Global Myopia and Presbyopia Treatment Market Table of Contents 1. INTRODUCTION 2. ASSUMPTIONS AND ACRONYMS 3. RESEARCH METHODOLOGY 4. EXECUTIVE SUMMARY - GLOBAL MYOPIA & PRESBYOPIA TREATMENT MARKET 5. ANALYSIS OF MARKET DYNAMICS 5.1. DRIVERS 5.2. RESTRAINTS 5.3. TRENDS 6. KEY MARKET OPPORTUNITIES 7. INDUSTRY RISK ANALYSIS 7.1. DEMAND RISK ANALYSIS 7.2. SUPPLY RISK ANALYSIS 8. REGULATORY LANDSCAPE 9. IMPACT OF COVID-19 ON MYOPIA & PRESBYOPIA TREATMENT 10. MYOPIA & PRESBYOPIA TREATMENT MARKET OUTLOOK 10.1. MARKET SIZE AND FORECAST, 2018-2028 10.1.1. BY VALUE (USD MILLION) 10.2. MYOPIA & PRESBYOPIA TREATMENT MARKET SEGMENTATION, 2018-2028 10.2.1. BY REGIONS v NORTH AMERICA MYOPIA & PRESBYOPIA TREATMENT MARKET, 2018-2028F (USD MILLION) § MARKET SIZE, 2018-2028F (USD MILLION) § MARKET ANALYSIS § BY COUNTRY o ASSESSMENT OF MACROECONOMIC FACTORS o US & CANADA, 2018-2028F (USD MILLION) v EUROPE MYOPIA & PRESBYOPIA TREATMENT MARKET, 2018-2028F (USD MILLION) § MARKET SIZE, 2018-2028F (USD MILLION) § MARKET ANALYSIS § BY COUNTRY o ASSESSMENT OF MACROECONOMIC FACTORS o UK & GERMANY, 2018-2028F (USD MILLION) o FRANCE & ITALY, 2018-2028F (USD MILLION) o SPAIN & RUSSIA, 2018-2028F (USD MILLION) o REST OF EUROPE, 2018-2028F (USD MILLION) v ASIA PACIFIC MYOPIA & PRESBYOPIA TREATMENT MARKET, 2018-2028F (USD MILLION) § MARKET SIZE, 2018-2028F (USD MILLION) § MARKET ANALYSIS § BY COUNTRY o ASSESSMENT OF MACROECONOMIC FACTORS • CHINA & INDIA, 2018-2028F (USD MILLION) • o JAPAN & SOUTH KOREA, 2018-2028F (USD MILLION) • o AUSTRALIA & MALAYSIA, 2018-2028F (USD MILLION) • o REST OF ASIA PACIFIC, 2018-2028F (USD MILLION) • LATIN AMERICA MYOPIA & PRESBYOPIA TREATMENT MARKET, 2018-2028F (USD MILLION) • MARKET SIZE, 2018-2028F (USD MILLION) • MARKET ANALYSIS • BY COUNTRY • o ASSESSMENT OF MACROECONOMIC FACTORS • o BRAZIL & MEXICO, 2018-2028F (USD MILLION) • o REST OF LATIN AMERICA, 2018-2028F (USD MILLION) • MIDDLE EAST & AFRICA MYOPIA & PRESBYOPIA TREATMENT MARKET, 2018-2028F (USD MILLION) • MARKET SIZE, 2018-2028F (USD MILLION) • MARKET ANALYSIS • BY COUNTRY • o ASSESSMENT OF MACROECONOMIC FACTORS • o UNITED ARAB EMIRATES & SAUDI ARABIA, 2018-2028F (USD MILLION) • o ISRAEL & SOUTH AFRICA, 2018-2028F (USD MILLION) • o REST OF MIDDLE EAST & AFRICA, 2018-2028F (USD MILLION) • 11. COMPETITIVE STRUCTURE • 11.1. DETAILED OVERVIEW • 11.2. COMPETITIVE BENCHMARKING • 11.3. ASSESSMENT OF KEY PRODUCT OFFERINGS • 11.4. ANALYSIS OF GROWTH STRATEGIES • 11.5. KEY COLLABORATIONS AND JOINT VENTURES • 11.6. KEY MERGERS AND ACQUISITIONS • 11.7. RECENT NEWS AND DEVELOPMENTS • 11.8. KEY CLIENTS AND PARTNERS • 11.9. EXHAUSTIVE ANALYSIS ON KEY FINANCIAL INDICATORS • 11.10. COMPANY PROFILES • 11.10.1. TOPCON CORPORATION • 11.10.2. ALCON • 11.10.3. BAUSCH & LOMB INCORPORATED • 11.10.4. NIDEK CO., LTD. • 11.10.5. CARL ZEISS AG • 11.10.6. JOHNSON & JOHNSON VISION • 12. STRATEGIC RECOMMENDATIONS |
Myopia and Presbyopia Treatment Market Outlook:
Myopia And Presbyopia Treatment Market size was over USD 24.6 billion in 2024 and is estimated to reach USD 57.1 billion by the end of 2037, exhibiting a CAGR of 7.8% during the forecast period, i.e., 2025-2037. In 2025, the industry size of myopia and presbyopia treatment is assessed at USD 25.7 billion.
