Global Fungal Keratitis Treatment Market Snapshot (2023 to 2033)

The global fungal keratitis treatment market was valued at USD 545.4 Million in 2022 and is expected to reach USD 1.0 Billion by 2033. The polyenes with around 45.1% in terms of value share, has topped the global market within the drug class in 2022 and is expected to grow at a CAGR of close to 4.3% over the forecast period (2023 to 2033)

Market Outlook-

Key Market Attributes

Market Size, 2022 USD 545.4 Million
Market Size, 2023 USD 571.7 Million
Market Size, 2033 USD 1.0 Billion
Value CAGR (2023 to 2033) 4.3%

Fungal keratitis (FK) is a major cause of ocular morbidity, accounting for 40% to 50% of all microbial keratitis cases worldwide. Because of location and socioeconomic status, it is more widespread in developing countries. Fungal keratitis is associated with about a hundred fungus, with Fusarium, Candida, and Aspergillus being the most often isolated species in the United States. Fungal keratitis manifestation is also influenced by geographical distribution and temperature, with potential increases in hotter areas.

Fungal keratitis, a less common form of microbial keratitis, is a significant cause of visual impairment in the northeast region. Typically caused by filamentous fungi, management with topical and oral voriconazole is effective. Challenges in isolation may cause delays in diagnosis and management.

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Analysis of Historical and Future Outlooks of Fungal Keratitis Treatment Market

The global market for fungal keratitis treatment was around 7.5% of the overall USD 7.3 Billion of the global eye infections treatment market in 2022.

Semi Annual Market Update

Particular Value CAGR
H1 5.37% (2022 to 2032)
H2 6.28% (2022 to 2032)
H1 5.76% (2023 to 2033)
H2 6.10% (2023 to 2033)

The impact of fungal keratitis treatment on the sales analysis of the market from 2018 to 2022 versus the market outlook for 2023 to 2033 has been significant. The global prevalence of fungal keratitis treatment, accounting for 40% to 50% of microbial keratitis cases, has driven the demand for effective diagnostic and treatment solutions (Source- Journal of fungi 2022). The higher prevalence in underdeveloped nations due to geographic and socioeconomic factors has led to an increased need for accessible and affordable treatment options.

From 2018 to 2022, the fungal keratitis treatment market experienced growth due to increasing awareness among healthcare professionals and demand for specialized treatments targeting fungal species like Fusarium, Candida, and Aspergillus.

The market outlook for 2023 to 2033 predicts continued demand for effective treatments in regions with warm climates and affluent nations. The prevalence of fungal keratitis treatment has significantly impacted sales analysis, with a sustained demand for effective treatments due to persistent risk factors and increasing cases in both underdeveloped and affluent nations.

Owed to the above factors, the global market is projected to grow at CAGR of 5.2% in forecasted period.

Overview of Key Opportunities for Fungal Keratitis Treatment Market Players

Fungal keratitis is an eye infection affecting significant number of outdoor workers. Manufacturers have been addressing this issue by developing advanced diagnostic methods like polymerase chain reaction, direct microscopic examination, and cultures. However, these methods have limitations in accuracy and speed. Thus, there has been growing investment in research and innovation to create more accurate, rapid, and user-friendly tools for early detection and timely treatment.

The limited penetration of antifungal agents into the cornea presents challenges in managing fungal keratitis treatment. Manufacturers are therefore, developing innovative drug delivery systems to enhance antifungal medication penetration, improving treatment efficacy and patient outcomes. This involve specialized eye drops or formulations that effectively target and treat the infection.

Collaborating with healthcare professionals and research institutions help understand the factors influencing fungal species causing the infection. By conducting region-specific research, manufacturers tailor their products to address unique challenges posed by different fungal species, personal risk factors, and geographic variations.

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Brief Assessment of Factors Limiting the Fungal Keratitis Treatment Demand

Several factors that influence the diagnosis and management of fungal keratitis treatment limit the necessity for therapy. Contact lens usage, particularly in industrialized nations, is a substantial risk factor for fungal keratitis, with an increase in fungal keratitis incidence over time coinciding with greater contact lens use.

Diagnosis delays may develop as a result of difficulties connected with lengthy isolation time and negative cultures. Microscopical examination of corneal scrapings is followed by gold standard testing for fungal isolation, which is highly specific but not sensitive.

