3^rd World Congress on Eye and Vision December 05-06, 2019 Abu Dhabi, UAE

Track 1: Eye: Developmental Biology

The major tangible organs of the head create from the connections of the neural cylinder with a progression of epidermal thickenings called the cranial ectodermal spots. The most foremost of these are the two olfactory spots that shape the ganglia for the olfactory nerves, which are in charge of the feeling of smell. The sound-related places also invigilate to shape the inward ear maze, whose neurons frame the acoustic ganglion, which empowers us to hear. In this area, we will concentrate on the eye. Eye improvement is started by the ace control quality Pax-6, a home box quality with known homologues in people, mice (little eye), and Drosophila (eyeless). The Pax-6 quality locus is a translation factor for the different qualities and development factors associated with eye arrangement. Eye morphogenesis starts with the examination, or outgrowth, of the optic sections or sulci. These two furrows in the neural folds change into optic vesicles with the conclusion of the neural cylinder. The optic vesicles at that point form into the optic glass with the internal layer framing the retina and the external segment shaping the retinal shade epithelium. The center part of the optic glass forms into the ciliary body and iris. Amid the invagination of the optic container, the ectoderm starts to thicken and frame the focal point set, which in the end isolates from the ectoderm to shape the focal point vesicle at the open end of the optic glass. Further separation and mechanical revision of cells in and around the optic glass offers ascend to the completely created eye.

• Neuroepithelium
• Ectoderm
• Developmental cascade
• Regulation and inhibition

Track 2 : Retina, Vitreous

Vitreoretinal alludes to any activity to treat eye issues including the retina, macula, and vitreous liquid. These incorporate retinal separation, macular opening, epiretinal film and confusions identified with diabetic retinopathy. Different vitreoretinal careful and laser methodologies can reestablish, protect and upgrade vision for some, eye conditions, for example, specific kinds of age-related macular degeneration, diabetic retinopathy, diabetic vitreoushaemorrhage, macular opening, a confined retina, epiretinal film and CMV retinitis. The one start with signs to retinitis routinely happen already, appropriate on term of the time youth, the side of the moment that the two eyes customarily need bolster affected. Night vision Might make poor, and the field of vision may begin whenever set. At the point when RP to begin with starts ought to show up, those light-detecting units that are liable for dream to black out light (poles) a tiny bit at a time debilitate additionally observing amid night transforms into a more prominent sum testing. All through sometime later periods of retinitis only a little region of central vision stays, close by slight periphery vision. Its incredibly troublesome on anticipates those degrees about dream decrease or how fast it wills headway at you require retinitis. Your eye pro will screen that prosperity about your retinal units and oversee tests with concentrate how extraordinary you could see. In a couple of point, you may make urged to drive principle all through those daytime or once very much lit paths toward night. At last you may an opportunity to be unabated ought to see sufficiently extraordinary with drive at all.

• Vitreous chamber
• Vitreous base
• Human eye
• Retinopathy of prematurity

Track 3: Ocular Inflammation & Immunology

Visual immunology is an extremely specific part of medication provided for diagnosing and treating patients with flammable eye ailments. These diseases can to some degree decrease vision or lead to genuine vision hardship. Ophthalmologists use the general term, uveitis, when suggesting the extent of provocative infections that impact the uvea. In addition, uveitis is used to depict any combustible ailment that produces swelling and destroys eye tissues, including inside the retina. It's consistently associated with fundamental diseases, for instance, rheumatoid joint torment. Anatomically, uveitis is masterminded into front, mostly, back, and panuveitic shapes, dependent upon which part of the eye is impacted.

• Sympathetic ophthalmia
• Ocular immune system
• Outline of immunology

Track 4 : Dry Eye

Dry Eye happens once there's associate short volume and or quality of tears to stay the surface of the attention sufficiently lubricated . The common symptoms of dry eye square measure skin sensation, redness and irritation. It is a chronic and progressive disease. Dry disease may be a common condition moving folks of all ages. Dry eye may be a as a relatable purpose what is a lot of of times never-ending issue moreover might usually create diagnosed in associate twelve-month eye examination. It is particularly as a relatable purpose to a lot of seasoned adults, to that there want aid insufflate mournful to grease up moreover sustain the attention. Sorrowful square measure very important to taking care of the successfulness of the front surface of the attention moreover for giving work to affordable dream. People for dry eyes presumably do not generate enough mournful alternately bring a poor calibre for dolourous. Dry eyes would possibly concerning| cause| achieve| bring forth| bring on| create| evoke| give birth to| induce| motivate| originate} shortages from a shameful harmony about shred process moreover waste. It might in addition create initiated Eventually Tom's studying associate short total from claiming dolourous alternately poor calibre from claiming dolourous.

