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Autorefractor and Keratometer Market
Growth Landscape and Forecast Insights 2032
The autorefractor and keratometer market comprises diagnostic devices used in eye care, including
autorefractors for measuring refractive errors (like myopia and astigmatism) and keratometers for assessing
corneal curvature. These instruments enhance eye exams by providing fast, objective, and accurate
measurements, making them essential in settings such as hospitals, optometry clinics, and optical retail
centers. Market growth is driven by rising rates of vision disorders, technological advances (like AI
integration and portable models), and expanding access to eye care in emerging regions. North America
leads the market due to advanced healthcare infrastructure and high adoption, while the Asia-Pacific region
is emerging as the fastest-growing area. Despite their value, challenges such as high equipment costs and a
shortage of trained staff in resource-limited areas continue to limit broader adoption.
According to Fortune Business Insights, the global autorefractor and keratometer market was valued at USD
69.7 million in 2024 and is projected to grow from USD 73.3 million in 2025 to USD 107.1 million by 2032,
exhibiting a compound annual growth rate (CAGR) of 5.6% during the forecast period. In 2024, North
America dominated the market with a 35% share.
Top Companies in the Market
EssilorLuxottica (France)
Carl Zeiss Meditech AG (Germany)
Topcon Corporation (Japan)
CANON MEDICAL SYSTEMS CORPORATION (Japan)
NIDEK CO., LTD. (Japan)
Bausch + Lomb (Canada)
Visionix (U.S.)
Remidio Innovative Solutions Pvt Ltd. (India)
Key Industry Development
In July 2024, EssilorLuxottica acquired an 80.0% stake in Heidelberg Engineering, a company specializing in
diagnostic solutions, healthcare IT, and digital surgical technologies for clinical ophthalmology, signaling a
strategic expansion in diagnostic and surgical-ready ophthalmic technologies.
Market Drivers & Restraints
Drivers
Rising prevalence of ocular conditions such as hyperopia, astigmatism, myopia, and cataracts—fueled by
aging populations, lifestyle changes, and increasing diabetes rates—is driving demand for early diagnosis
and boosting market expansion.
Restraints
Adoption in low- and middle-income countries is hindered by limited awareness of eye diagnostics and high
cost barriers. High-end autorefractor models can cost upwards of USD 25,000, making them prohibitive for
resource-constrained settings.
Market Segments
By Product Type
The market is divided into Autorefractor, Keratometer, and Hybrid segments. The Hybrid segment
(autorefraction + keratometry in one device) is expected to lead, owing to its higher diagnostic accuracy.
For instance, in April 2024, NIDEK launched the fully automated ARK-F/AR-F auto ref/keratometer.
Autorefractor-only devices are also expected to grow substantially as manufacturers integrate AI and
machine learning to enhance diagnostics.
By Portability
The market is segmented into Tabletop and Handheld systems. Tabletop instruments are preferred in
optometric offices for comprehensive examinations and are expected to dominate.
Handheld devices are gaining traction due to their portability and convenience, especially for mobile clinics,
home visits, and underserved areas. Remidio, for example, launched the Instaref R20 portable autorefractor
in October 2022 using Shack-Hartmann aberrometry.
By Indication
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The indications include Hyperopia, Myopia, Astigmatism, and Others (e.g., keratoconus, cataracts). In 2024,
the Hyperopia segment held the largest share, driven by its prevalence in both adults and children. The
Cleveland Clinic estimated that hyperopia affects around 4.6% of children and 30.9% of adults globally.
Myopia is expected to show notable growth, propelled by rising screen time and an aging population.
Astigmatism maintains substantial share due to availability of advanced diagnostic devices, and the “Others”
category remains steady, with recurrent need for diagnosis of keratoconus, cataracts, etc.
By End-User
The market is segmented into Hospitals, Ophthalmic Clinics, and Others (e.g., telehealth, academic clinics).
In 2024, Hospitals dominated due to large diagnostic volumes and advanced infrastructure.
Ophthalmic Clinics are expected to grow at the fastest CAGR, supported by a rising number of clinics
globally. For instance, UC Davis Health launched a new eye care facility in Sacramento in December 2022.
The Others segment, including telehealth and academic clinics, is set to expand significantly amid
partnerships aimed at improving diagnostic access.
Explore the full research report with detailed insights and
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Market Regional Insights
The market is analyzed across North America, Europe, Asia Pacific, Latin America, and Middle East & Africa.
North America: Dominated the market in 2024 with USD 24.4 million, driven by robust healthcare
infrastructure, reimbursement policies, and presence of major players. In the U.S., a high burden of
diabetes (38.4 million individuals in 2024) has prompted greater ophthalmic diagnostic adoption; in
Canada, growing incidence of ocular conditions like keratoconus and astigmatism fuels demand.
Europe: Holds a substantial share due to stringent medical device regulations and a large
population of ophthalmologists.
Asia Pacific: Expected to grow fastest, backed by investment in ophthalmic diagnostics across
India, China, Japan, and a large patient pool.
Future Market Scope
With a projected CAGR of 5.6% (2025–2032) and growth in demand across regions ranging from developed
North America and Europe to fast-growing Asia Pacific, the autorefractor and keratometer market
demonstrates robust future potential. Key trends include the rise of hybrid and AI-integrated devices,
expansion of portable models for underserved areas, and escalating importance of early detection of
refractive errors.
Conclusion
The Autorefractor and Keratometer Market is poised for meaningful growth between 2025 and 2032.
Supported by rising ophthalmic needs, advanced diagnostics, and strategic moves by major players, the
market is evolving—particularly toward higher-accuracy hybrid devices, portable systems, and enhanced
adoption across emerging regions. Awareness, accessibility, and affordability remain challenges, but
enhanced collaborations and continued innovations present strong opportunities for the future.
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