For prompt care, this diagnostic complexity necessitates a high index of clinical suspicion. Furthermore, fungal keratitis has poorer clinical results than bacterial keratitis. Even with a correct diagnosis, fungal keratitis management is difficult owing to the poor penetration of many antifungal drugs into the cornea. These constraints, taken together, limit the demand for fungal keratitis therapy, emphasizing the need for better diagnosis tools and more successful therapeutic options.

Country-wise Insights

Market Growth Outlook by Key Countries

Country Value CAGR
United States 5.6%
Germany 7.1%
United Kingdom 7.5%
Japan 4.9%
China 6.7%
India 7.4%

Analysis of Growth Enablers in Fungal Keratitis Treatment Market in the USA

The United States occupies 93.6% share in North America, the expenditure on fungal keratitis treatment in year 2022. The United States is a key market for fungal keratitis treatment in North America.

  • As per study in StatPearls 2022, found that 39% of fungal keratitis cases in the United States were caused by Fusarium, while 22% were caused by yeasts. Warm southern locations like Florida have higher fungal keratitis incidence. Improper usage of contact lenses, such as overnight wearing and tap water washing, contributes to microbial keratitis risk. Monitoring contact lens disinfecting solutions is crucial to prevent future outbreaks.

Key Factors Paving China as a Highly Lucrative Market

China’s expenditure on fungal keratitis treatment in 2022 was USD 59.1 Million.

Given its high frequency and distinctive characteristics, China is a significant market for fungal keratitis treatment in East Asia.

  • According to a research done in central China by Ophthalmology in 2006, Fusarium was the most common fungus species (>50%), followed by Aspergillus (>9%) and Alternaria (>7%). Individuals from rural regions were more likely to get the diagnosis (79.7%), with farm labor being the most common employment (51.7%) according to Annals of Palliative Medicine 2021. Cases were more numerous (41.6%) during the harvest season. Corneal damage, notably from vegetative matter (73.7%), was the most important risk factor. The positive culture rate of corneal scrapings was 89.6%, with the most prevalent fungus isolates being Fusarium and Aspergillus.

The enormous rural population of China, agricultural activities, and prevalence of corneal damage all contribute to the lucrativeness of country's market for fungal keratitis treatment therapies.

Outlook of Indian Market for Fungal Keratitis Treatment

In 2022, India held a dominant share in the South Asia market and contributed around USD 51.9 Million. India is a prominent market for fungal keratitis treatment (FK) in the South Asia region due to the high prevalence of cases caused by Aspergillus and Fusarium species.

  • Studies conducted in India have consistently identified Aspergillus as the most commonly isolated species causing fungal keratitis, accounting for over 55% of cases as per Indian Journal of Medical Research 2006.
  • This makes Aspergillus the most common cause of FK in the Indian subcontinent. The significant number of studies reported from India (32.94%) further highlights its prominence in fungal keratitis research as per Frontiers in Cellular and Infection Microbiology 2021.

Additionally, the prevalence of fungal keratitis caused by both Aspergillus and Fusarium in India underscores the country's significance as a market for diagnosing and treating fungal keratitis treatment cases.

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Category-wise Insights

Insight into Key Drug Class Stimulating Market for Fungal Keratitis Treatment

Market Growth Outlook by Key Drug Class

Drug Class Value CAGR
Polyenes 5.3%
Azoles 5.8%
Flucytosine 8.0%
Echinocandins 6.8%
Terbinafine 6.3%

By drug class, polyenes covered 45.1% market shares in world in 2022. Polyene antifungal medicines are expected to rapidly grow in the fungal keratitis treatment treatment industry between 2023 and 2033. These medications prevent (1,3)-D-glucan formation in fungal cell walls, causing apoptosis and fungal death. They reduce human toxicity and are effective against resistant strains. Polyenes, like natamycin and amphotericin, target ergosterol, preventing fungal membrane integrity and targeting drug-resistant strains while reducing side effects. Their ability to target drug-resistant strains while reducing hazardous side effects is driving their rapid growth in the fungal keratitis treatment industry.

Understanding Preference for Eye Drops Formulation in Fungal Keratitis Treatment

Market Growth Outlook by Key Formulations

Formulations Value CAGR
Tablets 6.3%
Eye Drops 5.9%
Ophthalmic Ointments 5.4%
Subconjunctival Injections 7.5%

The market value of eye drops used in fungal keratitis treatment is USD 319.5 Million, representing for a sizable 58.6% market share in 2022. The FK market is predicted to grow between 2023 and 2033 because to the severity of the illness and the introduction of resistant fungus species. The absence of FDA-approved formulations, as well as ocular bioavailability and toxicity, make reformulating intravenous medications problematic for hospital pharmacy departments. A study developed and characterized natamycin/voriconazole formulations to improve solubility, permanence, and safety. The need for enhanced FK treatment choices, as well as the potential advantages of these formulations, are driving this expansion.

