GBIME0089MR Cataract Surgery Devices Market to 2019 … · Cataract Surgery Devices Market to 2019 ... Cataract Surgery Devices Market, Global, ... 13 2 Introduction

Cataract Surgery Devices Market to 2019 Advanced Intraocular Lenses (IOLs) and a Growing Patient Population in Emerging Countries Offer Significant Growth Potential

GBI Research Report Guidance

© GBI Research. This is a licensed product and is not to be photocopied GBIME0089MR / Published AUG 2013 Page 2

GBI Research Report Guidance

The executive summary explains the key points determining the dynamics of the cataract surgery devices market. Competition in the industry and the key categories, segments and geographical regions are also outlined.

Chapter three provides information on the disease overview, symptoms and treatment available for cataract removal.

Chapter four provides information on the device overview. It also provides an overview on the following segments: intraocular lens, ophthalmic viscoelastic devices and phacoemulsification equipment. Lasers used in cataract surgery such as femtosecond lasers are not included.

Chapter five provides information on the market size for the 2005–2012 historic period and the 2012–2019 forecast period. It also outlines market trends and dynamics, with comprehensive information on market drivers and restraints, and the competitive landscape.

Chapter six provides information on the market size of the key market segments: IOLs, ophthalmic viscoelastic devices, and phacoemulsification equipment. The market sizes for the 2005–2012 historic period and the 2012–2019 forecast period are also discussed for each segment.

Chapter seven provides information on the market size for the 2005–2012 historic period and the 2012–2019 forecast period for the US, Japan, Germany, the UK, France, Brazil, Italy, China, Canada, Australia, Spain and India, with cross-country analyses included.

Chapter eight provides information on healthcare reimbursement system for the US, Japan, Germany, the UK, France, Brazil, Italy, China, Canada, Australia, Spain and India.

Chapter nine discusses the distribution channels adopted by the manufacturers in the US, Japan, Germany, the UK, France, Brazil, Italy, China, Canada, Australia, Spain and India.

Chapter 10 provides profiles of the leading cataract surgery device companies, outlining their products, features and benefits.

Chapter 11 focuses on the pipeline products for a range of segments. The key pipeline products are profiled and discussed in detail alongside product approval and expected launch dates.

Chapter 12 discusses the deals that took place in the cataract surgery devices industry between 2008 and 2012.

© GBI Research. This is a licensed product and is not to be photocopied GBIME0089MR / Published AUG 2013

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Executive Summary

Executive Summary

The Cataract Surgery Devices Market is Forecast to Exceed $4.5 Billion by 2019

The following figure shows the revenue generated by the global cataract surgery devices market during the 2012–2019 period.

Cataract Surgery Devices Market, Global, Revenue Forecast ($m), 2012–2019

2012 2019

Rev

enue

($m

)

IOLs OVDs Phacoemulsification equipment

CAGR 2012–2019: XX%

Source: GBI Research’s proprietary database [Accessed on April 14, 2013]; interviews with marketing managers and other industry experts

OVD: Ophthalmic Viscoelastic Device; IOL: Intraocular Lens

The global market for cataract surgery devices was valued at $XX billion in 2012, and is forecast to reach $XX billion by 2019, growing at a Compound Annual Growth Rate (CAGR) of XX%. The Intraocular Lens (IOL) segment was valued at $XX billion in 2012 and is forecast to reach $XX billion by in 2019. The Ophthalmic Viscoelastic Device (OVD) segment was valued at $XXm in 2012 and is forecast to reach $XXm in 2019. The phacoemulsification equipment segment was valued at $XXm in 2012 and is forecast to reach $XXm by 2019. The market is expected to be driven by increasing demand for cataract procedures due to aging populations, favorable reimbursement scenarios for standard phacoemulsification-based cataract removal surgery, and monofocal foldable IOLs and rigid Polymethylmethacrylate (PMMA) IOLs. Advanced IOLs and technical advances in phacoemulsification equipment will also provide a boost, as will increasing adoption of foldable IOLs, growing awareness of premium IOLs, and the availability of advanced phacoemulsification equipment, which improves clinical outcomes. However, the adoption of foldable IOLs and advanced IOLs in emerging countries such as China and India is at a nascent stage, due to various factors such as lack of access to healthcare resources, and disparity in income levels between rural and urban areas where most of the target population resides in rural areas.

The global market for cataract surgery devices was valued at $XX billion in 2012, and is forecast to reach $XX billion by 2019, growing at a Compound Annual Growth Rate (CAGR) of XX%


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Table of Contents

1 Table of Contents

1 Table of Contents ................................................................................................................................. 8 1.1 List of Tables ............................................................................................................................11 1.2 List of Figures...........................................................................................................................13

2 Introduction........................................................................................................................................14 3 Global Cataract Surgery Devices Market - Disease Overview ................................................................15

3.1 Cataract Disease Overview .......................................................................................................15 3.1.1 Symptoms ........................................................................................................................15 3.1.2 Type of Cataract...............................................................................................................15 3.1.3 Treatment ........................................................................................................................15

4 Cataract Surgery Device Overview .......................................................................................................16 4.1.1 Intraocular Lens ...............................................................................................................16 4.1.2 Ophthalmic Viscoelastic Devices .......................................................................................16 4.1.3 Phacoemulsification Equipment ........................................................................................18

5 Global Cataract Surgery Devices Market - Market Characterization ......................................................19 5.1 Cataract Surgery Devices Market, Revenue ($m), 2005–2012 ....................................................19 5.2 Cataract Surgery Devices Market, Revenue ($m), 2012–2019 ....................................................21 5.3 Cataract Surgery Devices Market, Key Company Shares, 2012 ...................................................23 5.4 Cataract Surgery Devices Market, Key Trends ...........................................................................25

