Custom LASIK surgery Market In-depth Analysis by Leading Players Alcon Laboratories, Inc., Bausch & Lomb, Carl Zeiss, Inc., Abbott Medical Optics, Nidek, Inc

Custom LASIK surgery is a highly sophisticated laser vision correction procedure that employs wavefront technology based on the unique nuances of the patient’s eye and therefore, is a highly personalized treatment. An aberrometer precisely and comprehensively measures all optical aberrations of the patient’s eye creating a 3D fingerprint specific to each eye called ‘wavefront map guides/ wavescan’ using the ‘wavefront technology’. These wavefront map guides are then used to correct vision using a computer-controlled laser procedure by reshaping the cornea, ensuring a sharper and clearer vision. The comprehensive customised technique assures definite and better results with longevity, thrusting the custom LASIK surgery market to approximately a thousand million industry in 2016.

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LASIK procedures are of three types: Conventional LASIK, Optimised LASIK and Custom/Wavefront LASIK procedures. Both in Conventional and Optimised LASIK surgeries, vision correction is based on eyeglass prescription, which is quite primitive in analysing the aberrations in the eye. Standard method simply replaces glasses or lens and can inadvertently lead to spherical aberration. Optimised method neither causes aberrations nor corrects existing ones.

On the other hand, Custom LASIK procedure is successful in minimising the incidence of aberrations. It also treats higher order aberrations such as spherical aberrations, coma that cause blurry images, glare and double vision, and lower order aberrations called refractive errors that cause near-sightedness (myopia), farsightedness (hyperopia), and astigmatism. Conventional LASIK surgery treats only lower order aberrations with indefinite results. A well-performed optimised LASIK surgery and a wavefront LASIK surgery results might seem deceptively similar, though wavefront LASIK offers superior results when it comes to night-vision, reading road-signs in fog, and capturing minute details.

Advanced technology certainly places custom LASIK surgery in the higher price bracket. However, it benefits far outweigh the costs involved, especially for patients with severe vision impairment. The better outcome and enhanced vision quality is the prime advantage of this procedure especially for night-vision. However, being a surgical procedure there are risks associated with custom LASIK procedure too, as with conventional LASIK methods. Patients would do well to discuss about the potential post-surgery complications with their ophthalmologists before-hand.

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Increasing incidence of refractive disorders coupled with high demand for eye laser treatment is expected to drive growth of the LASIK surgery market. For instance, according to the American Academy of Ophthalmology, 2016, an estimated 23% of the U.S. population aged above 40 years suffered from myopia. Only a fraction of the market is commercialized with custom LASIK surgery procedure. Key players in the market are majorly investing on research and development of custom LASIK technology. Companies such as Abbott Medical Optics, Alcon Laboratories, and Wavelight AG, have developed wavefront guided LASIK technology for individual treatment.

Companies engaged in custom LASIK surgery market are expected to generate significant return on investment (ROI) over the forecast period. The technology has clear added advantage over the conventional approach. While conventional eye exams detects only two corneal abnormalities (spherical and cylindrical), wavefront-guided LASIK system detects infinite number of abnormalities. Moreover, only 1-3% of patients experience LASIK eye surgery complications, making it a highly preferred technique for eye surgeries in the present scenario.

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