The patient pool of the market continues to expand due to lifestyle-related risk and demographic aging factors. As per the National Eye Institute data, over 150.7 million U.S. citizens are affected by refractive errors such as presbyopia and myopia. Further, the data also shows that presbyopia among adults and children is rising in East Asia. The surge in patient volume is increasing the pressure on the supply chain for both surgical and pharmacological treatments. The supply chain components include active pharmaceutical ingredients such as polymers for inlay devices, surgical lasers, pilocarpine hydrochloride, and optoelectronic equipment for treatment. The U.S., Switzerland, China, Germany, and India are home to most manufacturing and processing centers. In the U.S., the FDA's medication shortage database indicates that the majority of American manufacturers of eye drops and surgical devices depend on importing APIs from China and India.
The producer price index for supplies and ophthalmic medical equipment in the U.S. rose by 6.9% in 2023. This rise highlights the pressure on the cost of manufacturing products, mainly for diagnostic devices and laser systems. Meanwhile, the consumer price index for vision-related services increased to 4.7% in 2024, impacting the patient’s expenditure apart from insurance coverage. Public funding for research and development relating to myopia and presbyopia has also increased. In 2023, the National Eye Institute distributed USD 113.6 million for grants related to vision science, with a focus on non-invasive diagnostic instruments and pharmaceutical development. Disposable parts like eye drop packaging are imported in huge quantities from Southeast Asia, while assembly lines for refractive surgical equipment are still mostly local in nations like the U.S. and Germany.

Myopia and Presbyopia Treatment Market - Growth Drivers and Challenges
Growth Drivers
-
Government spending on vision correction: The U.S. Medicare spending on vision-related treatments has crossed USD 6.69 billion, which is an increase of 12.8% since 2020. The reimbursement approvals by the Medicare Advantage plans have improved mainly for the procedures in cataract patients with myopia. This affects the government's broader access for aging populations and enhanced ophthalmic care coverage. These policies improve both the pharmacologic and surgical interventions for presbyopia correction.
-
Personal out-of-pocket expenditure on vision care: Nearly USD 420.2 is spent annually by every citizen in the U.S. for vision correction. This expense is covered for both surgical and drug-based treatments for presbyopia and myopia. This rise highlights the improved patient interest in elective solutions, including LASIK and pilocarpine-based eye drops in middle-income groups. Insurance coverage deficiencies, demand is supported by lifestyle requirements and convenience considerations, which indicate a sustained transition toward self-funded refractive care.
Key Manufacturer Strategies Shaping the Market Expansion
Over the past decade, refractive vision disorders have been a burden for myopia and presbyopia patients. Further, this challenge has surged at an unprecedented rate due to increased screen exposure, demographic aging, and urban lifestyle changes. The present state of the market has been significantly impacted by the growth of the presbyopia population in wealthy nations like the USA, Germany, France, and Japan, as well as the rise in juvenile-onset myopia in nations like China and India. The table below shows the historical patient growth across key markets from 2010 to 2020.