5.4.1 Key Trends .......................................................................................................................25 5.5 Cataract Surgery Devices Market: Market Dynamics .................................................................28

5.5.1 Market Drivers .................................................................................................................29 5.5.2 Market Restraints ............................................................................................................35

6 Global Cataract Surgery Devices Market - Segment Analysis and Forecasts ...........................................38 6.1 Intraocular Lens Market, Global, Revenue ($m), 2005–2012 .....................................................38 6.2 Intraocular Lens Market, Global, Revenue ($m), 2012–2019 .....................................................39 6.3 Ophthalmic Viscoelastic Device Market, Global, Revenue ($m), 2005–2012...............................40 6.4 Ophthalmic Viscoelastic Device Market, Global, Revenue ($m), 2012–2019...............................41 6.5 Phacoemulsification Equipment Market, Global, Revenue ($m), 2005–2012 ..............................42 6.6 Phacoemulsification Equipment Market, Global, Revenue ($m), 2012–2019 ..............................43

7 Global Cataract Surgery Devices Market - Country Analysis and Forecasts ............................................44 7.1 Cataract Surgery Devices Market: Cross-country Analysis..........................................................44 7.2 Historic and Forecast Revenue, by Country ...............................................................................46

7.2.1 Cataract Surgery Devices Market, the US, Revenue ($m), 2005–2012.................................46 7.2.2 Cataract Surgery Devices Market, the US, Revenue ($m), 2012–2019.................................48 7.2.3 Cataract Surgery Devices Market, Japan, Revenue ($m), 2005–2012..................................49 7.2.4 Cataract Surgery Devices Market, Japan, Revenue (Sm), 2012–2019 ..................................50 7.2.5 Cataract Surgery Devices Market, Germany, Revenue ($m), 2005–2012.............................51 7.2.6 Cataract Surgery Devices Market, Germany, Revenue ($m), 2012–2019.............................52 7.2.7 Cataract Surgery Devices Market, India, Revenue ($m), 2005–2012 ...................................53 7.2.8 Cataract Surgery Devices Market, India, Revenue ($m), 2012–2019 ...................................54 7.2.9 Cataract Surgery Devices Market, France, Revenue ($m), 2005–2012 ................................55 7.2.10 Cataract Surgery Devices Market, France, Revenue ($m), 2012–2019 ................................57 7.2.11 Cataract Surgery Devices Market, the UK, Revenue ($m), 2005–2012 ................................58 7.2.12 Cataract Surgery Devices Market, the UK, Revenue ($m), 2012–2019 ................................60 7.2.13 Cataract Surgery Devices Market, Canada, Revenue ($m), 2005–2012 ...............................61 7.2.14 Cataract Surgery Devices Market, Canada, Revenue ($m), 2012–2019 ...............................62 7.2.15 Cataract Surgery Devices Market, Spain, Revenue ($m), 2005–2012 ..................................63 7.2.16 Cataract Surgery Devices Market, Spain, Revenue ($m), 2012–2019 ..................................65 7.2.17 Cataract Surgery Devices Market, Italy, Revenue ($m), 2005–2012 ....................................66 7.2.18 Cataract Surgery Devices Market, Italy, Revenue ($m), 2012–2019 ....................................67


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7.2.19 Cataract Surgery Devices Market, China, Revenue ($m), 2005–2012 ..................................68 7.2.20 Cataract Surgery Devices Market, China, Revenue ($m), 2012–2019 ..................................70 7.2.21 Cataract Surgery Devices Market, Australia, Revenue ($m), 2005–2012 .............................71 7.2.22 Cataract Surgery Devices Market, Australia, Revenue ($m), 2012–2019 .............................72 7.2.23 Cataract Surgery Devices Market, Brazil, Revenue ($m), 2005–2012 ..................................73 7.2.24 Cataract Surgery Devices Market, Brazil, Revenue ($m), 2012–2019 ..................................74

8 Global Cataract Surgery Devices Market - Reimbursement System .......................................................75 8.1 The US .....................................................................................................................................75 8.2 Canada ....................................................................................................................................75 8.3 Brazil .......................................................................................................................................75 8.4 The UK.....................................................................................................................................75 8.5 France .....................................................................................................................................75 8.6 Italy .........................................................................................................................................75 8.7 India ........................................................................................................................................75 8.8 Australia ..................................................................................................................................76 8.9 Japan .......................................................................................................................................76

9 Global Cataract Surgery Devices Market - Distribution System .............................................................77 9.1 Supply-side Dynamics ..............................................................................................................77 9.2 Demand-side Dynamics ............................................................................................................77

10 Global Cataract Surgery Devices Market - Competitive Assessment ......................................................78 10.1 Alcon, Inc. ................................................................................................................................79

10.1.1 Business Overview ............................................................................................................79 10.1.2 Marketed Products ...........................................................................................................79

10.2 Abbott Medical Optics, Inc. ......................................................................................................80 10.2.1 Business Overview ............................................................................................................80 10.2.2 Marketed Products ...........................................................................................................80

10.3 Bausch & Lomb Inc...................................................................................................................81 10.3.1 Business Overview ............................................................................................................81 10.3.2 Marketed Products ...........................................................................................................81

10.4 Hoya Corporation ....................................................................................................................82 10.4.1 Business Overview ............................................................................................................82 10.4.2 Marketed Products ...........................................................................................................82

