Choroidal Neovascularization (CNV) Market
By Treatment Type;
Anti-Angiogenic Therapy, Laser Photocoagulation, Photodynamic Therapy, Verteporfin Sodium, Ranibizumab, Bevacizumab, Aflibercept and Pegaptanib SodiumBy Indication;
Age-Related Macular Degeneration (AMD), Diabetic Macular Edema (DME), Central Serous Chorioretinopathy (CSC), Polypoidal Choroidal Vasculopathy (PCV), Myopic Macular Degeneration (MMD) and OthersBy Route of Administration;
Intravitreal, Subconjunctival, Periocular and OralBy End User;
Hospitals, Ophthalmology Clinics, Ambulatory Surgical Centers and Research CentersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031)Choroidal Neovascularization (CNV) Market Overview
Choroidal Neovascularization (CNV) Market (USD Million)
Choroidal Neovascularization (CNV) Market was valued at USD 7,429.48 million in the year 2024. The size of this market is expected to increase to USD 12,577.18 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 7.8%.
Choroidal Neovascularization (CNV) Market
*Market size in USD million
CAGR 7.8 %
| Study Period | 2025 - 2031 |
|---|---|
| Base Year | 2024 |
| CAGR (%) | 7.8 % |
| Market Size (2024) | USD 7,429.48 Million |
| Market Size (2031) | USD 12,577.18 Million |
| Market Concentration | Medium |
| Report Pages | 334 |
Major Players
- Novartis AG
- Regeneron
- Sanofi
- Genentech Inc
- Bayer AG
- Chengdu Kanghong Biotech Co. Ltd
- Resolvyx Pharmaceuticals Inc
- F. Hoffmann-La Roche Ltd
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Choroidal Neovascularization (CNV) Market
Fragmented - Highly competitive market without dominant players
The Choroidal Neovascularization (CNV) Market is experiencing strong growth, driven by the rising incidence of retinal disorders and the adoption of innovative therapies. CNV is linked to nearly 40% of severe vision loss cases in age-related macular degeneration. With more than 35% of patients requiring continuous care and monitoring, the demand for effective treatments is steadily increasing.
Therapeutic Advancements Driving Growth
Breakthroughs in anti-VEGF therapies have transformed CNV management, with nearly 50% of patients reporting significant visual improvements. The adoption of combination treatment approaches has grown by 30%, highlighting the market’s shift toward precision medicine. These advances are helping improve patient outcomes and reduce disease recurrence.
Rising Awareness and Diagnosis
Advancements in diagnostic technologies and awareness initiatives have pushed CNV detection rates up by more than 45%. The increasing use of optical coherence tomography (OCT) ensures early and accurate diagnosis, enabling timely treatment. Growing awareness among patients and healthcare professionals is expanding the treatment landscape and driving greater adoption of therapies.
Challenges Restraining Expansion
High treatment costs remain a barrier, with over 25% of patients discontinuing care due to financial constraints. In addition, around 20% of patients exhibit limited responsiveness to repeated anti-VEGF therapies, posing a challenge for long-term management. These factors highlight the urgent need for cost-effective alternatives and innovative treatment strategies.
Choroidal Neovascularization (CNV) Market Key Takeaways
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Rising global prevalence of age-related macular degeneration (AMD) and diabetic retinopathy is the primary driver expanding the CNV treatment landscape.
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Increasing adoption of anti-VEGF therapies continues to dominate treatment protocols, while emerging biologics and gene therapy approaches signal the next phase of therapeutic innovation.
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Development of long-acting formulations and sustained-release delivery systems is addressing adherence challenges associated with frequent intravitreal injections.
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Strategic R&D focus among biopharma companies centers on dual-pathway inhibitors and combination therapies to enhance efficacy and reduce treatment burden.
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Advanced diagnostic imaging technologies such as OCT angiography are improving early detection, leading to faster intervention and better clinical outcomes.
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Regulatory approvals and clinical trials in North America and Europe are driving early adoption, while Asia-Pacific markets are expected to experience accelerated uptake due to rising healthcare investments.
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Collaborations between pharma innovators, biotech startups, and research institutes are catalyzing the development of novel CNV therapies aimed at restoring vision and reducing disease progression.