Historical Patient Growth (2010-2020) in Key Markets
Country |
2010 Patients (Millions) |
2020 Patients (Millions) |
Growth (%) |
USA |
89.9 |
113.7 |
26.9% |
Germany |
23.8 |
30.6 |
29.2% |
France |
20.1 |
25.9 |
29.6% |
Spain |
14.4 |
18.8 |
30.2% |
Australia |
8.9 |
11.4 |
30.8% |
Japan |
35.6 |
43.1 |
21.7% |
India |
53.2 |
80.0 |
51.2% |
China |
98.6 |
151.7 |
54.4% |
Strategic Expansion Models for Myopia and Presbyopia Treatment Market
The market is rapidly evolving with various expansion models to leverage the localization of production, public-private partnerships, and reimbursement integration. These models make the market demand by its affordability, treatment outcomes, and access, especially in demanding nations such as Germany, China, and the U.S. Further, Germany’s regulatory guidelines with EU MDR have enabled reimbursement easier for presbyopia inlays, raising the market by 9.2% in 2023.
Feasibility Models for Revenue Growth
Country |
Expansion Model |
Revenue Growth (2022–2024) |
Key Outcome |
India |
Public-private partnerships with Tier 2/3 providers |
12.6% |
Localized access & reduced procurement cost |
USA |
Medicare coverage for presbyopia eye drops |
15.8% |
Boosted drug utilization among the aging population |
Germany |
MDR compliance easing reimbursement for inlays |
9.2% |
Market access for surgical solutions expanded |
China |
Domestic device assembly via industrial health parks |
12.1% |
Cost savings on diagnostic & refractive equipment |
Japan |
Co-development with government R&D incubators |
7.9% |
Accelerated pilocarpine generics via fast-tracks |
France |
Bundled eye care services in public hospitals |
9.7% |
Increased uptake in presbyopia treatment services |
Challenges
-
Government pricing caps: In 2023, nations such as France and Germany imposed strict price caps on eye care treatments under their public health plans, limiting reimbursement levels for pharmacologic therapies like pilocarpine-based eye drops. This dramatically lowered commercial profitability for companies. For example, a company reacted by winning a tiered pricing agreement with French health authorities, securing wider market penetration and capturing a 10.6% boost in sales. These cost controls through regulation remain to hinder revenue growth in Western Europe.
Myopia and Presbyopia Treatment Market Size and Forecast:
Report Attribute | Details |
---|---|
Base Year |
2024 |
Forecast Year |
2025-2037 |
CAGR |
7.8% |
Base Year Market Size (2024) |
USD 24.6 billion |
Forecast Year Market Size (2037) |
USD 57.1 billion |
Regional Scope |
|
Myopia and Presbyopia Treatment Market Segmentation:
Treatment Type Segment Analysis
The surgical procedures lead the myopia and presbyopia treatment market and are projected to hold the market share of 34.9% by 2037. The sub-segments of surgical procedures, such as LASIK and SMILE (Small Incision Lenticule Extraction) dominate the market with the rising adoption of bladeless technologies and long-term correction. Further, surgeons also prefer SMILE for speedy recovery and minimal invasiveness. As per the National Eye Institute, nearly 45.7 million people in the U.S. will suffer from refractive errors by 2037. Further, the European Society of Cataract and Refractive Surgeons reports a 19.5% rise in the LASIK adoption among patients aged from 21 to 45.
Drug Type Segment Analysis
The pilocarpine-based eye drops dominate the market and is expected to hold the share of 22.1% by 2037. A new generation of pharmacological treatments for presbyopia was spurred by AbbVie's 2021 FDA approval of VUITYTM (pilocarpine 1.25%). These drops tighten the pupil to make the near vision clear and helping a large population from undergoing surgery. As per the FDA record by the government, the market is significant for the presbyopia eye drops, reaching USD 10.4 billion by 2030 globally, with the rise in screen time and early onset of vision fatigue among young adults. Further, NEI has focused on the growing need for non-invasive, reversible treatments for age-related ocular conditions.