10.5 Carl Zeiss Meditec AG ..............................................................................................................83 10.5.1 Business Overview ............................................................................................................83 10.5.2 Marketed Products ...........................................................................................................83

10.6 Aurolab ...................................................................................................................................84 10.6.1 Business Overview ............................................................................................................84 10.6.2 Marketed Products ...........................................................................................................84

11 Global Cataract Surgery Devices Market - Product Pipeline Analysis .....................................................85 11.1 Intraocular Lens Market: List of Pipeline Products .....................................................................86

11.1.1 Intraocular Lens Market: Profiles of Key Pipeline Products .................................................90 11.2 Ophthalmic Viscoelastic Device Market: Product Pipeline .........................................................93

11.2.1 Ophthalmic Viscoelastic Device Market: List of Pipeline Products .......................................93 11.2.2 Ophthalmic Viscoelastic Device Market: Profiles of Key Pipeline Products ..........................93

11.3 Phacoemulsification Equipment Market: Product Pipeline ........................................................95 11.3.1 Phacoemulsification Equipment Market: List of Pipeline Products ......................................95 11.3.2 Phacoemulsification Equipment Market: Profiles of Key Pipeline Products..........................95

12 Global Cataract Surgery Devices Market - Consolidation Landscape .....................................................97 12.1 Key Deals in 2013 (Q1 & Q2) ....................................................................................................98

12.1.1 Valeant Pharma’s Acquisition of Bausch & Lomb ...............................................................98 12.2 Key Deals (2008–2012) .............................................................................................................98

12.2.1 Novartis AG’s Acquisition of Alcon ....................................................................................98


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12.2.2 Abbott’s Acquisition of Advanced Medical Optics ..............................................................99 12.2.3 Abbott Medical Optics’ Acquisition of Visiogen ..................................................................99 12.2.4 Bausch & Lomb’s Acquisition of Eyeonics ..........................................................................99

13 Appendix .......................................................................................................................................... 100 13.1 Definitions ............................................................................................................................. 100

13.1.1 Cataract Surgery Devices ................................................................................................ 100 13.2 Acronyms .............................................................................................................................. 101 13.3 Sources.................................................................................................................................. 102 13.4 Research Methodology .......................................................................................................... 104

13.4.1 Secondary Research ....................................................................................................... 104 13.4.2 Primary Research ........................................................................................................... 104 13.4.3 Models .......................................................................................................................... 105 13.4.4 Forecasts ....................................................................................................................... 105 13.4.5 Expert Panels ................................................................................................................. 105

13.5 Contact Us ............................................................................................................................. 105 13.6 Disclaimer.............................................................................................................................. 106


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Table of Contents

1.1 List of Tables

Table 1: Cataract Surgery Devices Market, Global, Revenue ($m), 2005–2012 .......................................19 Table 2: Cataract Surgery Devices Market, Global, Revenue Forecast ($m), 2012–2019 .........................21 Table 3: Cataract Surgery Devices Market, Global, Key Company Revenues ($m), 2012 ..........................23 Table 4: Cataract Surgery Devices Market, Global, Distribution of Cataracts, By Age Group (%), 2004 ....29 Table 5: Cataract Surgery Devices Market, Global, Country Projected Population Age > 60 Years (%),

2010, 2015E and 2020E ...........................................................................................................31 Table 6: Cataract Surgery Devices Market, Diabetes Population (million) and Prevalence (%) in the Age

Group (20–79), Top 12 Countries, 2012 and 2030E ..................................................................33 Table 7: Cataract Surgery Devices Market, Out-patient Procedures as a % of Overall Procedures, By