Choroidal Neovascularization (CNV) Market Recent Developments
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In March 2024, the European Medicines Agency (EMA) approved an extended dosing interval for Eylea (aflibercept), enabling less frequent administration. This approval supports the shift toward longer-acting therapies and enhances patient convenience.
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In January 2022, the FDA approved Faricimab (Vabysmo), a therapy offering extended treatment intervals that can reduce injection frequency from monthly to every two months, improving patient care and convenience.
Choroidal Neovascularization (CNV) Market Segment Analysis
In this report, the Choroidal Neovascularization (CNV) Market has been segmented by Treatment Type, Indication, Route of Administration, End User, and Geography.
Choroidal Neovascularization (CNV) Market, Segmentation by Treatment Type
The CNV market is segmented based on treatment types that address varying disease etiologies and progression stages. The growing preference for targeted and less invasive therapies has significantly influenced the adoption of anti-angiogenic agents and advanced modalities like photodynamic therapy. Pharmaceutical innovations and ongoing clinical trials continue to shape this segment, driving market expansion across developed and emerging regions.
Anti-Angiogenic Therapy
Anti-angiogenic therapy dominates the CNV market, accounting for the majority of treatment share due to its efficacy in inhibiting abnormal blood vessel growth. The introduction of biologics and biosimilars is improving patient outcomes, with adoption rates exceeding 70% in developed regions. Continuous R&D collaborations are expected to enhance therapeutic precision and reduce treatment burden.
Laser Photocoagulation
Laser photocoagulation remains relevant for specific CNV cases where leakage sites are localized. Although its use has declined due to the advent of newer agents, it still offers cost-effective options in resource-limited settings. Technological improvements have made modern lasers safer, minimizing damage to adjacent tissues.
Photodynamic Therapy
Photodynamic therapy (PDT) is gaining renewed interest as a complementary option, especially for patients resistant to anti-VEGF drugs. With reduced retreatment frequency and improved combination regimens, PDT is anticipated to capture niche segments within the market, particularly in Asia Pacific.
Verteporfin Sodium
Verteporfin sodium is widely used in PDT due to its selective phototoxic effects on neovascular tissues. Its availability under various branded formulations has sustained moderate demand, driven by expanding clinical research exploring its combination with anti-VEGF agents.
Ranibizumab
Ranibizumab (Lucentis) is one of the most prescribed intravitreal drugs for CNV management. Its strong safety profile, regulatory approvals across multiple indications, and proven visual improvement outcomes have cemented its role in the market. Strategic partnerships between pharma companies and healthcare providers enhance accessibility.
Bevacizumab
Bevacizumab, originally approved for cancer therapy, is widely used off-label for CNV treatment due to its cost-effectiveness. The affordability and comparable efficacy of this molecule have boosted its global penetration, especially in developing economies.
Aflibercept
Aflibercept offers extended dosing intervals and superior visual outcomes, making it a preferred choice for chronic CNV management. Its robust clinical data and sustained release formulations support market growth, particularly in North America and Europe.
Pegaptanib Sodium
Pegaptanib sodium was one of the first FDA-approved anti-VEGF drugs, and though its use has declined, it remains important in certain patient subgroups. Continuous improvements in molecular design could revive its adoption through next-generation analogs.
Choroidal Neovascularization (CNV) Market, Segmentation by Indication
The indication-based segmentation highlights the clinical diversity of CNV causes. With aging populations and diabetes prevalence rising, the demand for advanced treatments targeting AMD and DME is accelerating globally. Each indication presents unique therapeutic challenges, prompting innovation in precision delivery systems and biologics.
Age-Related Macular Degeneration (AMD)
AMD represents the leading cause of CNV worldwide, accounting for over 50% of total cases. Increasing elderly demographics and lifestyle changes have intensified its burden. Continuous introduction of novel anti-VEGF and gene therapy approaches are anticipated to revolutionize AMD management.
Diabetic Macular Edema (DME)
DME is emerging as a fast-growing indication segment, supported by the global diabetes epidemic. Pharmaceutical advancements and increased screening initiatives are driving higher treatment rates, particularly in North America and Asia Pacific.
Central Serous Chorioretinopathy (CSC)
CSC cases are commonly associated with chronic stress and steroid usage. Although traditionally self-limiting, recurrent forms require active CNV management. The shift toward targeted anti-VEGF therapy has improved recovery timelines and reduced relapse rates.