Our in-depth analysis of the global market includes the following segments:
Segment |
Subsegments |
Treatment Type |
|
Drug Type |
|
End user |
|

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Myopia and Presbyopia Treatment Market - Regional Analysis
North America Market Insights
North America is the dominant region in the myopia and presbyopia treatment market and is expected to hold the market share of 38.1% at a CAGR of 7.2% by 2037. The market is driven by the favorable reimbursement policies, innovation in pharmacological therapies, and high procedure volumes. The U.S. market is the revenue anchor and is mainly driven by the Medicare and Medicaid expansions. The need for therapy is increasing increased to the rising incidence of visual diseases, which are connected to aging populations and digital screen exposure. Industry-wide, med-tech companies and pharmaceutical companies are actively using AI-based diagnostics and personalized vision correction tools with government support for innovation goals.
The myopia and presbyopia treatment market in the U.S. is accelerated by the systemic reforms of Medicaid and Medicare. Medicare has spent USD 800.8 million in 2024 on the myopia and presbyopia treatment, which is a rise of 15.6% since 2020. Further, the CDC and NIH together have backed research programs regarding innovations in presbyopia pharmacological therapies, supporting start-ups to enter the market. Medicaid extended coverage to an extra 10.5% of enrollees in 2024 by allocating USD 1.6 billion for vision-related treatment. The U.S. market is positioned as the global growth engine due to the advantages of new therapies and regulatory policies under the FDA for vision-related treatments.
Asia Pacific Market Insights
The APAC presbyopia and myopia treatment market is set to grow strongly by holding the market share of 23.1% at CAGR 7.9% by 2037. The APAC market is fueled by increasing patient numbers, an ageing population, and continued government investment in the healthcare sector. Japan and South Korea are experiencing rising report of presbyopia, while India and China are struggling with alarming increases in myopia in younger age groups. Technological advancements in laser treatments, drug development, and tele-ophthalmology platforms are revolutionizing patient accessibility and treatment administration. Local API manufacturing in the region is also driving treatments to become more economical. These factors, along with significant R&D spending in Japan and South Korea, are expected to drive growth throughout the APAC market.
China holds the largest share in the myopia and presbyopia treatment market in the APAC region and is expected to have a revenue share of 29.2% by 2037. For the past five years, China government has been spending more on vision-related treatments with an increase of 15.7%, affecting the public health priority on vision-related problems. Further, in 2023, nearly 1.7 million people have undergone the myopia and presbyopia treatment due to the rise in screen time and aging population. Increasing access to pharmaceutical and surgical treatments in both urban and rural healthcare institutions, the National Medical Products Administration (NMPA) has expedited approvals for vision correction procedures.
Government Programs Initiated in the APAC Region
Country |
Initiative / Program |
Government Investment / Budget |
Launch Year |
Australia |
National Strategic Action Plan for Eye Health and Vision |
AUD 18.9 million allocated for 2021–2025 |
2021 |
Japan |
Vision Health Promotion Act (under MHLW) – Early intervention in aging vision loss |
¥35.4 billion for R&D and screening by AMED |
2022 |
India |
National Programme for Control of Blindness and Visual Impairment (NPCBVI) Expansion |
₹1,100.6 crore (~$133M) allocated 2021–2024 |
2021 |
South Korea |
Vision Screening Expansion Plan under NHIS |
â‚©250.3 billion (~$210M) for presbyopia/myopia tools |
2023 |
Malaysia |
National Eye Health Policy (Phase II) – focus on myopia prevention in schools |
RM 120.7 million (~$25M) by Ministry of Health |
2024 |
Europe Market Insights
The Europe myopia and presbyopia treatment market is growing and is expected to have a market share of 28.6% by 2037, with the region's aging population, greater exposure to screens, and government healthcare policies. The rising incidence of uncorrected refractive errors among the elderly and youth populations has led to the prioritization of vision correction therapy. Further, supportive EU rules have increased the availability of non-invasive procedures such as pharmacologic eye drops, and the popularity of LASIK and intraocular lens (IOL) operations has driven market growth. EU-wide backing, through the European Health Data Space, has made available €2.8 billion of funding for vision-related R&D from 2023 to 2027. Patterns of digital eye strain and myopia development in children have set in motion early intervention programs in Germany, France, and the UK.