Details on Leading Indication Driving Market Expansion

Market Growth Outlook by Key Indications

Indications Value CAGR
Superficial Keratitis 5.2%
Deep Keratitis 7.5%

By indication, superficial keratitis covers sizeable market share with 69.5% in 2022. The fungal keratitis treatment market is expected to grow significantly between 2023 and 2033 due to factors like rising fungal infections, changing climates, and poor hygiene. Climate change, urbanization, and globalization contribute to fungal exposure and transmission. Delayed diagnosis and limited treatment options contribute to the demand for better diagnostics and treatments for superficial keratitis.

Summary of Leading Age Group in the Global Market

Market Growth Outlook by Key Age Group

Age Group Value CAGR
0-18 Years 7.2%
18-39 Years 6.0%
40-64 Years 5.3%
65 Years & Above 6.5%

By age group, 40-64 years covers sizeable market share with 44.1% in 2022. The Fungal Keratitis Treatment market is expected to rapidly grow between 2023 and 2033, particularly among individuals aged 40-64. This age group is more susceptible to eye-related illnesses like Fungal Keratitis Treatment due to immune system changes, environmental stressors, and reduced tear production. This growth in the market drives the need for therapies, diagnostics, and interventions to address this ailment.

Overview of Market Status of Therapeutics Available for Fungal Keratitis Treatment

Market Growth Outlook by Key Market Status

Market Status Value CAGR
Rx 5.3%
OTC (Over The Counter) 7.6%

By market status, the Rx drugs accounted for the prominent share in the global fungal keratitis treatment market, with a revenue share of 74.1% in 2022. Physicians play a crucial role in diagnosing, treating, and prescribing Rx medications for Fungal Keratitis Treatment, with the market expected to grow rapidly between 2023 and 2033. Accurate diagnostics, effective therapy, and monitoring patient progress contribute to market expansion. Doctors' role in directing patients towards correct Rx drug usage promotes the rising demand for Fungal Keratitis Treatment treatments.

Analysis of Key Distribution Channel Benefiting in the Global Market

Market Growth Outlook by Key Distribution Channel

Distribution Channel Value CAGR
Institutional Sales 5.6%
Retail Sales 6.3%

The institutional sales have a considerable presence in the fungal keratitis treatment market, accounting for 53.1% of end users in 2022, and exhibiting a high CAGR of 5.6%. Between 2023 and 2033, the Fungal Keratitis Treatment market is expected to experience rapid growth in institutional sales due to public awareness, medical advancements, and collaborations between pharmaceutical firms and healthcare facilities. This growth is driven by increased demand for specialist therapies and rapid medical intervention to prevent eyesight loss.

Competitive Landscape

Collaborations and partnerships among healthcare providers, research institutions, and technology businesses can encourage innovation and hasten fungal keratitis treatment. Collaboration in research, development, and commercialization can lead to market expansion and the creation of new applications. Numerous large firms compete in the field of fungal keratitis treatment. Among the well-known players in this field are-

  • In December 2021, Avanos Medical has acquired OrthogenRx, Inc., a leading provider of viscosupplementation therapies for knee osteoarthritis (OA) pain, for USD 160 Million. The acquisition includes USD 130 Million in cash and USD 30 Million in contingent cash consideration. HA therapy offers a USD 1 million commercial opportunity in the US, complementing Avanos' COOLIEF* Cooled Radiofrequency pain treatment portfolio.
  • In September 2020, Santen Pharmaceutical Co. and Eyevance Holdings LLC acquired USD 225 million worth of Eyevance Pharmaceuticals Holdings Inc., a wholly-owned subsidiary of Santen, focusing on topical ophthalmic products for the ocular surface and anterior segment.

With technological advances in medical sector fungal keratitis treatment will be useful in diagnosing breast cancer and measuring obesity, both of which are on the rise in the current climate.

Similarly, recent developments related to the companies within the fungal keratitis treatment market have been tracked by the team at Future Market Insights, which are available in the full report.

