Dry Eye Disease Market - Growth, Trends, COVID-19 Impact, and Forecasts (2022 - 2027)

The Dry Eye Disease Market is segmented by Product (Artificial Tears, Anti-inflammatory Drugs, Punctal Plugs, Secretagogues, and Other Products), Distribution Channel (Hospital Pharmacies, Independent Pharmacies and Drug Stores, and Online Pharmacies), and Geography (North America, Europe, Asia-Pacific, Middle-East and Africa, and South America). The report offers the value (in USD million) for the above segments.

Market Snapshot

Dry Eye Disease Market Overview
Study Period: 2018-2026
Base Year: 2021
Fastest Growing Market: Asia Pacific
Largest Market: North America
CAGR: 5.6 %
Dry Eye Disease Market Major Players

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Market Overview

The dry eye disease market is expected to register a CAGR of nearly 5.6% over the forecast period, with an estimated market size of USD 4,998 million in 2020 and it is expected to reach USD 6,960 million by 2026.

The outbreak of the COVID-19 pandemic in 2020 resulted in the disruption of healthcare systems by posing several challenges, including to the practice of ophthalmology. However, urgent and essential treatments were being allowed in most countries. The American Society of Retina Specialists released guidelines to help retina practices and medical personnel decrease the risk and assure the health and safety of the patients during the COVID-19 pandemic. The guidelines outline the essential visits for patients and provide a means to categorize emergent, urgent and non-urgent, and non-elective cases during this period of limited operating room access. However, in addition, dry eye disease patients were affected due to a break in follow-ups.

Several factors, such as aging, decrease in the supportive hormones, systemic inflammatory diseases, ocular surface diseases, or surgeries that affect the cholinergic nerves, which stimulate tear secretion, may be associated with the rise in dry eye-related diseases.

A significant percentage of the global population (middle age to older age) suffers from the dry eye disease. The disease is particularly more common among women than in men. According to the World Ageing 2019 report, there were about 703 million population aged 65 years or over in the world in 2019. This number is projected to double to 1.5 billion in 2050. As number of elderly population is projected to increase, and this population are more prone to eye-related disorders, such as dry eye, which ultimately drives the market in the near future.

In October 2019, Sun Pharmaceutical Industries Ltd, launched CEQUA for the treatment of Dry Eye Disease in the United States. CEQUA 0.09% for topical ophthalmic use is the first and only approved cyclosporine treatment delivered with NCELL technology.

In June 2021, Kala Pharmaceuticals. launched Eysuvis, a short-term treatment of dry eye disease. Eysuvis uses Kala’s proprietary Ampplify mucus-penetrating particle drug delivery technology for enhanced penetration of loteprednol etabonate into target ocular surface tissue to treat signs and symptoms of dry eye disease.

However, high cost of specialty dry eye products with complex reimbursement scenario and availability of alternative therapies is likely to limit the market growth over the forecast period.

Scope of the Report

As per the scope of the report, dry eye disease refers to the disturbance of the lacrimal functional unit, which comprises the lacrimal glands, ocular surface (cornea, conjunctiva, and meibomian glands), and lids, along with the sensory and motor nerves that connect them. There are various ocular manifestations, for which, several dry eye treatment products are used. The dry eye disease market is segmented by product (artificial tears, anti-inflammatory drugs, punctal plugs, secretagogues, and other products), distribution channel (hospital pharmacies, independent pharmacies and drug stores, and online pharmacies), and geography (North America, Europe, Asia-Pacific, Middle-East and Africa, and South America). The report offers the value (in USD million) for the above segments.