Polypoidal Choroidal Vasculopathy (PCV)
PCV has a higher prevalence in Asian populations and often requires combination therapy involving PDT and anti-angiogenic drugs. Growing diagnostic awareness and genetic studies are enhancing early detection, which contributes to better patient outcomes.
Myopic Macular Degeneration (MMD)
MMD is increasingly recognized due to rising global myopia rates. Advanced therapeutic interventions and imaging technologies have enabled early CNV identification, improving prognosis and treatment success rates.
Others
The “Others” category encompasses secondary CNV cases linked with ocular trauma and inflammatory conditions. Ongoing clinical research and personalized therapy development are expected to expand treatment applicability for these rare forms.
Choroidal Neovascularization (CNV) Market, Segmentation by Route of Administration
The route of administration significantly influences patient compliance and therapeutic outcomes. Intravitreal injections remain dominant due to direct retinal targeting, while emerging non-invasive delivery systems are gaining traction as safer alternatives.
Intravitreal
Intravitreal administration offers precise drug delivery to retinal tissues, ensuring optimal therapeutic effect. Its high efficacy has made it the gold standard, accounting for the majority of market share. Innovations in sustained-release implants aim to reduce injection frequency.
Subconjunctival
Subconjunctival delivery provides localized drug absorption with reduced systemic exposure. It is under active research for improving pharmacokinetics and minimizing adverse reactions. The segment is poised for growth with advancements in nano-formulations.
Periocular
Periocular routes are explored for their potential to deliver long-acting formulations. Pharmaceutical companies are focusing on biodegradable carriers and targeted microspheres to optimize drug diffusion.
Oral
Oral administration offers convenience but faces challenges due to limited ocular bioavailability. Ongoing research into prodrugs and targeted nanoparticles may improve its future clinical relevance.
Choroidal Neovascularization (CNV) Market, Segmentation by End User
The end-user segmentation defines the healthcare delivery landscape for CNV management. Hospitals remain the primary treatment centers, while ophthalmology clinics and ambulatory surgical centers are expanding due to accessibility and cost advantages.
Hospitals
Hospitals dominate due to advanced infrastructure and availability of specialized ophthalmologists. The growing number of reimbursement-linked procedures further drives hospital-based treatment adoption globally.
Ophthalmology Clinics
Ophthalmology clinics offer outpatient CNV management with tailored patient monitoring. Technological integration and partnerships with pharmaceutical firms are enhancing diagnostic and therapeutic efficiency.
Ambulatory Surgical Centers
Ambulatory surgical centers (ASCs) are gaining popularity for their cost-effectiveness and short procedural turnaround. Increasing insurance coverage for outpatient eye procedures is further boosting this segment’s growth trajectory.
Research Centers
Research centers play a vital role in developing and testing new treatment modalities. Growing collaborations between biotech firms and academic institutions are accelerating innovation pipelines for CNV management.
Choroidal Neovascularization (CNV) Market, Segmentation by Geography
In this report, the Choroidal Neovascularization (CNV) Market has been segmented by Geography into five regions: North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Regions and Countries Analyzed in this Report
North America
North America leads the CNV market, driven by a well-established healthcare infrastructure, rapid adoption of biologics, and strong reimbursement frameworks. The presence of key pharmaceutical players and high patient awareness further strengthens market dominance in the U.S. and Canada.
Europe
Europe exhibits strong market penetration owing to advanced diagnostic capabilities and widespread anti-VEGF adoption. Government-backed vision care programs and research funding in ophthalmology are fueling continued innovation across major economies like Germany, the UK, and France.
Asia Pacific
Asia Pacific is projected to experience the fastest growth due to increasing cases of myopia and diabetes-related eye disorders. Expanding healthcare access in China, India, and Japan, combined with pharmaceutical partnerships, enhances regional market prospects.
Middle East and Africa
Middle East and Africa are witnessing steady market development supported by improving ophthalmic care infrastructure and expanding government screening initiatives. Strategic collaborations with global firms are improving therapy availability in key markets such as Saudi Arabia and South Africa.
Latin America
Latin America shows rising CNV treatment adoption, particularly in Brazil and Mexico. Growing awareness and public-private healthcare collaborations are contributing to gradual market expansion, supported by improved affordability of biosimilar anti-VEGF therapies.
