
Report ID: SQMIG35I2364
Skyquest Technology's expert advisors have carried out comprehensive global market analysis on the retinal drugs market, covering regional industry trends and market insights. Our team of analysts have conducted in-depth primary and secondary research to provide regional industry analysis and forecast of retinal drugs market across North America, South America, Europe, Asia, the Middle East, and Africa.
North America is a dominant continent in the retinal drugs market because of its advanced healthcare system, high innovation and research development investments, and concentration of important players within the pharmaceutical industry. North America is a region with fast adoption of new therapies and expedient regulatory processes via the FDA, which allows quicker approval time for drugs. There are a notably high number of age-related macular degeneration diseases (AMD), diabetic retinopathy, and other retinal diseases as a portion of the area's aging population, equipping them for a demand of newer therapies. Access to expensive biologics and anti-VEGF therapies is not only promoted by public insurance, but as private health insurance coverage is more prevalent and, with patient coverage is a certainty in the most considerable risks, it would also help. When you have leading academic partners and biotech firms steered towards experimenting with gene therapy and regenerative therapy, this also helps motivate industry output.
The U.S. has a lot of advantages including its strong clinical trial ecosystem and high per capita healthcare expenditures, which makes up about 18% of its GDP, the highest in the world. The U.S. leads in the clinical research space representing more than 30% of the clinical trials conducted globally (for a substantial portion for ophthalmic and retinal disease). The National Eye Institute (NEI) spent more than USD 875 million in funding for sight-related research in 2023 alone. The US has a huge patient pool with over 11 million people living with age-related macular degeneration (AMD) and around 7.7 million adults diagnosed with diabetic retinopathy. Coupled with access to advanced diagnostic testing, specialty retina centers, and paid insurance coverage for high-cost biologics therapies, such as anti-VEGF, provides a positive and significant contribution towards the overall growth of the market. It is easy to see why the U.S. continues to lead the way in the retinal drugs space.
Due to a substantial rise in the number of Type 2 diabetes cases and consequently, the number of patients with diabetic retinopathy, Canada is on track to be the fastest-growing market for retinal drugs in North America. Over 5.7 million Canadians live with diabetes, and an estimated 25% of these patients develop some form of diabetic eye disease, creating considerable market demand for retinal therapies. In provinces like Ontario and British Columbia, the combination of public reimbursement of anti-VEGF drugs (ranibizumab and aflibercept) and public health plans that cover retinal medications provide significant increases in access to this device. In addition, Canada leads in biosimilars—biosimilars for Lucentis and Eylea are moving quickly into clinical use and patient acceptance, which promotes earlier therapy and overall lowers costs and barriers to patient access. Additionally, the pan-Canadian Pharmaceutical Alliance (pCPA) negotiates the price of drugs at the national level, further facilitating market access.
Beyond North America, Europe is the second strongest regional market for retinal drugs, owing to its aging population, high rates of disease prevalence, and effective healthcare systems in Germany, the UK, France, and Italy. Europe has one of the largest population segments over 65 years of age (over 20% of its population), which corresponds directly with an increase in the incidence of age-related macular degeneration (AMD) and diabetic retinopathy. Europe also sustains and promotes universal healthcare coverage, which promotes access to costly biologics medicine like anti-VEGF therapies. Furthermore, the European Medicines Agency (EMA) supports an environment of coordinated regulation that allows drugs and biosimilars to have faster time to market with affordable and commonly used biologics. For example, Germany, among other European countries, are adopting biosimilars faster than any other region which promotes affordability and, subsequently, usage.
With a high disease burden of over 7 million people suffering from age-related macular degeneration (AMD), Germany commands the retinal drugs market in Europe. Germany has good reimbursement mechanisms and is an early adopter of novel therapies (anti-VEGF injections and new gene therapies). The intimate structure of ophthalmologists and retina clinics provides timely access to treatment for patients. Germany is also a leading centre for pharma R&D and clinical trials in ophthalmology and has good collaboration between industry and academia in this area. Thus, these factors combined provide Germany with a strong position in the retinal drug market and a mature retina drug market for Europe.