Artificial Tears
Anti-inflammatory Drugs
Other Anti-inflammatory Drugs
Punctal Plugs
Other Products
Distribution Channel
Hospital Pharmacies
Independent Pharmacies and Drug Stores
Online Pharmacies
North America
United States
United Kingdom
Rest of Europe
South Korea
Rest of Asia-Pacific
Middle East and Africa
South Africa
Rest of Middle East and Africa
South America
Rest of South America

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Key Market Trends

The Corticosteroid Drugs Segment is Expected to Hold a Major Market Share Over the Forecast Period

The lockdown measures in 2020 due to COVID-19, across the world, resulted in decreased public mobility and impacted the therapeutic industry significantly, as the rate of treatment that is non-immediate was being postponed, to decrease the burden on healthcare infrastructure.​

Corticosteroids are effective anti-inflammatory drugs. These drugs are highly useful in short-term efficacy, and thus, they are prescribed mostly for acute cases of dry eye diseases. Two of the major companies established in this segment are Bausch Health and AbbVie Inc. (Allergan PLC). Often, these companies, as well as doctors, recommend corticosteroids, along with antibiotic therapy.

It has also been found that the number of the elderly population is expected to grow in coming years, who are more prone to eye-related disorders, which will ultimately drive the market in the future. Rising product approvals and new product launches are some of the other factors anticipated to propel the market for corticosteroids. For instance, in 2020, the FDA had approved loteprednol etabonate ophthalmic suspension 0.25% for the short-term treatment of the signs and symptoms of dry eye disease.

Overall, this segment has the largest share under anti-inflammatory drugs in the market studied, and it is expected to register a steady CAGR over the forecast period.

Dry Eye Disease Market Trends

North America is Expected to Hold a Significant Share in the Market Over the Forecast Period

Governments and institutions are likely to take advantage of their advanced technologies during this period to turn the challenges brought by COVID-19 into opportunities. Ophthalmic consultation largely through smartphones has become a lifeline for consultation. For follow up on eye disorders, doctors are using images via electronic media. For poor patients in remote rural areas with no phone, this follow up was not possible. In remote areas, rural medicine supply for dry eye disorder patients has dried up.

On March 30, 2020, the US Centers for Medicare & Medicaid Services released temporary regulatory waivers and issued new rules for virtual visits using online applications for billable ophthalmic telemedical services. Such low-technology solutions may be one mechanism to assist with decompressing an office schedule in the post-COVID era. Thus, the patient opting for ophthalmic telemedical service is increasing, which has a positive impact on the market studied.

Geographically, North America holds a major share. As per the Government of Canada Statistics report 2019, Canadian older population included 6,592,611, which accounted for 17.5% of the Canadian population.

Several other factors, such as the increasing usage of computer or digital screens, may cause less blinking, which may contribute to symptoms of DED, thereby, driving the overall market. Majority of the population uses computers and even more of them constantly deal with smartphones, digital devices, and tablet computers.

Many drugs are in the pipeline for the disease, which is boosting the market growth in the region. For instance, RegeneRx’s RGN-259, a Tβ4-based sterile and preservative-free eye drop, is designed to be a novel treatment for dry eye and neurotrophic keratitis. This is in the Phase II/III study for dry eye syndrome that includes 317 patients.

Bausch Health acquired an exclusive license for the commercialization and development of the investigational treatment NOV03 in the United States and Canada. It is in Phase 3 clinical trials and showed very good results in Phase 2 trials.

Abbvie expanded the REFRESH Portfolio by introducing the over-the-counter (OTC) artificial tear formulation, REFRESH Repair Lubricant Eye Drops, to treat dry eye disease, in 2018. All these novel product launches may give the country a cutting edge in the market growth.

Dry Eye Disease Market Growth

Competitive Landscape

The dry eye disease market is moderately competitive. In terms of market share, a few of the major players currently dominate the market. With the rising geriatric population and high prevalence of diseases, a few other smaller players are expected to enter the market in the coming years. Some of the major players in the market are AbbVie Inc. (Allergan PLC), Alcon Inc., Santen Pharmaceutical Co. Ltd, OASIS Medical, and Bausch Health Companies Inc., among others.

Recent Developments

  • In 2021, Kala Pharmaceuticals Inc. announced the launch of EYSUVIS (loteprednol etabonate ophthalmic suspension) 0.25% for the short-term (up to two weeks) treatment of the signs and symptoms of dry eye disease. EYSUVIS is now available in national and regional US pharmaceutical distribution centers. Patients with a prescription can access EYSUVIS through their local retail pharmacies or through home delivery.
  • In 2021, SIFI, a leading international ophthalmic company launched SYNFO for dry eye disease. The new hypotonic formulation is a synergistic blend of two polymers, sodium hyaluronate and xanthan gum, and two osmoprotectants, betaine and glycine. In addition to moisturizing and lubricating, SYNFO is designed to compensate for tear instability, restore tears' volume and ocular surface's health, and provide antioxidant and osmoprotective properties.