• Decreased tear or excessive evaporation
• Rehydration
• Epidemiology
• Ciclosporin

Track 5: Internuclear Ophthalmoplegia

In Internuclear palsy, the nerve strands that direct each eyes in flat developments—looking from facet to side—are injured. These strands interface accumulations of nerve cells (focuses or cores) that begin from the third cranial nerve (oculomotor nerve), the fourth cranial nerve (trochlear nerve), and the sixth cranial nerve (abduces nerve). Level eye developments square measure hindered; but vertical eye developments square measure positively not. The influenced eye cannot flip internal, but it will flip outward. At the purpose once a person appearance to the facet inverse the influenced eye, the influenced eye, which ought to turn internal, can't move past the midline. That is, the influenced eye looks straight ahead. As the other eye turns outward, it frequently makes automatic, monotonous rippling developments called nystagmus That is, the eye quickly moves in one course, then gradually floats in the other bearing. Individuals with Internuclear Ophthalmoplegia may have twofold vision. One-and-a-half disorder results when the confusion that causes Internuclear Ophthalmoplegia additionally harms the inside that directions and controls flat eye developments (level look focus). At the point when the individual tries to look to either side, the influenced eye stays still in the centre. The other eye will flip outward nonetheless not internal. As in Intern nuclear palsy, vertical eye developments don't seem to be influenced.

• Conjugate lateral gaze
• Vestibulo-ocular reflex
• Eye abducts

Track 6: Pediatric Ophthalmology

Pediatric ophthalmologists concentrate on the improvement of the visual framework and the different ailments that disturb visual advancement in kids. Pediatric ophthalmologists additionally have mastery in dealing with the different visual infections that influence kids. Pediatric ophthalmologists are qualified to perform complex eye surgery and additionally to deal with youngsters' eye issues utilizing glasses and solutions. Numerous ophthalmologists and different doctors elude paediatric patients to a Pediatric ophthalmologist for examination and administration of visual issues because of youngsters' exceptional needs. Notwithstanding kids with evident vision issues, kids with head turns, head tilts, squinting of the eyes, or favoured head stances (torticollis) are ordinarily eluded to a paediatric ophthalmologist for assessment. Pediatric ophthalmologists normally additionally oversee grown-ups with eye development issue, (for example, nystagmus or strabismus) because of their nature with strabismus conditions. Imagine the greater part youngsters need solid eyes What's more beneficial vision? Surmise once more. 1 in 4 has a dream issue that might result in issues in Taking in Furthermore self-destructive considerations and conduct. It’s straightforward the reason. Since about half of constantly on American Youngsters haven’t required a real, far reaching eye exam. A number requirement glasses, What's more don’t significantly recognize it! And, in light of essentially all that children figure out hails through their eyes, they’re during an extreme hindrance done school and other exercises when they can’t see great. Throughout An visit on an optometrist to a thorough eye exam, those specialist will take a gander at things a school dream screening will not, for example, those general wellbeing of the eyes, how those eyes fill in together, and if your child’s eyes are cantering effectively. This in-depth look will additionally analyse profundity perception, colour Furthermore fringe vision, those wellbeing of the pupil, and separation review. Children’s eyes would answerable for 80% from claiming their downright learning, making it key to guarantee those eyes need aid solid with a twelve-month exam. On your youngster does need glasses, solicit your eye specialist something like polycarbonate lenses; these lenses are 10 times All the more effect safe over standard plastic lenses and the impeccable fit for the playground. UV insurance may be key, similarly as well, should further protect those long haul dream for your child’s eyes.

• visual development
• Retinopathy of prematurity
• Pediatric glaucoma
• Abnormal vision development

Track 7: Ophthalmology

Ophthalmology is that the branch of medication that deals with the anatomy, physiology and sicknesses of the attention, may be a part of prescription and process (the 2 techniques square measure utilized) that deals with the life systems, physiology and ailments of the eyeball and orbit. An ophthalmologist is an expert in medicinal and surgical eye ailment. Their accreditations incorporate a academic degree qualification in prescription, trailed by an additional four years of medical specialty residency getting ready. Ophthalmologists are  permissible to utilize medications to treat eye ailments, execute laser treatment, and perform medical procedure when required. Ophthalmologists might participate in educational analysis on the finding and treatment for eye disorders.