Country, 2009 .........................................................................................................................34 Table 8: Intraocular Lens Market, Global, Revenue ($m), 2005–2012.....................................................38 Table 9: Intraocular Lens Market, Global, Revenue Forecast ($m), 2012–2019 .......................................39 Table 10: Ophthalmic Viscoelastic Device Market, Global, Revenue ($m), 2005–2012 ..............................40 Table 11: Ophthalmic Viscoelastic Device Market, Global, Revenue Forecast ($m), 2012–2019 ................41 Table 12: Phacoemulsification Equipment Market, Global, Revenue ($m), 2005–2012 .............................42 Table 13: Phacoemulsification Equipment Market, Global, Revenue Forecast ($m), 2012–2019 ...............43 Table 14: Cataract Surgery Devices Market, Global, Cross-country Analysis, CAGR (%), 2005–2019 ..........44 Table 15: Cataract Surgery Devices Market, the US, Revenue ($m), 2005–2012 .......................................46 Table 16: Cataract Surgery Devices Market, the US, Revenue Forecast ($m), 2012–2019 .........................48 Table 17: Cataract Surgery Devices Market, Japan, Revenue ($m), 2005–2012 ........................................49 Table 18: Cataract Surgery Devices Market, Japan, Revenue Forecast ($m), 2012–2019...........................50 Table 19: Cataract Surgery Devices Market, Germany, Revenue ($m), 2005–2012 ...................................51 Table 20: Cataract Surgery Devices Market, Germany, Revenue Forecast ($m), 2012–2019 .....................52 Table 21: Cataract Surgery Devices Market, India, Revenue ($m), 2005–2012..........................................53 Table 22: Cataract Surgery Devices Market, India, Revenue Forecast ($m), 2012–2019 ............................54 Table 23: Cataract Surgery Devices Market, France, Revenue ($m), 2005–2012 .......................................55 Table 24: Cataract Surgery Devices Market, France, Revenue Forecast ($m), 2012–2019 .........................57 Table 25: Cataract Surgery Devices Market, the UK, Revenue ($m), 2005–2012 .......................................58 Table 26: Cataract Surgery Devices Market, the UK, Revenue Forecast ($m), 2012–2019 .........................60 Table 27: Cataract Surgery Devices Market, Canada, Revenue ($m), 2005–2012 ......................................61 Table 28: Cataract Surgery Devices Market, Canada, Revenue Forecast ($m), 2012–2019 ........................62 Table 29: Cataract Surgery Devices Market, Spain, Revenue ($m), 2005–2012 .........................................63 Table 30: Cataract Surgery Devices Market, Spain, Revenue Forecast ($m), 2012–2019 ...........................65 Table 31: Cataract Surgery Devices Market, Italy, Revenue ($m), 2005–2012...........................................66 Table 32: Cataract Surgery Devices Market, Italy, Revenue Forecast ($m), 2012–2019 .............................67 Table 33: Cataract Surgery Devices Market, China, Revenue ($m), 2005–2012.........................................68 Table 34: Cataract Surgery Devices Market, China, Revenue Forecast ($m), 2012–2019 ...........................70 Table 35: Cataract Surgery Devices Market, Australia, Revenue ($m), 2005–2012 ....................................71 Table 36: Cataract Surgery Devices Market, Australia, Revenue Forecast ($m), 2012–2019 ......................72 Table 37: Cataract Surgery Devices Market, Brazil, Revenue ($m), 2005–2012 .........................................73 Table 38: Cataract Surgery Devices Market, Brazil, Revenue Forecast ($m), 2012–2019 ...........................74 Table 39: Alcon, Key Marketed Products, 2013 .......................................................................................79 Table 40: Abbott Medical Optics, Key Marketed Products, 2013 ..............................................................80 Table 41: Bausch & Lomb, Key Marketed Products, 2013 ........................................................................81 Table 42: Hoya Corporation, Key Marketed Products, 2013 .....................................................................82 Table 43: Carl Zeiss Meditech, Key Marketed Products, 2013 ..................................................................83 Table 44: Aurolab, Key Marketed Products, 2013 ....................................................................................84 Table 45: Cataract Surgery Devices Market, Global, Product Pipeline Analysis, 2013 ................................85 Table 46: Intraocular Lens Market, Global, Pipeline Product Summary I, 2013 .........................................86 Table 47: Intraocular Lens Market, Global, Pipeline Product Summary II, 2013 ........................................87 Table 48: Intraocular Lens Market, Global, Pipeline Product Summary II, 2013 ........................................88 Table 49: Intraocular Lens Market, Global, Pipeline Product Summary III, 2013 .......................................89 Table 50: Accommodative 1CU, Product Status, 2013 .............................................................................90 Table 51: Artificial Lens, Product Status, 2013 .........................................................................................90 Table 52: Accommodating Intraocular Lens, Product Status, 2013 ...........................................................91 Table 53: Accommodative-Disaccommodative Intraocular Lens, Product Status, 2013 .............................91 Table 54: AcrySof IQ ReSTOR +8 multifocal IOL, Product Status, 2013 ......................................................92


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Table of Contents

Table 55: Synchrony Dual Optic Accommodating Intraocular Lens, Product Status, 2013 .........................92 Table 56: Ophthalmic Viscoelastic Device Market, Global, Pipeline Product Summary II, 2013 .................93 Table 57: EyeCoat SH Viscoelastic, Product Status, 2013 .........................................................................93 Table 58: EyeCoat Plus Viscoelastic, Product Status, 2013 .......................................................................94 Table 59: EyeCoat Viscoelastic, Product Status, 2013 ..............................................................................94 Table 60: Phacoemulsification Equipment Market, Global, Pipeline Product Summary II, 2013 ................95 Table 61: Next-Generation Phaco System, Product Status, 2013..............................................................95 Table 62: Infinite Vision System Upgrade, Product Status, 2013 ..............................................................96 Table 63: Enhanced Phacoemulsification System, Product Status, 2013 ...................................................96 Table 64: Cataract Surgery Devices Market, Global, Key M&As, 2008–2012 .............................................97


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Table of Contents

1.2 List of Figures

Figure 1: Cataract Surgery Devices Market, Global, Revenue ($m), 2005–2012 .......................................19 Figure 2: Cataract Surgery Devices Market, Global, Revenue Forecast ($m), 2012–2019 .........................21 Figure 3: Cataract Surgery Devices Market, Global, Key Company Shares (%), 2012.................................23 Figure 4: Cataract Surgery Devices Market, Accommodating IOLs, 2013 .................................................26 Figure 5: Cataract Surgery Devices Market, Access to Cataract Surgery in Developing Countries, 2013 ....27 Figure 6: Cataract Surgery Devices Market, Market Dynamics ................................................................28 Figure 7: Cataract Surgery Devices Market, Global, Distribution of Cataracts, By Age Group (%), 2004 ....29 Figure 8: Cataract Surgery Devices Market, Country Projected Population Aged >60 Years (%),

2010–2020E ............................................................................................................................30 Figure 9: Cataract Surgery Devices Market, Diabetes Prevalence (%) in the Age Group (20–79), Top 12

Countries, 2012 and 2030E ......................................................................................................32 Figure 10: Cataract Surgery Devices Market, Out Patient Procedures as a % of Overall Procedures, By