Choroidal Neovascularization (CNV) Market Forces
This report provides an in depth analysis of various factors that impact the dynamics of Choroidal Neovascularization (CNV) Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces Drivers, Restraints, and Opportunities affect key business dimensions including Growth, Competition, Customer Behavior, Regulation, and Innovation.
| Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
|---|---|---|---|---|---|
| Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
| Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
| Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers :
- Rising Prevalence of Age-Related Macular Degeneration (AMD)
- Growing Geriatric Population
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Technological Advancements - The Global Choroidal Neovascularization (CNV) Market is experiencing significant growth driven by technological advancements in diagnostic and treatment modalities. Innovations in imaging technologies such as Optical Coherence Tomography Angiography (OCTA) and enhanced Fluorescein Angiography (FA) have revolutionized the early detection and detailed characterization of CNV. These advanced imaging techniques provide high-resolution, non-invasive visualization of retinal and choroidal structures, allowing for precise assessment of CNV lesions, monitoring of disease progression, and evaluation of treatment efficacy. This technological leap has enabled clinicians to make more informed decisions and tailor treatments to individual patient needs, thereby improving clinical outcomes and patient quality of life.
On the treatment front, advancements in pharmacotherapy and delivery methods have significantly impacted the CNV market. The development of sustained-release anti-VEGF formulations and novel drug delivery systems, such as intravitreal implants and biodegradable microspheres, has enhanced the therapeutic landscape. These innovations aim to reduce the frequency of intravitreal injections, improving patient compliance and convenience. Additionally, research into gene therapy and regenerative medicine holds promise for future breakthroughs in CNV management, potentially offering long-lasting and even curative solutions. These technological advancements not only drive market growth but also underscore the commitment to improving the standard of care for patients with CNV, highlighting a dynamic and evolving field poised for continued innovation.
Restraints :
- High Cost of Treatments
- Limited Availability of Skilled Ophthalmologists
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Reimbursement Issues - The Global Choroidal Neovascularization (CNV) Market faces significant challenges related to reimbursement issues, which can impact patient access to advanced treatments and overall market growth. Reimbursement policies vary widely across different regions and healthcare systems, creating disparities in the availability and affordability of CNV therapies. In many countries, the high cost of anti-VEGF treatments, which are the standard of care for CNV, poses a substantial financial burden on both healthcare providers and patients. These costs are often exacerbated by the need for repeated treatments over time to maintain visual acuity and control disease progression.
Moreover, complex and stringent reimbursement procedures can lead to delays in treatment initiation, negatively affecting patient outcomes. Insurance coverage limitations and varying criteria for reimbursement eligibility further complicate access to CNV therapies. In regions where public health insurance is limited or non-existent, out-of-pocket expenses can be prohibitively high, deterring patients from seeking necessary care. To address these challenges, there is a growing need for policy reforms, increased funding for public health programs, and collaborative efforts between healthcare providers, policymakers, and pharmaceutical companies to develop sustainable reimbursement models. These measures are crucial to ensuring equitable access to effective CNV treatments and improving the overall management of the condition on a global scale.
Opportunity :
- Emerging Markets
- Focus on Early Detection
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Research and Development - The Global Choroidal Neovascularization (CNV) Market is witnessing significant advancements driven by intensive research and development (R&D) efforts. These initiatives are focused on enhancing our understanding of CNV pathophysiology, developing novel therapeutic approaches, and improving diagnostic techniques. Leading pharmaceutical companies, academic institutions, and research organizations are investing heavily in R&D to innovate and refine treatments that can effectively address the complexities of CNV, with the ultimate goal of preserving and restoring vision in affected individuals.
A key area of R&D in the CNV market is the development of next-generation anti-VEGF therapies, which aim to provide longer-lasting effects and improved patient outcomes. Researchers are also exploring combination therapies that integrate anti-VEGF agents with other treatments, such as corticosteroids or novel biologics, to enhance efficacy and reduce treatment resistance. Additionally, advancements in gene therapy and regenerative medicine hold promise for offering new solutions to CNV patients. Diagnostic technologies are also evolving, with improvements in imaging modalities such as optical coherence tomography (OCT) and the development of more precise biomarkers aiding in earlier and more accurate detection of CNV. These R&D efforts are crucial for advancing the field, offering hope for better management of CNV, and potentially leading to breakthroughs that could transform patient care in the coming years.