Table of Contents


    1. 1.1 Study Assumptions and Market Definition

    2. 1.2 Scope of the Study




    1. 4.1 Market Overview

    2. 4.2 Market Drivers

      1. 4.2.1 Rising Burden of Dry Eye Disease

      2. 4.2.2 Technological Advancements and Emergence of Novel Diagnostic Tools

    3. 4.3 Market Restraints

      1. 4.3.1 High Cost of Specialty Dry Eye Products with Complex Reimbursement Scenario

      2. 4.3.2 Availability of Alternative Therapies

    4. 4.4 Porter's Five Forces Analysis

      1. 4.4.1 Threat of New Entrants

      2. 4.4.2 Bargaining Power of Buyers/Consumers

      3. 4.4.3 Bargaining Power of Suppliers

      4. 4.4.4 Threat of Substitute Products

      5. 4.4.5 Intensity of Competitive Rivalry


    1. 5.1 Product

      1. 5.1.1 Artificial Tears

      2. 5.1.2 Anti-inflammatory Drugs

        1. Cyclosporine

        2. Corticosteroid

        3. Other Anti-inflammatory Drugs

      3. 5.1.3 Punctal Plugs

      4. 5.1.4 Secretagogues

      5. 5.1.5 Other Products

    2. 5.2 Distribution Channel

      1. 5.2.1 Hospital Pharmacies

      2. 5.2.2 Independent Pharmacies and Drug Stores

      3. 5.2.3 Online Pharmacies

    3. 5.3 Geography

      1. 5.3.1 North America

        1. United States

        2. Canada

        3. Mexico

      2. 5.3.2 Europe

        1. Germany

        2. United Kingdom

        3. France

        4. Italy

        5. Spain

        6. Rest of Europe

      3. 5.3.3 Asia-Pacific

        1. China

        2. Japan

        3. India

        4. Australia

        5. South Korea

        6. Rest of Asia-Pacific

      4. 5.3.4 Middle East and Africa

        1. GCC

        2. South Africa

        3. Rest of Middle East and Africa

      5. 5.3.5 South America

        1. Brazil

        2. Argentina

        3. Rest of South America


    1. 6.1 Company Profiles

      1. 6.1.1 AbbVie Inc (Allergan PLC)

      2. 6.1.2 AFT Pharmaceuticals

      3. 6.1.3 Akorn

      4. 6.1.4 Alcon Inc.

      5. 6.1.5 Bausch Health Companies Inc.

      6. 6.1.6 Horus Pharma

      7. 6.1.7 Johnson & Johnson

      8. 6.1.8 Mitotech

      9. 6.1.9 Novaliq GmbH

      10. 6.1.10 OASIS Medical

      11. 6.1.11 Otsuka Pharmaceutical Co. Ltd

      12. 6.1.12 Prestige Consumer Healthcare

      13. 6.1.13 Santen Pharmaceutical Co. Ltd

      14. 6.1.14 Sentiss Pharma Pvt. Ltd

      15. 6.1.15 Sun Pharmaceutical Industries Ltd

      16. 6.1.16 VISUfarma

    2. *List Not Exhaustive

**Competitive Landscape Covers - Business Overview, Financials, Products and Strategies, and Recent Developments

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Frequently Asked Questions

The Global Dry Eye Disease Market market is studied from 2018 - 2026.

The Global Dry Eye Disease Market is growing at a CAGR of 5.6% over the next 5 years.

Asia Pacific is growing at the highest CAGR over 2021- 2026.

North America holds highest share in 2020.

Alcon Inc, Bausch Health Companies Inc, Santen Pharmaceutical Co. Ltd, OASIS Medical, AbbVie Inc (Allergan Plc) are the major companies operating in Global Dry Eye Disease Market.

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