The U.S. refractive lens exchange market has expanded consistently over the past decade, driven by an aging population reaching presbyopia age, growing awareness of lens-based alternatives to reading glasses, and continued innovation in premium and light-adjustable intraocular lens technology.
Annual procedure volume has more than doubled since 2016, with the steepest growth occurring in the last four years as premium IOL adoption accelerated — see Presbyopia-Correcting IOL Adoption for the technology-side view of this same trend. Growth has not been uniform nationally; see Procedure Density by Metro Area for regional variation.