Trends in Contact Lens Prescribing in Japan (2003-2016)

PURPOSE: To review contact lens prescribing trends in Japan between 2003 and 2016. METHODS: An annual survey of contact lens prescribing trends was conducted each year between 2003 and 2016. Japanese ophthalmologists were asked to provide information relating to ten consecutive contact lens fittings between January and March every year. RESULTS: Over the 14 years of the annual survey, data from a total of 64,122 contact lens fits were returned by ophthalmologists. The mean age (±SD) of lens wearers was 30 ± 13 years, and 68% were female. The proportion of rigid lens fits decreased over time, from 35.4% in 2003 to 14.7% in 2016. Across this period, daily disposable lens fits increased, representing 46% in 2016. The proportion of toric lenses and multifocal lenses gradually increased, from 6.6% and 1.9% to 12.3% and 5.8%, respectively. Silicone hydrogel material use grew from 0% to 43.2%, while mid and low water content lens materials declined from 54.1% and 28.2% to 36.1% and 8.3%, respectively. Multi-purpose lens care solutions dominated the market over the 14 year survey period. CONCLUSIONS: This survey has revealed prescribing trends and preferences in Japan over the past 14 years, with the main changes observed being a decrease in rigid lens use and an increase in the use of silicone hydrogel materials and daily disposable lenses.