Choroidal Neovascularization (CNV) MarketCompetitive Landscape Analysis
Choroidal Neovascularization (CNV) Market is witnessing notable growth driven by rising demand for advanced therapeutics and strategic collaboration among key pharmaceutical and biotech companies. Firms are actively engaging in merger and partnerships to expand product portfolios, strengthen market presence, and capture a significant share in ophthalmology and retinal disease treatments.
Market Structure and Concentration
The market exhibits a moderately concentrated structure, with leading players holding nearly 65% of total market share. Smaller firms contribute through niche innovation, while top companies focus on strategic expansion and collaborative strategies to maintain competitiveness and sustain long-term growth in retinal care solutions.
Brand and Channel Strategies
Key participants implement robust strategies to enhance brand recognition and optimize distribution channels. Around 70% of the market leverages multi-channel approaches and strategic partnerships to reach ophthalmologists and clinics effectively. Strong brand positioning combined with targeted collaboration drives market penetration and ensures consistent growth.
Innovation Drivers and Technological Advancements
Continuous innovation and investment in advanced technological advancements remain key market drivers. Nearly 60% of new CNV therapies incorporate improved efficacy and delivery mechanisms. These developments foster strategic collaboration, strengthen competitive positioning, and promote long-term growth in retinal disease management.
Regional Momentum and Expansion
Certain regions contribute approximately 55% of market revenue due to rising adoption of advanced ophthalmic treatments. Companies focus on regional expansion and local partnerships to maximize market penetration. Collaborative strategies and innovative treatment adoption further enhance growth and solidify market presence across key territories.
Future Outlook
The future outlook for the CNV market is promising, with projected growth driven by increasing demand for targeted therapies and ongoing technological advancements. Strategic merger and partnerships are expected to shape competitive strategies, while continuous innovation ensures sustainable expansion and long-term value creation in retinal healthcare.
Key players in Choroidal Neovascularization (CNV) Market include
- Novartis AG
- Regeneron
- Sanofi
- Genentech Inc
- Bayer AG
- Chengdu Kanghong Biotech Co. Ltd
- Resolvyx Pharmaceuticals Inc
- F. Hoffmann-La Roche Ltd
In this report, the profile of each market player provides following information:
- Market Share Analysis
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Treatment Type
- Market Snapshot, By Indication
- Market Snapshot, By Route of Administration
- Market Snapshot, By End User
- Market Snapshot, By Region
- Choroidal Neovascularization (CNV) Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Rising Prevalence of Age-Related Macular Degeneration (AMD)
- Growing Geriatric Population
- Technological Advancements
- Restraints
- High Cost of Treatments
- Limited Availability of Skilled Ophthalmologists
- Reimbursement Issues
- Opportunities
- Emerging Markets
- Focus on Early Detection
- Research and Development
- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
-
Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Choroidal Neovascularization (CNV) Market, By Treatment Type, 2021 - 2031 (USD Million)
- Anti-Angiogenic Therapy
- Laser Photocoagulation
- Photodynamic Therapy
- Verteporfin Sodium
- Ranibizumab
- Bevacizumab
- Aflibercept
- Pegaptanib Sodium
- Choroidal Neovascularization (CNV) Market, By Indication, 2021 - 2031 (USD Million)
- Age-Related Macular Degeneration (AMD)
- Diabetic Macular Edema (DME)
- Central Serous Chorioretinopathy (CSC)
- Polypoidal Choroidal Vasculopathy (PCV)
- Myopic Macular Degeneration (MMD)
- Others
- Choroidal Neovascularization (CNV) Market, By Route of Administration, 2021 - 2031 (USD Million)
- Intravitreal
- Subconjunctival
- Periocular
- Oral
- Choroidal Neovascularization (CNV) Market, By End User, 2021 - 2031 (USD Million)
- Hospitals
- Ophthalmology Clinics
- Ambulatory Surgical Centers
- Research Centers
- Choroidal Neovascularization (CNV) Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Choroidal Neovascularization (CNV) Market, By Treatment Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Novartis AG
- Regeneron
- Sanofi
- Genentech Inc
- Bayer AG
- Chengdu Kanghong Biotech Co. Ltd
- Resolvyx Pharmaceuticals Inc
- F. Hoffmann-La Roche Ltd
- Company Profiles
- Analyst Views
- Future Outlook of the Market