Country, 2009 .........................................................................................................................34 Figure 11: Intraocular Lens Market, Global, Revenue ($m), 2005–2012.....................................................38 Figure 12: Intraocular Lens Market, Global, Revenue Forecast ($m), 2012–2019 .......................................39 Figure 13: Ophthalmic Viscoelastic Device Market, Global, Revenue ($m), 2005–2012 ..............................40 Figure 14: Ophthalmic Viscoelastic Device Market, Global, Revenue Forecast ($m), 2012–2019 ................41 Figure 15: Phacoemulsification Equipment Market, Global, Revenue ($m), 2005–2012 .............................42 Figure 16: Phacoemulsification Equipment Market, Global, Revenue Forecast ($m), 2012–2019 ...............43 Figure 17: Cataract Surgery Devices Market, Global, Cross-country Analysis, CAGR (%), 2005–2019 ..........44 Figure 18: Cataract Surgery Devices Market, the US, Revenue ($m), 2005–2012 .......................................46 Figure 19: Cataract Surgery Devices Market, the US, Revenue Forecast ($m), 2012–2019 .........................48 Figure 20: Cataract Surgery Devices Market, Japan, Revenue ($m), 2005–2012 ........................................49 Figure 21: Cataract Surgery Devices Market, Japan, Revenue Forecast ($m), 2012–2019...........................50 Figure 22: Cataract Surgery Devices Market, Germany, Revenue ($m), 2005–2012 ...................................51 Figure 23: Cataract Surgery Devices Market, Germany, Revenue Forecast ($m), 2012–2019 .....................52 Figure 24: Cataract Surgery Devices Market, India, Revenue ($m), 2005–2012..........................................53 Figure 25: Cataract Surgery Devices Market, India, Revenue Forecast ($m), 2012–2019 ............................54 Figure 26: Cataract Surgery Devices Market, France, Revenue ($m), 2005–2012 .......................................55 Figure 27: Cataract Surgery Devices Market, France, Revenue Forecast ($m), 2012–2019 .........................57 Figure 28: Cataract Surgery Devices Market, the UK, Revenue ($m), 2005–2012 .......................................58 Figure 29: Cataract Surgery Devices Market, the UK, Revenue Forecast ($m), 2012–2019 .........................60 Figure 30: Cataract Surgery Devices Market, Canada, Revenue ($m), 2005–2012 ......................................61 Figure 31: Cataract Surgery Devices Market, Canada, Revenue Forecast ($m), 2012–2019 ........................62 Figure 32: Cataract Surgery Devices Market, Spain, Revenue ($m), 2005–2012 .........................................63 Figure 33: Cataract Surgery Devices Market, Spain, Revenue Forecast ($m), 2012–2019 ...........................65 Figure 34: Cataract Surgery Devices Market, Italy, Revenue ($m), 2005–2012...........................................66 Figure 35: Cataract Surgery Devices Market, Italy , Revenue Forecast ($m), 2012–2019 ............................67 Figure 36: Cataract Surgery Devices Market, China, Revenue ($m), 2005–2012.........................................68 Figure 37: Cataract Surgery Devices Market, China, Revenue Forecast ($m), 2012–2019 ...........................70 Figure 38: Cataract Surgery Devices Market, Australia, Revenue ($m), 2005–2012 ....................................71 Figure 39: Cataract Surgery Devices Market, Australia, Revenue Forecast ($m), 2012–2019 ......................72 Figure 40: Cataract Surgery Devices Market, Brazil, Revenue ($m), 2005–2012 .........................................73 Figure 41: Cataract Surgery Devices Market, Brazil, Revenue Forecast ($m), 2012–2019 ...........................74 Figure 42: Cataract Surgery Devices Market, Global, Market Position Based on Revenue, 2012 .................78 Figure 43: Cataract Surgery Devices Market, Global, Pipeline Products Summary, 2013 ............................85


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Introduction

2 Introduction

Cataract surgery devices are used during cataract surgery procedures. Cataract management is important because visual impairment due to cataracts will interfere with a person’s day to day activities such as driving, reading or watching television. The delay in cataract treatment may also increase the financial burden on a country’s economy. Cataract surgery devices are used to remove the hard cataract formed on the nucleus and replace the natural lens to restore the normal vision. The global cataract surgery devices market is expected to undergo significant growth due to the increase in the number of cataract surgeries. Cataract surgery is one of the most rapidly growing areas in the ophthalmic devices market. This report provides an in-depth analysis of the cataract surgery devices market and its segments on a global scale.

The cataract surgery devices market has been segmented to include Intraocular Lenses (IOLs), Ophthalmic Viscoelastic Devices (OVDs) and phacoemulsification equipment. The IOL segment is further segmented into foldable IOLs and Polymethylmethacrylate (PMMA) IOLs, while the OVD segment is further broken down into cohesive OVD and dispersive OVD.


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Global Cataract Surgery Devices Market - Market Characterization

5 Global Cataract Surgery Devices Market - Market Characterization

5.1 Cataract Surgery Devices Market, Revenue ($m), 2005–2012

The following figure shows the revenues generated by the global cataract surgery devices market from 2005 to 2012.

Figure 1: Cataract Surgery Devices Market, Global, Revenue ($m), 2005–2012

2005 2006 2007 2008 2009 2010 2011 2012

Rev

enue

($m

)

IOLs OVDs Phacoemulsification equipment


The following table shows the revenues generated by the global cataract surgery devices market from 2005 to 2012.

Table 1: Cataract Surgery Devices Market, Global, Revenue ($m), 2005–2012

2005 2006 2007 2008 2009 2010 2011 2012 CAGR

IOLs

OVDs

Phacoemulsification equipment

Total



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Global Cataract Surgery Devices Market - Market Characterization

5.3 Cataract Surgery Devices Market, Key Company Shares, 2012

The following figure shows the percentage market shares in 2012 for the key cataract surgery device companies.

