Key Findings: Innovations in Ophthalmic Devices - Anterior Segment

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Worldwide, age-related vision issues are becoming endemic and there is expected to be a severe shortage of trained professionals to address these issues. Eye care experts are relying upon newer devices and technologies to provide crisp, clear vision to presbyopes, including earlier diagnosis of ocular surface disorders, improved cataract surgery techniques, and customized implants. Assess the innovative technologies and devices catering to the presbyopic market and how these will influence treatment options and outcomes. Evaluate the potential for growth in the dry eye market stimulated by advances in diagnosis and treatment. Identify the advances in imaging that are providing a better understanding of vision disorders and improving cataract surgery outcomes. Understand geographic differences in the use of techniques such as presbyLASIK and corneal crosslinking. Age-related eye diseases will grow significantly over the next few decades, and the demand for spectacle-free vision will grow in parallel. Devices such as the femtosecond laser for refractive cataract surgery, newer IOLs, and quicker methods to diagnose surface disease will all improve outcomes and reduce both surgical and follow-up times. The presbyopia-correcting market will dominate surgeons' time as the baby-boomer and first-generation LASIK patients move into the 50+ age range; several newer lenses are being evaluated and brought to market to address this group's vision concerns. Newer imaging devices will gain market share quickly, as cataract surgeons realize the value in confirming implant choices during the surgery itself. Other imaging devices will continue to gain market acceptance as surgeons use them to identify other ocular diseases that previously necessitated referrals. What innovations are continuing to advance the state of the art in cataract surgery? How are new devices changing the refractive surgery landscape, given that it is already one of the most commonly performed elective procedures? What benefits can be gained by investment in novel diagnostic tools and treatments for dry eye? Why does the market penetration of some innovative ophthalmic devices differ widely between countries? In which areas of the anterior segment is there remaining unmet need and room for further substantial innovation?

The global extent of eye disorders

Introduction

References

Cataract surgery devices

Summary

Introduction

Overview of technology and trends

Femtosecond laser for refractive cataract surgery

Evidence

Intraoperative imaging devices for cataract surgery

Evidence

Ophthalmic viscoelastic devices

Unmet needs in cataract surgery devices

References

Refractive surgery devices

Summary

Introduction

Laser device innovations

Evidence

Corneal inlays

Evidence

Scleral expansion

Keratoconus treatments

Evidence

Ongoing challenges for refractive surgery device manufacturers

References

Intraocular lenses

Summary

Introduction

Multifocal IOLs

Evidence

Accommodating IOLs

Evidence

Toric IOLs

Evidence

Combination premium IOLs

Evidence

Phakic IOLs

Anterior chamber iris-fixated lens

Anterior chamber angle-supported lens

Posterior chamber lens

Complications of phakic IOLs

Manufacturers of phakic IOLs

Evidence

Remaining challenges in the IOL market

References

Ocular surface disease

Summary

Introduction

Overview of technology and trends

Dry eye disease devices

Evidence

Conjunctivitis

Adeno Detector (RPS)

Corneal collagen crosslinking

Evidence

Keratoprosthesis

AlphaCor

Boston K-Pro

Osteo-odonto-keratoprosthesis

Technique comparisons

Challenges facing keratoprosthesis

Drug delivery devices

Unmet needs in ocular surface disease management

References

Imaging devices

Summary

Introduction

Types of anterior segment imaging

Evidence

Wavefront aberrometry

Ongoing challenges in imaging

References

Appendix

Scope

Methodology

Secondary research

Abbreviations

Table: Intraoperative wavefront aberrometry systems

Table: Excimer and femtosecond laser devices

Table: Select anterior segment devices

Figure: Proportion of the world population aged 60 or over, 1950–2050

Figure: Geographic distribution of the world's blind population

Figure: Global extent of uncorrected refractive errors, in millions

Figure: Willingness to pay for spectacle freedom in terms of daily cost (expressed in 2006 euros), Germany versus Italy

Carl Zeiss Meditec AG, Devoteam SA, Hutchison 3G UK Limited, Informa plc, VASCO Data Security International, Inc.

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