Related Market Growth Outlook Scenario

Particulars Value CAGR
Keratitis Treatment Market 6.0%
Neurotrophic Keratopathy Treatment Market 7.2%
Superficial Punctate Keratitis Treatment Market 6.3%

Report Scope as Per Fungal Keratitis Treatment Industry Analysis

Attribute Details
Forecast Period 2023 to 2033
Historical Data Available for 2018 to 2022
Market Analysis USD Million for Value
Key Regions Covered North America; Latin America; Europe; South Asia; East Asia; Oceania; Middle East and Africa (MEA)
Key Countries Covered United States, Canada, Brazil, Mexico, Argentina, Chile, Peru, Columbia, Germany, Italy, France, United Kingdom, Spain, Nordics, BENELUX, Russia, China, Japan, South Korea, India, Indonesia, Thailand, Philippines, Malaysia, Vietnam, Australia, New Zealand, GCC countries, Türkiye, Kingdom of Saudi Arabia, Israel, Northern Africa and South Africa.
Key Market Segments Covered Drug Class, Drug Formulation, Indication, Age Group, Market Status, Distribution Channel and Region
Key Companies Profiled Novartis AG; Eyevance Pharmaceuticals, LLC (Santen ;Holdings United States Inc.); AbbVie Inc.; Pfizer Inc.; Merck and Co. (Merck KGaA); Bausch Health Companies Inc.; Cipla Inc.; Wellona Pharma; LEXICARE PHARMA PVT. LTD; Salvus Pharma
Report Coverage Market Forecast, Competition Intelligence, DROT Analysis, Market Dynamics and Challenges, Strategic Growth Initiatives
Pricing Available upon Request
Table of Content
  • 1. Executive Summary
  • 2. Market Overview
  • 3. Key Market Trends
  • 4. Value-Added Insights
  • 5. Market Background
  • 6. Global Market Demand (in Value or Size in US$ Million) Analysis 2018 to 2022 and Forecast, 2023 to 2033
  • 7. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Drug Class
    • 7.1. Polyene
      • 7.1.1. Natamycin
      • 7.1.2. Amphotericin B
    • 7.2. Azoles
      • 7.2.1. Triazole
        • 7.2.1.1. Fluconazole
        • 7.2.1.2. Voriconazole
        • 7.2.1.3. Posaconazole
        • 7.2.1.4. Itraconazole
      • 7.2.2. Imidazoles
        • 7.2.2.1. Econazole
        • 7.2.2.2. Miconazole
        • 7.2.2.3. Ketoconazole
    • 7.3. Flucytosine
    • 7.4. Echinocandins
      • 7.4.1. Capsofungin
      • 7.4.2. Micafungin
    • 7.5. Terbinafine
  • 8. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Drug Formulation
    • 8.1. Tablets
    • 8.2. Eye Drops
    • 8.3. Ophthalmic ointments
    • 8.4. Subconjunctival injections
  • 9. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Indication
    • 9.1. Superficial Keratitis
    • 9.2. Deep Keratitis
  • 10. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Age Group
    • 10.1. 0-18 Years
    • 10.2. 18-39 Years
    • 10.3. 40-64 Years
    • 10.4. 65 Years and Above
  • 11. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Market Status
    • 11.1. Rx
    • 11.2. OTC
  • 12. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Distribution Channel
    • 12.1. Institutional Sales
      • 12.1.1. Hospitals
      • 12.1.2. Ophthalmic Clinics
    • 12.2. Retail Sales
      • 12.2.1. Retail Pharmacies
      • 12.2.2. Drug Store
      • 12.2.3. E-Commerce/Mail Order Pharmacies
  • 13. Global Market, Cross-Sectional Analysis 2018 to 2022 and Forecast 2023 to 2033, By Drug Class V/S Market Status
    • 13.1. Polyenes
      • 13.1.1. Rx
        • 13.1.1.1. Branded
        • 13.1.1.2. Generics
      • 13.1.2. OTC
        • 13.1.2.1. Branded
        • 13.1.2.2. Generics
    • 13.2. Azoles
      • 13.2.1. Rx
        • 13.2.1.1. Branded
        • 13.2.1.2. Generics
      • 13.2.2. OTC
        • 13.2.2.1. Branded
        • 13.2.2.2. Generics
    • 13.3. Flucytosine
      • 13.3.1. Rx
        • 13.3.1.1. Branded
        • 13.3.1.2. Generics
      • 13.3.2. OTC
        • 13.3.2.1. Branded
        • 13.3.2.2. Generics
    • 13.4. Echinocandins
      • 13.4.1. Rx
        • 13.4.1.1. Branded
        • 13.4.1.2. Generics
      • 13.4.2. OTC
        • 13.4.2.1. Branded
        • 13.4.2.2. Generics
    • 13.5. Terbinafine
      • 13.5.1. Rx
        • 13.5.1.1. Branded
        • 13.5.1.2. Generics
      • 13.5.2. OTC
        • 13.5.2.1. Branded
        • 13.5.2.2. Generics
  • 14. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Distribution Channel V/S Market Status
    • 14.1. Institutional Sales
      • 14.1.1. Rx
        • 14.1.1.1. Branded
        • 14.1.1.2. Generics
      • 14.1.2. OTC
        • 14.1.2.1. Branded
        • 14.1.2.2. Generics
    • 14.2. Retail Sales
      • 14.2.1. Rx
        • 14.2.1.1. Branded
        • 14.2.1.2. Generics
      • 14.2.2. OTC
        • 14.2.2.1. Branded
        • 14.2.2.2. Generics
  • 15. Global Market Analysis 2018 to 2022 and Forecast 2023 to 2033, By Region
    • 15.1. North America
    • 15.2. Latin America
    • 15.3. Europe
    • 15.4. South Asia
    • 15.5. East Asia
    • 15.6. Oceania
    • 15.7. Middle East and Africa
  • 16. North America Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 17. Latin America Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 18. Europe Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 19. South Asia Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 20. East Asia Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 21. Oceania Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 22. Middle East and Africa Market Analysis 2018 to 2022 and Forecast 2023 to 2033
  • 23. Market Structure Analysis
  • 24. Competition Analysis
    • 24.1. Novartis AG
    • 24.2. Eyevance Pharmaceuticals, LLC (Santen Holdings United States Inc.)
    • 24.3. AbbVie Inc.
    • 24.4. Pfizer Inc.
    • 24.5. Merck and Co. (Merck KGaA)
    • 24.6. Bausch Health Companies Inc.
    • 24.7. Cipla Inc.
    • 24.8. Wellona Pharma
    • 24.9. LEXICARE PHARMA PVT. LTD
    • 24.10. Salvus Pharma
  • 25. Assumptions and Acronyms Used
  • 26. Research Methodology