Figure 3: Cataract Surgery Devices Market, Global, Key Company Shares (%), 2012

Alcon

Abbott Medical Optics

Bausch & Lomb

Hoya

Carl Zeiss

STAAR Surgical Company

Others


The following table shows the 2012 market shares for key cataract surgery devices companies.

Table 3: Cataract Surgery Devices Market, Global, Key Company Revenues ($m), 2012

Company name Revenue ($m)

Alcon

Abbott Medical Optics

Bausch & Lomb

Hoya

Carl Zeiss

STAAR Surgical Company

Others

Total



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Appendix

13 Appendix

13.1 Definitions

13.1.1 Cataract Surgery Devices

Cataract surgery refers to the removal of the natural lens of the eye that has developed an opacification and its replacement with an artificial IOL to restore transparency. The most common procedure is ECCE. This category includes IOLs, OVDs, and phacoemulsification equipment. Lasers used in cataract surgery such as femtosecond lasers are not included.

13.1.1.1 Intraocular Lenses

An IOL is an artificial lens made of plastic, silicone, acrylic or other material that is implanted inside the eye during cataract surgery. IOLs included in this category are foldable (phakic) IOLs and PMMA IOLs.

Foldable Intraocular Lenses

Foldable IOLs are made up of hydrophilic acrylic and hydrophobic acrylic materials designed for small-incision cataract surgeries. They are further classified into the following sub-segments according to the type of eye defect:

Monofocal Intraocular Lenses

Monofocal IOLs are IOLs with one point of focus, either for myopia (nearsightedness) or hyperopia (farsightedness). One unit refers to one monofocal foldable IOL.

Multifocal Intraocular Lenses

Multifocal IOLs are IOLs with one or more point of focus, myopia (nearsightedness) and for hyperopia (farsightedness). One unit refers to one multifocal foldable IOL.

Toric Intraocular Lenses

Toric IOLs are used to treat astigmatism, which refers to when light rays do not come to a single focal point on the retina but focus on the retina, in front of it and behind it. One unit refers to one toric foldable IOL.

Polymethylmethacrylate Intraocular Lenses

PMMA lenses are traditional IOLs consisting of PMMA IOLs. They remain the preferred choice for patients with a history of uveitis, for patients with diabetic retinopathy requiring vitrectomy, or those at high risk of retinal detachment. One unit refers to one PMMA IOL hydrocolloids.

13.1.1.2 Ophthalmic Viscoelastic Devices

OVDs are essential tools in ocular surgery, especially in anterior segment surgery. They are the viscoelastic materials used to maintain space in the eye during surgery. Typically, OVDs are pre-packaged in a syringe and are applied using a small tube. The essential properties of OVDs are tied to their physicochemical and rheological properties. A range of types of OVDs available in the market, include higher-viscosity cohesive OVDs and lower-viscosity dispersive OVDs. This segment does not include OVDs with both cohesive and dispersive viscoelastic properties.

Cohesive Ophthalmic Viscoelastic Devices

Cohesive OVDs are high-viscosity materials which help to maintain and preserve space during eye surgery and displace and stabilize tissues. One unit refers to one tube of 0.5ml cohesive OVD.

Dispersive Ophthalmic Viscoelastic Devices

Dispersive OVDs are low-viscosity materials which remain in the eye adjacent to the corneal endothelium, providing potential protection during phacoemulsification. One unit refers to one tube of 0.5ml dispersive OVD.


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Appendix

13.1.1.3 Phacoemulsification Equipment

Phacoemulsification equipment is designed for cataract surgery procedures, in which an ultrasonic wave is transmitted through a tiny probe that has been inserted through an incision into the cloudy lens, causing the cataract to break up. The cataract is then removed. In general, the insertion of an IOL immediately follows phacoemulsification. This includes only the console of the phacoemulsification system and excludes accessories such as tubing kits, peristaltic pumps, aspiration tips, vitrectors, irrigation sleeves, and foot pedals. One unit refers to one console of phacoemulsification equipment.

13.2 Acronyms

ADA: American Diabetes Association

AIHW: Australian Institute of Health and Welfare

AMO: Advanced Medical Optics

ARMD: Aging Related Macular Degeneration

ASC: Ambulatory Surgery Center

BUPA: British United Provident Association

CAGR: Compound Annual Growth Rate

CDC: Center for Disease Control and Prevention

CMS: Centers for Medicare and Medicaid Services

cPs: Centipoise

CSR: Cataract Surgery Rate

ECCE: Extra Capsular Cataract Extraction

EU5: European Union Five

FDA: Food and Drug Administration

IDF: International Diabetes Federation

IOL: Intraocular Lens

MHLW: Ministry of Health, Labour and Welfare (Japan)

NGO: Non Government Organization

NHS: National Health Service

OVD: Ophthalmic Viscoelastic Devices

OECD: Organization for Economic Co-operation and Development

PMDA: Pharmaceutical and Medical Device Agency

PMMA: Polymethylmethacrylate

SUS: Sistema Único de Saúde (Unified Health System)

UV: Ultraviolet


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Appendix

13.3 Sources

AMA (2012). Cash splashes don’t fix waiting lists. Australian Medical Association. Available from: https://ama.com.au/ausmed/node/4705. [Accessed on: June 6, 2013].