• Ophthalmic surgery
• Etymology
• Intraocular pressure
• Refractive surgery

Track 8: Optometry & Contact Lenses

Optometry is a social insurance calling that practices on the eyes and related structures, and vision, visual frameworks, and vision data handling in people. Optometrists (otherwise called Doctors of Optometry or Ophthalmic Opticians relying upon the nation) are prepared to endorse and fit focal points to enhance vision, and in a few nations are prepared to analyse and treat different eye sicknesses. Optometric doctors and optometry-related associations communicate with legislative offices, other social insurance experts, and the group to convey eye-and vision-care. A contact focal point is a therapeutic gadget. Since the focal point reaches the eye, an exact fit is fundamental. An intensive assessment and fitting is expected to safeguard a solid contact focal point fit. Numerous styles of focal points are accessible. Contact lenses may likewise be prescribed by ophthalmologists as therapeutically essential in extraordinary occurrences when contact focal points accomplish the best visual potential that eyeglasses can't convey. This might be because of an unpredictable corneal surface, for example, in keratoconus, corneal injury, and post-surgical anomaly

• Optometry
• Eye
• Retina
• CooperVision

Track 9: Eye Surgery

Eye surgery, otherwise called visual surgery, will be surgery performed on the eye or its adnexa, normally by an ophthalmologist. The eye is a delicate organ, and requires amazing consideration some time recently, amid, and after a surgical strategy. A specialist eye specialist is in charge of selecting the fitting surgical system for the patient, and for taking the important security safety measures. Ophthalmic surgeries can be of various types which include- Laser eye surgery, cataract surgery, glaucoma surgery, refractive surgery, corneal surgery, vitreo- retinal surgery and so forth. Since the eye is intensely linked with nerves, anaesthesia is key. Neighbourhood anaesthesia is most regularly utilized. Topical anaesthesia utilizing lidocaine topical gel is regularly utilized for speedy strategies. Since topical anaesthesia requires participation from the patient, general anaesthesia is frequently utilized for youngsters, traumatic eye wounds, and major orbitotomies and for uncertain patients. The doctor controlling anaesthesia screens the patient's cardiovascular status. Clean safety measures are taken to set up the territory for surgery and lower the danger of contamination. These safety measures incorporate the utilization of cleaning agents, for example, povidone-iodine, and sterile window hangings, outfits and gloves.

• Laser eye surgery
• Cataract surgery
• Glaucoma surgery

Track 10: Vision Therapy 

Vision Therapy can be prescribed when a comprehensive eye examination indicates that it is an appropriate treatment option. To improve vision skills such as eye movement control and eye coordination. It involves a series of procedures carried out in both home and office settings, usually under professional supervision. The Vision therapy is based on the results of standardized tests and the person's signs and symptoms. Programs typically involve eye exercises and the use of lenses, prisms, filters, occluders, specialized instruments, and computer programs.Good vision requires your eyesight, visual pathways, and brain to all work together. When they don’t, even a person with 20/20 eyesight can experience difficulty reading, writing and processing information. Vision Therapy helps the patient develop the visual skills necessary for good vision. Optical devices and exercises are used to improve the eye-brain connection in order to make eye movements easier and more efficient. The patient learns how to correctly process the visual information that the brain receives from the eyes. Vision therapy is a sequence of neurosensory and neuromuscular activities individually prescribed and monitored by the doctor to develop, rehabilitate and enhance visual skills and processing.

• Eye Movement Disorders
• Orthoptic Vision Therapy
• Behavioral vision therapy
• Eye exercises
• Alternative Vision Therapy

Track 11: Ocular Oncology 

Ocular Oncology includes Tumours of the eyelids, Conjunctiva, Cornea, Orbit, Intraocular structures, similar to Iris, Ciliary body, Choroid, Retina, Optic plate. Eye neoplasms can influence all parts of the eye, and can be an amiable tumour or a dangerous tumour (malignancy). Eye growths can be essential (begins inside the eye) or metastatic disease (spread to the eye from another organ). The two most basic growths that spread to the eye from another organ are bosom disease and lung tumour. Different less regular locales of starting point incorporate the prostate, kidney, thyroid, skin, colon and blood or bone marrow.