Key Market Segments Covered in the Fungal Keratitis Treatment Industry Research

By Drug Class:

  • Polyenes
    • Natamycin
    • Amphotericin B
  • Azoles
    • Triazole
      • Fluconazole
      • Voriconazole
      • Posaconazole
      • Itraconazole
    • Imidazoles
      • Econazole
      • Miconazole
      • Ketoconazole
  • Flucytosine
  • Echinocandins
    • Capsofungin
    • Micafungin
  • Terbinafine

By Drug Formulation:

  • Tablets
  • Eye Drops
  • Ophthalmic Ointments
  • Subconjunctival Injections

By Indication:

  • Superficial Keratitis
  • Deep Keratitis

By Age Group:

  • 0-18 Years
  • 18-39 Years
  • 40-64 Years
  • 65 Years and Above

By Market Status:

  • Rx
  • OTC (Over The Counter)

By Distribution Channel:

  • Institutional Sales
    • Hospitals
    • Ophthalmic Clinics
  • Retail Sales
    • Retail Pharmacies
    • Drug Stores
    • E-Commerce/Mail Order Pharmacies

By Region:

  • North America
  • Latin America
  • Europe
  • South Asia
  • East Asia
  • Oceania
  • Middle East and Africa

Frequently Asked Questions

How much is the global market worth in 2022?

The global market is worth USD 545.4 Million in 2022.

What is the global market estimated to reach by 2023?

The global market estimates for 2023 is around USD 571.7 Million.

What is the sales forecast for the global market through 2033?

The global market is expected to reach USD 1.0 Billion by the end of 2033, with a sales revenue expected to register a 5.9% CAGR.

What was the last four years’ growth rate for fungal keratitis treatment?

The global market grew at a CAGR of 3.9% between 2018 and 2022.

Which are the top five countries driving demand for fungal keratitis treatment?

The United States, China, India, Japan, and Australia are the top five countries driving the demand for fungal keratitis treatment market.

What is the United States market outlook for the fungal keratitis treatment?

The United States dominated the global market with United States contributing USD 110.7 Million in the year 2022.

What is the outlook of the China market?

China accounted for a market value share of around 55.9% in 2022 within East Asia.

How much is the Indian market worth in 2022?

India holds nearly 9.5% market share in the global market in 2022.

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