Press release
Persistent Epithelial Defect Market: Regenerative and Biologic Therapies Drive Growth to 2034
Subheadline:Rising incidence of corneal surface injuries, adoption of regenerative eye therapies, and innovation in biologic eye drops are driving steady expansion of the persistent epithelial defect (PED) market worldwide.
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Introduction
The Persistent Epithelial Defect (PED) Market is gaining clinical and commercial importance as ophthalmology embraces regenerative medicine, biologic formulations, and advanced wound-healing technologies.
Valued at USD 210 million in 2024, the market is projected to reach USD 420 million by 2034, expanding at a CAGR of 7.1% over the forecast period.
PED refers to a failure of the corneal epithelium to re-epithelialize after injury or surgery, often caused by neurotrophic keratopathy, dry-eye syndrome, or post-LASIK complications. Recent advancements in growth-factor therapies and stem-cell-based solutions are enhancing healing outcomes and reducing vision loss risk.
Key Players in the Market
The PED market comprises ophthalmic leaders and biotech start-ups focused on corneal regeneration and surface repair.
Notable players include:
• Dompé Farmaceutici S.p.A.
• Regeneron Pharmaceuticals Inc.
• Novartis AG (Alcon Division)
• Johnson & Johnson Vision Care Inc.
• Santen Pharmaceutical Co. Ltd.
• Allergan plc (AbbVie Inc.)
• Sun Pharma Industries Ltd.
• KeraMed Inc.
• MIMETAS B.V.
• Horus Pharma
These companies are investing in nerve-growth factor (NGF) treatments, amniotic membrane transplants, and biocompatible drug-delivery systems to accelerate corneal healing and prevent recurrence.
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Key Events in the Last Five Years
• 2020-2021: Clinical adoption of Oxervate (cenegermin-bkbj) by Dompé marked a turning point in PED management, introducing the first NGF-based therapy.
• 2022: Expansion of biologic eye drops and amniotic membrane grafts in ophthalmic clinics across Europe and Asia.
• 2023: AI-enabled corneal topography systems enhanced diagnostic accuracy for neurotrophic and traumatic PED cases.
• 2024: Start-ups in Japan and the U.S. launched novel stem-cell sheet technologies and nanogel-based corneal patches.
Market Growth Rate
According to Exactitude Consultancy, the PED market is expected to grow at a CAGR of 7.1% from 2025 to 2034, driven by:
• Increased prevalence of ocular surface diseases and post-surgical epithelial defects.
• Emerging biologic and regenerative treatments offering superior efficacy.
• Wider availability of AI-based diagnostic tools and home-care monitoring devices.
• Supportive reimbursement policies for advanced ophthalmic products in developed regions.
Market Segments and Growth Analysis
The PED market is segmented by therapy type, disease cause, and region.
By Therapy Type:
• Biologic Eye Drops (NGF, EGF, and Serum-Derived Formulations)
• Amniotic Membrane Transplants and Corneal Bandages
• Autologous Serum Eye Drops and Platelet-Rich Plasma (PRP)
• Stem-Cell and Gene Therapies
• Supportive Medications (Antibiotics, Lubricants, Corticosteroids)
By Disease Cause:
• Neurotrophic Keratopathy
• Dry Eye Disease
• Post-Surgical and Traumatic Defects
• Infectious and Autoimmune Etiologies
By Region:
• North America: Leads in adoption of NGF therapies and corneal implants.
• Europe: Strong clinical trials network for regenerative ophthalmology.
• Asia Pacific: Rising demand for affordable serum therapies in India, Japan, and China.
• Latin America & MEA: Gradual uptake of autologous formulations and AI screening tools.
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Key Market Drivers
1. Regenerative and Biologic Innovation:
NGF-based treatments and stem-cell transplants are restoring epithelial integrity in refractory patients.
2. AI and Digital Diagnostics:
Machine-learning corneal maps enable personalized therapy selection and healing prediction.
3. Rising Surgical Volume:
Increasing LASIK and cataract procedures contribute to higher post-operative PED risk.
4. Expanding Access to Ophthalmic Care:
Tele-ophthalmology and home delivery of biologic eye drops support long-term adherence.
Recent Developments
• 2023: Dompé Farmaceutici expanded Oxervate availability to Latin America and Asia Pacific.
• 2024: Novartis launched a clinical trial for its EGF-enhanced eye drop platform in Europe.
• 2024: Allergan (AbbVie) introduced a next-generation lubricant with bio-adhesive polymers for chronic corneal defects.
• 2024: Japanese research teams announced pre-clinical success for CRISPR-edited epithelial cell therapies for PED.
Expert Insight
"Persistent epithelial defects are among the most challenging corneal conditions. With the integration of growth factor biologics and AI-assisted monitoring, we are now seeing healing rates that were unimaginable a decade ago,"
- Dr. Laura Mendez, Corneal Specialist, Bascom Palmer Eye Institute.
Conclusion
The Persistent Epithelial Defect Market is transitioning from palliative care to curative and regenerative approaches.
As biologic therapies and stem-cell advancements gain regulatory traction, patients worldwide can expect faster recovery and fewer vision loss complications. Combined with AI-powered diagnostics and tele-ophthalmology, the PED market is poised for strong, sustainable growth through 2034.
This report is also available in the following languages : Japanese (持続性上皮欠損市場), Korean (지속성 상피 결손 시장), Chinese (持续性上皮缺陷市场), French (Marché des défauts épithéliaux persistants), German (Markt für persistierende Epitheldefekte), and Italian (Mercato dei difetti epiteliali persistenti), etc.
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