The market for retinal drugs in the UK is becoming the fastest growing in Europe. With rising disease burden, particularly from age-related macular degeneration (AMD) and diabetic retinopathy, the UK has experienced arguably the best growth from the NHS expanding access to anti-VEGF therapies via NICE recommendations and growing early adoption of some major inventions including brolucizumab and faricimab. The UK is encouraging the use of biosimilars of ranibizumab and aflibercept through cost-saving approaches from the NHS in addition to increasing access to effective therapies. The UK is also bringing together extensive experience of AI driven eye screening tools, such as AI tools being used at Moorfields Eye Hospital to improve early diagnosis, which has included increasing demand for retinal drugs and positioning the UK as a key growth market.
Following Germany and the UK, France is an important contributor to the European retinal drugs market, partly because of a comparatively high incidence of retinal diseases, notably age-related macular degeneration (AMD) and diabetic retinopathy, leading to high demand for treatment. France enjoys a robust healthcare system that ensures wide access to anti-VEGF treatments through public reimbursement. There has also been an increasing trend of biosimilar adoption in France that has enhanced treatment access and decreased costs. France is one of the most significant investors in clinical research, and some of the most prominent ophthalmic facilities, which adds to innovation and hastens market growth. All these elements make France an inevitable leader in the retinal drugs market.
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Global Retinal Drugs Market size was valued at USD 20.20 Billion in 2023 and is poised to grow from USD 21.86 Billion in 2024 to USD 41.06 Billion by 2032, growing at a CAGR of 8.2% during the forecast period (2025-2032).
The competitive landscape of the retinal drug market is marked by intense R&D, strategic acquisitions, and a race toward long-acting and gene-based therapies. Key players like Roche, Regeneron, and Novartis dominate with anti-VEGF therapies, while others like Sandoz and Coherus expand biosimilar portfolios. Merck’s acquisition of EyeBio and Astellas' purchase of Iveric Bio highlight growing M&A activity. Companies are also investing in implants and AI-driven diagnostics to boost adherence and outcomes. The landscape includes branded drugs, biosimilars, gene therapies, delivery innovations, and pipeline diversification—shaping a competitive, innovation-focused market poised for sustained growth. 'Roche Holding AG (incl. Genentech)', 'Regeneron Pharmaceuticals, Inc.', 'Novartis AG', 'Bayer AG', 'Allergan (AbbVie Inc.)', 'Alcon Inc.', 'Santen Pharmaceutical Co., Ltd.', 'MeiraGTx Holdings plc', 'Ocuphire Pharma, Inc.', 'Kodiak Sciences Inc.', 'Adverum Biotechnologies, Inc.', 'Oxurion NV', 'Graybug Vision, Inc.', 'Clearside Biomedical, Inc.', 'Outlook Therapeutics, Inc.', 'Iveric Bio (acquired by Astellas Pharma)', 'Sandoz (a Novartis spin-off for biosimilars)', 'Coherus BioSciences, Inc.', 'Biogen Inc.'
The growth of the retinal drug market is driven by advances in biologics and the growing portfolio of drug delivery systems. Anti-VEGF therapies have improved outcomes while reducing the treatment burden with fewer injections, with Eylea producing over $9.6 billion in 2023. Longer-lasting treatments like Susvimo's long-acting implant and gene therapies like Luxturna were just some examples of technologies that allow sustained treatments. With companies Roche and Novartis advancing clinical trials of several pipeline agents, and AI facilitating early diagnosis, there has never been more progress. All of these innovations of market potential enhance efficacy, lessen treatment burden, and provide access to a larger number of patients, all of which is a formula for growth in the market and delivery personalized treatments.
What Makes North America a Leader in Retinal Drugs?
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