AIHW (2011). Australian Hospital Statistics 2011-12. Elective Surgery Waiting Times. Available from: http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=10737423184. [Accessed on June 6, 2013]

Alcon (2013). Cataract Products. Available from: http://www.alcon.com/eye-care-products/. [ Accessed on June 1, 2013]

Abbott Medical Optics (2013). Cataract Products. Available from: http://www.amo-inc.com/products. [ Accessed on June 1, 2013]

Aurolab {2013). Cataract Products. Available from: http://www.aurolab.com/cataract-surgery-products.asp. [ Accessed on June 1, 2013]

Bausch and Lomb (2013). Cataract Surgery Available from: http://www.bausch.com/en/Our-Products/Surgical-Products/Cataract-Surgery. [Accessed on June 1, 2013]

Brentnall K (2012). An Engineer Takes on Global Regulatory Processes: Asia, Latin America, and More. Medical Device and Diagnostic Industry. Available from: http://www.mddionline.com/article/engineer-takes-medical-device-regulatory-process-part-iii. [Accessed on June 6, 2013].

Carl Zeiss Meditech AG (2013). Cataract Solutions. Available from: http://meditec.zeiss.com/meditec/en_de/products/ophthalmology/cataract.html. [ Accessed on June 1, 2013]

CDC (2012). Vision Health Initiative (VHI). Centers for Disease Control and Prevention. Available from: http://www.cdc.gov/visionhealth/basic_information/eye_disorders.htm. [Accessed on June 6, 2013].

Chico Eye Center (2013). Advanced Technology Lenses. Available from: http://www.chicoeye.com/advanced-technology-lenses. [Accessed on August 1, 2013]

Cochener B (2011). Many issues confront French ophthalmologists as country’s population ages. The challenges include meeting an increased demand for service and raising awareness about age-related eye diseases. Ocular Surgery News Europe Edition, February 2011. Available from: http://www.healio.com/ophthalmology/practice-management/news/print/ocular-surgery-news-europe-edition/%7Bf933bf97-02b0-4406-accf-11c704493f6a%7D/many-issues-confront-french-ophthalmologists-as-countrys-population-ages. [Accessed on June 8, 2013].

Colvard DM (2009). Understanding the Clinical Behavior of Ophthalmic Viscoelastic Devices. Available from: http://phaco.ascrs.org/sites/phaco.ascrs.org/files/textbooks/Achieving%20Excellence%20in%20Cataract%20Surgery%20-%20Chapter%2011.pdf.

Department of Health, via The Telegraph (2012). “Budget 2012: NHS savings of £500m helping to fund 50p tax cut, says Labour”, The Telegraph, March 24, 2012. Available from: http://www.telegraph.co.uk/finance/budget/9164114/Budget-2012-NHS-savings-of-500m-helping-to-fund-50p-tax-cut-says-Labour.html. [Accessed on June 6, 2013].

European Union of Medical Specialists, via Healio Ophthalmology (2011). “Cataract surgery projected to rapidly grow in next 10 years in Europe”, Ocular Surgery News Europe Edition, November 2011. Available from: http://www.healio.com/ophthalmology/cataract-surgery/news/print/ocular-surgery-news-europe-edition/%7Be054607e-f7c3-45ea-b5b3-1b3321b7d5dc%7D/cataract-surgery-projected-to-rapidly-grow-in-next-10-years-in-europe. [Accessed on June 6, 2013].

Fang et al. (2010). Variation of cataract surgery costs in four different graded providers of China. BMC Public Health; 10: 543.

Food and Drug Administration (2012).Medical Devices. Food and Drug Administration, Available from: http://www.fda.gov/MedicalDevices/default.htm. [Accessed on June 6, 2013].

Fine, H. et al. (2008). The Future of Accommodating IOLs. Cataract & Refractive Surgery Today Europe. September 2008. Available from http://bmctoday.net/crstodayeurope/pdfs/euro0908_f4.pdf.


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Hoya Corporation (2013). Products. Available from: http://hoyasurgicaloptics.com/global/professionals/products/. [ Accessed on June 1, 2013]

IABP (2012). Cataract. The condition responsible for 48% of world blindness. Available from http://www.iapb.org/vision-2020/what-is-avoidable-blindness/cataract. [Accessed on June 6, 2013]

IFD (2012). Diabetes Atlas Fifth Edition. International Diabetes Federation. Available from http://www.idf.org/diabetesatlas/5e/the-global-burden. [Accessed on June 5, 2013].

Kara–Junior. et al 2010. Phacoemulsification versus extracapsular extraction: governmental costs. Clinics (Sao Paulo); 65 (4): 357–361.

Manchikanti et al. (2012). Saga of Payment Systems of Ambulatory Surgery Centers for Interventional Techniques: An Update. Pain Physician; 15: 109–130.

Medpac (2012). Report to the Congress: Medicare Payment Policy. March 2012. Ambulatory Surgical Center Services. Available from: http://www.medpac.gov/chapters/Mar12_Ch05.pdf.

Ministry of Health, British Columbia (2012). Frequently Asked Questions. Intraocular Lens Policy Change. Ministry of Health. Available from: http://www.health.gov.bc.ca/msp/infoprac/faq-intraocular-lenses.pdf.

NHS (2012). A simple guide to Payment by Results. National Health Service. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/147186/dh_128864.pdf.

Novartis (2013), Annual Report 2012, Available from: http://www.novartis.com/downloads/investors/reports/novartis-annual-report-2012-en.pdf

NPCB (2013). National Programme For Control Of Blindness. Statewide Performance of Cataract Surgery During 11th Five Year Plan. Available from : http://npcb.nic.in/writereaddata/mainlinkfile/File287.pdf

OECD (2011). Health at Glance 2011: OECD Indicators. Organization for Economic Co-operation and Development. Available from: http://www.oecd.org/health/health-systems/49105858.pdf.