Germany leads the myopia and presbyopia treatment market in Europe and is projected to hold the market share of 26.9% by 2037. The market leads with the government spending, and in 2024 government has reached €4.5 billion for vision treatments. As per the Federal Ministry of Health, the demand for vision-related treatments has grown by 12.6% since 2021 and is fueled by high uptake of intraocular lenses and refractive surgeries, and an aging population. The extensive compensation provided by Germany's statutory health insurance system for advanced remedial treatments encourages robust market activity from both domestic and international firms.

Key Myopia and Presbyopia Treatment Market Players:
- Company Overview
- Business Strategy
- Key Product Offerings
- Financial Performance
- Key Performance Indicators
- Risk Analysis
- Recent Development
- Regional Presence
- SWOT Analysis
The market is highly competitive in Asia and the U.S. The market is led by the top companies such as Johnson & Johnson Vision, Alcon, and CooperVision, which fuel the lens segments and high-end ophthalmic devices. M&A operations such as Johnson & Johnson's acquisition of TearScience, regional expansions, and the introduction of cutting-edge products like MiSight and pilocarpine-based drops are examples of strategic efforts. Collaborations with institutions in the healthcare segments and integration into national reimbursement initiatives are a significant source of market expansion.
Top 20 players in this cohort include:
Company Name |
Country of Origin |
Key Focus Area |
Estimated 2037 Market Share (%) |
Alcon Inc. |
Switzerland |
Presbyopia IOLs, surgical systems, myopia control lenses |
14.2% |
Johnson & Johnson Vision |
USA |
Acuvue multifocals, Abilit myopia management |
13.2% |
Bausch + Lomb |
USA |
ULTRA lenses, presbyopia drops, surgical treatments |
10.9% |
EssilorLuxottica |
France/Italy |
Myopia control glasses, presbyopia progressive lenses |
8.7% |
CooperVision Inc. |
USA |
MiSight 1 day, multifocal contacts |
7.8% |
ZEISS Group |
Germany |
Premium IOLs, refractive diagnostics |
xx% |
Hoya Corporation |
Japan |
Myopia lens innovation, IOLs for presbyopia |
xx% |
Carl Zeiss Meditec |
Germany |
Ophthalmic equipment, laser systems |
xx% |
SIFI S.p.A. |
Italy |
Presbyopia therapies, lens solutions |
xx% |
Menicon Co., Ltd. |
Japan |
Orthokeratology, hybrid lenses |
xx% |
Visioneering Technologies |
Australia |
NaturalVue lenses for myopia and presbyopia |
xx% |
Shamir Optical Industry |
Israel |
Progressive lenses and design technologies |
xx% |
SynergEyes Inc. |
USA |
Hybrid lenses for presbyopia and keratoconus |
xx% |
Haohai Biological Tech |
China |
Intraocular lenses, ophthalmic pharma |
xx% |
Aurolab |
India |
Affordable IOLs, low-cost vision correction tools |
xx% |
Hanita Lenses |
Israel |
Multifocal IOLs |
xx% |
Interojo Inc. |
South Korea |
Soft lenses for presbyopia |
xx% |
Rayner Intraocular Lenses |
UK |
Premium presbyopia-correcting IOLs |
xx% |
Appasamy Associates |
India |
Surgical kits, mid-range IOLs |
xx% |
NOVA MEDICAL PRODUCTS |
Malaysia |
Government-supplied correction lenses |
xx% |
Below are the areas covered for each company in the market:
Recent Developments
- In January 2024, Johnson & Johnson Vision launched its Acuvue Oasys Max 1-Day for Presbyopia to address the increasing demand for presbyopia correction among adults aged above 45. The product led to a 10.2% growth in its vision care revenue.
- In April 2024, Eyenovia announced FDA clearance for APP13007, a pilocarpine-based microdosing treatment for presbyopia. The launch has increased the company’s U.S. market penetration by 6.6% in Q2 2024.
- Report ID: 2475
- Published Date: Jul 02, 2025
- Report Format: PDF, PPT
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