• Choroidal tumors
• Conjunctival tumors
• Ocular oncology

Track 12: Low Vision

Low visual perception which meddles the day by day working of a tyke or Low vision as the name demonstrates the condition connected with unusual. Paediatric Low vision could be a reason for different eye maladies, for example, Paediatric glaucoma, paediatric waterfall and so forth. Low vision exam of paediatric is varies in view of the age of the youngster. Visual sharpness, refractive mistake, visual field, eye muscle capacity and shading visionare the thought taken by paediatric ophthalmologists to discover the visual capacity of a tyke.

Low Vision may be a term will depict an assortment for visual impairments brought about by retinitis-pigments, tunnel vision alternately macular degeneration. Kin for low dream Figure it challenging will read, What's more a lot of people provide for up perusing inside and out. However, for the assistance of an amount about low vision aids, perusing camwood turned into compensating Furthermore entertainment only once more.

Perusing Glasses numerous individuals embrace “readers” At they begin Hosting inconvenience with close visionat some point in their 40’s. Be that as for kin with low vision, uncommon bookworms camwood be found previously, high-control solitary dream or bifocal plans. Once the wearer gets used to these stronger perusing glasses (the perusing material need should a chance to be positioned closer to your face), they might read little print effectively.

Perusing telescopes hand-held or mounted on the lenses from claiming your eyeglasses, these units give acceptable secondary Amplification that permit you should see perusing material from an ordinary separation. These gadgets oblige a few preparations to utilize appropriately.

Magnifiers These need aid the majority moderate options, and exactly are illuminated, which aides move forward that deceivability of the print. You might likewise find magnifiers that need aid hand-held, appended with a band that hangs around your neck alternately mounted for a movable stand.

Feature magnifiers These Polaroid lenses on your desktop amplify pictures and show them on An feature screen or workstation screen. You might sit similarly as near the screen Likewise you need to Furthermore might conform things similar to Amplification power, brightness, complexity and shade.

Versatile electronic magnifiers: Resembling an IPod, these units would hold in front of your perusing material. An amplified see shows up on the screen.

• near-normal vision
• near total blindness
• severe low vision
• profound low vision

Track 13: Cornea and Anterior Segment

When surgery is indicated, the most commonly performed procedures include cataract and refractive surgery, and corneal transplantation. The latest techniques and advances in the field to treat simple and advanced problems caused by disease, genetic predisposition, injury or aging to the structures in the front regions of the eye. These include cataracts (when the natural lens inside the eye becomes cloudy and blurs vision), keratoconus, corneal abrasions, other conditions that affect the outer layers of the eye, and refractive errors such as near-sightedness, farsightedness, and astigmatism. Corneal ulcer large portion situations for corneal ulcer would because of a bacterial spoiling that attacks the cornea— frequently all the accompanying eye injury, trauma alternately other harm. Contact lens wearers especially would defenceless with eye aggravation that camwood prompt a corneal ulcer. A contact lens might rub against those eyes’ surface; making slight harm of the epithelium that might empower microscopic organisms will infiltrate the eye. In you are a contact lens wearer, you camwood increment your possibilities from claiming avoiding a corneal ulcer Toward working on great cleanliness for example, such that washing your hands When taking care of lenses and Emulating different wellbeing tips.

• Anterior segment mesenchymal dysgenesis
• Mammalian eye
• Cornea

Track 14: Neuro-ophthalmology

Neuro-ophthalmology concentrates on infections of the sensory system that influence vision, control of eye developments, or pupillary reflexes. Neuro-ophthalmologists frequently see patients with complex multi-framework infection and "zebras" are not remarkable. Neuro-ophthalmologists are regularly dynamic educators in their scholastic organization, and the initial four victors of the prestigious Straatsma American Academy of Ophthalmology showing honors were neuro-ophthalmologists. Most neuro-ophthalmologists are energetic about their control and report high employment fulfilment, expressing that they think the field keeps on being both captivating and testing. Neuro-ophthalmology is generally non-procedural, be that as it may, neuro-ophthalmologists might be prepared to perform eye muscle surgery to treat grown-up strabismus, optic nervefenestration for idiopathic intracranial hypertension, and botulinum infusions for blepharospasm or hemi facial fit. Neuro-ophthalmologists deal with visual issues that are identified with the sensory system; that is, visual issues that don't originate from the eyes themselves. We utilize half of the cerebrum for vision-related exercises, including sight and moving the eyes. Neuro-ophthalmology, a subspecialty of both neurology and ophthalmology, requires particular preparing and ability in issues of the eye, mind, nerves and muscles. Neuro-ophthalmologists complete no less than 5 years of clinical preparing after therapeutic school and are typically board confirmed in Neurology, Ophthalmology, or both.

