic Review for Tonometers by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) II-146

Table 93: World 15-Year Perspective for Tonometers by
Geographic Region - Percentage Breakdown of Value Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-147

Table 94: World Recent Past, Current and Future Analysis for
Auto Refractors / Keratometers by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) II-148

Table 95: World Historic Review for Auto Refractors /
Keratometers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-149

Table 96: World 15-Year Perspective for Auto Refractors /
Keratometers by Geographic Region - Percentage Breakdown of
Value Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-150

Table 97: World Recent Past, Current and Future Analysis for
Perimeters by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-151

Table 98: World Historic Review for Perimeters by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin America Markets Independently Analyzed with Annual
Sales Figures in US$ Thousands for Years 2006 through 2012
(includes corresponding Graph/Chart) II-152

Table 99: World 15-Year Perspective for Perimeters by
Geographic Region - Percentage Breakdown of Value Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-153

Table 100: World Recent Past, Current and Future Analysis for
Fundus Cameras by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-154

Table 101: World Historic Review for Fundus Cameras by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets Independently Analyzed
with Annual Sales Figures in US$ Thousands for Years 2006
through 2012 (includes corresponding Graph/Chart) II-155

Table 102: World 15-Year Perspective for Fundus Cameras by
Geographic Region - Percentage Breakdown of Value Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-156

Table 103: World Recent Past, Current and Future Analysis for
Diagnostic Ultrasound Equipment by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) II-157

Table 104: World Historic Review for Diagnostic Ultrasound
Equipment by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-158

Table 105: World 15-Year Perspective for Diagnostic
Ultrasound Equipment by Geographic Region - Percentage
Breakdown of Value Sales for US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets for Years
2006, 2014 and 2020 (includes corresponding Graph/Chart) II-159

Table 106: World Recent Past, Current and Future Analysis for
Other Diagnostic Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin America
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-160

Table 107: World Historic Review for Other Diagnostic Devices
by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-161

Table 108: World 15-Year Perspective for Other Diagnostic
Devices by Geographic Region - Percentage Breakdown of Value
Sales for US, Canada, Japan, Europe, Asia-Pacific, Middle
East and Latin America Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-162

Table 109: World Recent Past, Current and Future Analysis for
Ophthalmic Surgical Products by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) II-163

Table 110: World Historic Review for Ophthalmic Surgical
Products by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-164

Table 111: World 15-Year Perspective for Ophthalmic Surgical
Products by Geographic Region - Percentage Breakdown of Value
Sales for US, Canada, Japan, Europe, Asia-Pacific, Middle
East and Latin America Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-165

Table 112: World Recent Past, Current and Future Analysis for
Ophthalmic Surgical Products by Segment - Ophthalmic
Disposables, Ophthalmic Lasers and Ophthalmic Surgical
Microscopes Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) II-166

Table 113: World Historic Review for Ophthalmic Surgical
Products by Segment - Ophthalmic Disposables, Ophthalmic
Lasers and Ophthalmic Surgical Microscopes Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-167

Table 114: World 15-Year Perspective for Ophthalmic Surgical
Products by Segment - Percentage Breakdown of Value Sales for
Ophthalmic Disposables, Ophthalmic Lasers and Ophthalmic
Surgical Microscopes Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-168

Table 115: World Recent Past, Current and Future Analysis for
Ophthalmic Disposables by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin America
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousands for Years 2013 through 2020 (includes
corresponding Graph/Chart) II-169

Table 116: World Historic Review for Ophthalmic Disposables
by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-170

Table 117: World 15-Year Perspective for Ophthalmic
Disposables by Geographic Region - Percentage Share Breakdown
of Value Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-171

Table 118: World Recent Past, Current and Future Analysis for
Ophthalmic Lasers by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-172

Table 119: World Historic Review for Ophthalmic Lasers by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets Independently Analyzed
with Annual Sales Figures in US$ Thousands for Years 2006
through 2012 (includes corresponding Graph/Chart) II-173

Table 120: World 15-Year Perspective for Ophthalmic Lasers by
Geographic Region - Percentage Share Breakdown of Value Sales
for US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin America Markets for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-174

Table 121: World Recent Past, Current and Future Analysis for
Ophthalmic Surgical Microscopes by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Sales
Figures in US$ Thousands for Years 2013 through 2020
(includes corresponding Graph/Chart) II-175

Table 122: World Historic Review for Ophthalmic Surgical
Microscopes by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Sales Figures in US$
Thousands for Years 2006 through 2012 (includes corresponding
Graph/Chart) II-176

Table 123: World 15-Year Perspective for Ophthalmic Surgical
Microscopes by Geographic Region - Percentage Share Breakdown
of Value Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin America Markets for Years 2006, 2014
and 2020 (includes corresponding Graph/Chart) II-177


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Outlook III-1
Growth Drivers III-1
Fact File III-2
Economy Upheavals and Impact on Ophthamology Procedures III-2
Table 124: Number of Refractive Surgeries in the US
(2004-2013) (In 000) (includes corresponding Graph/Chart) III-3

Table 125: Refractive Surgery Procedures in the US (2013):
Percentage Share Breakdown of Procedure Volume by Age-Group
(includes corresponding Graph/Chart) III-3
Ophthalmic Marketers to Catch Up on Ageing ‘Baby Boomers’ III-4
Alternative Procedures to Offer Growth Prospects III-4
Rising Obesity Levels Drive Procedure Numbers III-5
Table 126: Obesity-Affected Population in the US (2010):
Percentage Share Breakdown by Age Group (includes
corresponding Graph/Chart) III-5

Table 127: Proportion (%) of Obesity in the US Overweight
Population by Age Group (includes corresponding
Graph/Chart) III-5
Femtolasers Open New Ground for Cataract Surgery III-6
Combination OCT Devices Witness High Sales III-6
Cataract Surgery Reimbursement in the US III-6
Revised ASC Payment Rates for Ophthalmic Services III-7
Table 128: Table ASC Payment Rates for Ophthalmic
Procedures in 2014 (US$) (includes corresponding
Graph/Chart) III-7
Competition in the Optical Biometry Devices Market III-8
Trade Statistics III-8
Table 129: The US Exports of Ophthalmic Instruments and
Appliances Nes (HS 901850) for 2012 and 2013: Percentage
Share Breakdown of Export Value by Country of Destination
(includes corresponding Graph/Chart) III-8

Table 130: The US Imports of Ophthalmic Instruments and
Appliances Nes (HS 901850) for 2012 and 2013: Percentage
Share Breakdown of Import Value by Country of Origin
(includes corresponding Graph/Chart) III-9
Statistical Findings on Ophthalmic Diseases in the United
States III-9
Table 131: Percentage of Occurrence of Glaucoma in the US
by Age Group (2013E) (includes corresponding Graph/Chart) III-9

Table 132: Percentage of Occurrence of Cataract in the US
by Age Group (2013E) (includes corresponding Graph/Chart) III-10

Table 133: P

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