PMDA (2008). Table 2. FY 2008 List of Approved Products: New Medical Devices. Available from http://www.pmda.go.jp/english/service/pdf/list/NewmedicaldevicesFY2008.pdf. [ Accessed on June 6, 2013]

Raman et al. (2010). Prevalence and Risk Factors for Cataract in Diabetes: Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetics Study, Report No. 17. Investigative Ophthalmology & Visual Science; 51 (12): 6,253–6,261.

Richard, L.L. (2011). “Adoption of refractive cataract surgery essential for anterior segment surgeons”, Ocular Surgery News U.S. Edition, December 10, 2011. Available from http://www.healio.com/ophthalmology/cataract-surgery/news/print/ocular-surgery-news/%7Bd566b9fc-4c60-4167-9ba4-e627a93c42e0%7D/adoption-of-refractive-cataract-surgery-essential-for-anterior-segmentsurgeons. [Accessed on June 5, 2013].

Roger et al. (2012). Femtosecond Laser Cataract Surgery: The Practical Present and the Unimaginable Future. American Academy of Ophthalmology 2012. http://www.medscape.com/viewarticle/774654. [Accessed on June 5, 2013].

The Patients Association, via The Guardian (2012). “David Cameron faces pressure as NHS waiting times grow. PM's election pledge in jeopardy as report reveals patients waiting 6% longer and fewer receiving planned operations”, The Guardian, April 19, 2013. Available from http://www.guardian.co.uk/society/2012/apr/19/david-cameron-pressure-nhs-waiting-times. [Accessed on June 6, 2013].

WHO (2004). Chapter 3 Priorities and objectives - What do we want to achieve? World Health Organization. Available from: http://www.who.int/ncd/vision2020_actionplan/contents/3.5.1.htm. [Accessed June 5, 2013].

WHO (2012). Prevention of Blindness and Visual Impairment. World Health Organization. Available from: http://www.who.int/blindness/causes/priority/en/index1.html. [Accessed on June 5, 2013].


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World Bank (2012). Population Projection Tables by Country and Group. World Bank. Available from: http://go.worldbank.org/KZHE1CQFA0. [Accessed on June 5, 2013].

13.4 Research Methodology

GBI Research’s dedicated research and analysis teams consist of qualified professionals with experience in marketing, market research, consultancy (with a background in the medical devices industry) and advanced statistical expertise.

GBI Research adheres to the codes of practice of the Market Research Society (www.mrs.org.uk) and the Strategic snd Competitive Intelligence Professionals (www.scip.org).

All GBI Research databases are continuously updated and revised. The following research methodology is followed for all databases and reports.

13.4.1 Secondary Research

The research process begins with exhaustive secondary research of internal and external sources to provide qualitative and quantitative information relating to each market.

The secondary research sources that are typically referred to include, but are not limited to:

Company websites, annual reports, financial reports, broker reports, investor presentations and US Securities and Exchanges Commission (SEC) filings

Industry trade journals, scientific journals and other technical literature

Internal and external proprietary databases

Relevant patent and regulatory databases

National government documents, statistical databases and market reports

Procedure registries

News articles, press releases and web-casts specific to the companies operating in the market

13.4.2 Primary Research

GBI Research conducts hundreds of primary interviews a year with industry participants and commentators in order to validate its data and analysis. A typical research interview fulfills the following functions:

Provides first-hand information on the market size, market trends, growth trends, competitive landscape and future outlook

Helps in validating and strengthening the secondary research findings

Further develops the analysis team’s expertise and market understanding

Primary research involves telephone and email interviews as well as face-to-face interviews for each market, category, segment and sub-segment across geographies.

The participants who typically take part in such a process include, but are not limited to:

Industry participants: CEOs, VPs, marketing/product managers, market intelligence managers and national sales managers

Hospital stores, laboratories, pharmacies, distributors and paramedics

Outside experts: investment bankers, valuation experts, research analysts specializing in specific medical equipment markets

Key opinion leaders: physicians and surgeons specializing in different therapeutic areas corresponding to different kinds of medical equipment


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13.4.3 Models

Where no hard data is available, GBI Research uses modeling and estimates in order to produce comprehensive data sets. The following rigorous methodology is adopted:

Available hard data is cross-referenced with the following data types to produce estimates:

Demographic data: population, split by segment

Macro-economic indicators: gross domestic product, inflation rate

Healthcare indicators: health expenditure, physician’s base, healthcare infrastructure and facilities

Selected epidemiological and procedure statistics

Data is then cross-checked by the expert panel. All data and assumptions relating to modeling are stored and are available to clients on request.

13.4.4 Forecasts

GBI Research uses proprietary forecast models. The following four factors are utilized in the forecast models:

Historic growth rates

Macro indicators such as population trends and healthcare spending

Forecast epidemiological data

Qualitative trend information and assumptions

Data is then cross-checked by the expert panel. All data and assumptions relating to modeling are stored and are available to clients on request.

13.4.5 Expert Panels

GBI Research uses a panel of experts to cross-verify its databases and forecasts.

GBI Research’s expert panel includes marketing managers, product specialists, international sales managers from medical device companies, academics from research universities, KOLs from hospitals, consultants from venture capital firms and distributors/suppliers of medical equipment and supplies.

Historic data and forecasts are relayed to GBI Research’s expert panel for feedback and adjusted in accordance with this feedback.


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13.6 Disclaimer

All Rights Reserved.

No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the publisher, GBI Research.

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