A recent industry report from ReviewOB shows that in Q2 2025, the total value of eye exams and lens prescriptions is up (14% increase in exam value year-over-year), even though the volume of exams and contact lenses sold is declining.
This suggests a shift in consumer behavior, pricing, and market dynamics that optometry clinics should understand and respond to.
The optometry industry is facing a curious paradox in 2025: clinics are seeing higher revenue per patient, even as the total number of exams, frames, and contact lenses sold is decreasing. This shift challenges traditional assumptions about growth in eye care—and demands new strategies for sustainable practice.
Exam value in Q2 2025 rose about 14% compared to Q2 2024, despite volume falling by ~4.5%.
Lens prescriptions remain a strong contributor to revenue, with lens value up nearly 4% year-over-year.
Contact lens usage is declining in volume—perhaps reflecting changes in patient preferences or economic pressures.
Rising Costs / Price Adjustments
Clinics may be raising prices (for exams, premium lenses, services) to offset cost increases.
Higher Use of Premium Products
More patients may be opting for premium lenses, coatings, designer frames, or specialty optics, increasing per-transaction value.
Consumer Behavior Shift
Fewer patients may be coming for routine exams, but those who do are seeking more comprehensive services.
Economic Pressures
Inflation, disposable income constraints, and competing health needs might reduce volume—even if demand remains for essential eye care.
Focus on High-Value Services
Emphasize premium lens upgrades, specialty eyewear, ocular health add-ons, and advanced diagnostics.
Reconsider Pricing Strategy
Evaluate bundling, service tiers, and patient segmentation to match value with cost.
Optimize Efficiency
With fewer patients, efficiency matters—maximize staff utilization, reduce no-shows, and streamline workflows.
Strengthen Patient Retention
Use follow-ups, membership programs, recalls, and education to keep patients coming back.
Monitor Market Signals Continuously
Stay abreast of consumer trends, reimbursement changes, and product shifts to adapt quickly.
The 2025 market landscape shows that success in optometry is no longer just about volume. Clinics that adapt—by leaning into higher-value offerings, optimizing operations, and staying responsive to consumer behavior—will be better positioned for stability and growth in a changing industry.