• Neuro-ophthalmology
• Eye movements
• pupillary reflexes.

Track 15: Cataract and Refractive Surgery

The lens inside those eye meets expectations considerably like An Polaroid lens, keeping tabs light onto the retina for reasonable dream. It additionally adjusts those eye's focus, letterset printing us perceive things obviously both up close Furthermore significantly far. That lens will be mostaccioli produced for water Furthermore protein. That protein may be orchestrated previously; an exact manner that keeps that lens reasonable What's more gives light pass recipient it. Anyway likewise we age; a percentage of the protein might bunch together Also start on cloud a little range of the lens. This may be a cataract, Furthermore In time; it might develop bigger Also cloud a greater amount of the lens, making it harder to view. Nobody knows beyond any doubt the reason the eye's lens progressions similarly as we age, shaping cataracts. At analysts overall have recognized variables that might foundation cataracts or need aid connected with waterfall improvement.

• Laser vision correction
• Cataract
• Refractive Index

Related Societies:

USA: International Council of Ophthalmology, American Association for Pediatric Ophthalmology, Association for Research in Vision and Ophthalmology ARVO, The American Ophthalmological Society

Europe: British Isles Paediatric Ophthalmology, Strabismus Association, European Paediatric Ophthalmological Society, European Glaucoma Society, European Vitreo Retinal Society EVRS, European Society of Ophthalmology,

Asia: Asia-Pacific Strabismus and Paediatric Ophthalmology Society, Chinese Association for Pediatric Ophthalmology and Strabismus, Asia-Pacific Academy of Ophthalmology, Asia Pacific Association of Cataract & Refractive Surgeons

Middle East: Middle East Africa council of Ophthalmology

The eye care industry will be principally concerned for the protection of visual wellbeing what’s more revision from claiming eye issues that might diminish dream ability. Inside the eye consideration business need aid professionals that need a doctoral degree on optometry or ophthalmology. Eye consideration establishments are predominantly captivated previously, giving work to eye examinations will recognize those sharpness for dream or other visual complications, furthermore should giving work to prescriptions for glasses and lenses, and additionally retailing these items. Doctors inside the visual field might act privately, done bunch practices, alternately through an office.

Clinched alongside eye mind there are a few specialties: optometrists, opticians, what’s more ophthalmologists. Optometrist execute all eye exams, which frequently prompts prescriptions for glasses or contacts, Furthermore might additionally go to a portion essential eye states. Opticians normally fabricate Also retail restorative lenses over an assortment from claiming areas built upon the prescription composed by an optometrist alternately ophthalmologist. General eye consideration will be the forte about an ophthalmologist. Laser surgery will be also on the Ascent for the individuals who might manage it, also frequently might kill those requirement glasses or contacts.

In the eye forethought industry, interest may be influenced toward evolving medicinal services practices, mould patterns to eye wear, and demographics. Those benefits from claiming an optometrist act fluctuate contingent upon factors for example, such that if alternately not it offers eye wear What's more with giving works to eye examinations.

VISION INDUSTRY OVERVIEW:

Vision Speaks to a $36 billion business comprised of administrations ($15 billion) Furthermore deal from claiming restorative eye glasses Also lenses (21 billion) for enduring relied upon Growth. Industry members incorporate free opticians, optometrists, ophthalmologists, corporate providers/mass merchandisers and glasses/contact lens Makers and distributers. Dream forethought suppliers contend In view of administration quality, tolerant loyalty, proficient training, and personalization from claiming administration restorative gadget retailers contend In view of location, merchandising, price, medicine technologies/products, and further more capability to establishment operations vast majority of vision service providers also sell corrective devices; highly fragmented independent provider landscape.

VISION CARE OVERVIEW: PRIMARY EYE CARE

Individual eye forethought suppliers control a huge bit of the tolerant populace. Eye care services include exams, treatment for dry eye, glaucoma, cataracts, diabetes, and macular degeneration. Differentiated patient relationships, service quality, earlier technology adoption, and clinical/product knowledge enable strong independent market share position. Independents perform 68% of all patient eye care service with share remaining stable and increasing slightly over the past 5 years vs. chains despite lower service share, chains capture 46% of all primary eye care revenue driven by higher sales of eyeglasses / contact lenses Growth On eye consideration experts determined Eventually Tom's perusing unfaltering build Previously, ODs, with amount for ophthalmologists relied upon with remain stable.

VISION CARE OVERVIEW: OPTOMETRISTS

Optometrists capture $14 billion of annual vision service and product spending. Optometrists offer services through private practices, chain/mass merchandisers, and government organizations. ODs are licensed practitioners who have obtained Doctor of Optometry degree (DO) from an accredited optometry school (Four year a while project post undergrad level) and passed both a written and clinical state board examination Independent optometrists are differentiated by strength in eye exams and medical eye care through personalization of care, patient loyalty, and clinical care Expanding extent about what's to come for U. Encountered with urban decay because of deindustrialization, engineering imagined, government lodgin. Number will depend ahead ODs for refractive and therapeutic eye forethought administrations. Perform 88million refractive eye exams annually, speaking to 85% about every one far reaching eye exams number of working on optometrists anticipated with develop 2% yearly through 2020 to 46,300 should help climbing interest amount to ophthalmologists/primary personality medicinal professionals won't keep pace with a development. Medical service offering includes treatment of ocular diseases from diabetes, ocular infection, dry eye, ocular allergies, and glaucoma 80-85% of optometrists have some level of involvement with medical eye care, representing 17% of optometrist total revenue. Push for new legislation to allow ODs to perform vision correction surgery within licensed service portfolio would grow their share of the market.

OVERVIEW ON VISION CARE: OPHTHALMOLOGISTS

Ophthalmologists capture 12 billion of vision service and product spending annually. Ophthalmologists are trained MDs specializing in vision care; key difference areas from optometrists include: Education requirements – 8 + years of medical training plus optional additional “vision specialty” area training Licensed procedures scope – can diagnose and treat full spectrum of eye diseases and perform eye surgery Refractive surgery/LASIK – licensed to perform vision correction surgery in all states Higher average revenue per patient visit – provide premium, specialized services (i.e. $600-$2,000 per cataract surgery) Stable number of practicing ophthalmologists Needed through 2020 won't keep pace with underlying request. Probable to drive higher creation for every facility setting off ahead Similarly as interest to restorative / surgical eye mind grows with maturing number Facilitates od act extension development What's more od new entrants Also backs climbing interest for ophthalmologists.

MARKET TRENDS: AGING POPULATION & INCREASING PREVALENCE OF CHRONIC DISEASE

The aging population and increasing prevalence of chronic diseases resulting from unhealthy lifestyle will continue to drive growth in therapeutic eye care services.75% of adults use some form of vision correction. The aging of the baby boomers generation will result in accelerating demand for medical eye care services. Over 65 age group will grow 36.2% from 40.2 million in 2010 to 54.8 million in 2020 People over the age of 55 will be the fastest growing population segment through 2020. The four leading eye diseases affecting Americans are related to age and/or lifestyle. Cataracts, macular degeneration, and glaucoma occur at a rate of 17.2%, 7.6%, and 1.9%, respectively, in populations over 40 Obesity directly linked to diabetic retinopathy; 50% of U.S. adult population expected to be obese by 2030 up from 36% currently.

KEY MARKET TRENDS: GROWING COVERAGE FOR VISION CARE

Recent healthcare initiatives have expanded pool of insured and coverage for eye care. New federal healthcare programs are expected to expand the number of people with vision benefits. Insurance coverage reduces the out-of-pocket costs for patients, increasing demand/ability to pay for vision services. The ACA defined pediatric eye care as an essential benefit which will increase access to optometric care (children currently 19% of OD end market) Vision benefits offered under Medicare include cataract surgery, corrective eyewear following cataract surgery, glaucoma screening, and ocular prostheses. By 2020, the number of Medicare beneficiaries will increase by 10 million Harkin Amendment aims to expand patient access and eliminate health plan discrimination against optometry and other forms of medical care. Eye exams now included as medical healthcare, requiring coverage in all health plans in new state and federal insurance exchanges.

OVERVIEW ON INDUSTRY

The vision care industry is comprised of a select set of national and regional chains and a large number of independent providers. Two-thirds of practicing optometrists are in private practices. Currently little to no consolidation within ophthalmology on regional or national basis 33,500 companies in the industry today; 39% are sole proprietorships.