GVR Report cover Pupillometer Market Size, Share & Trends Report

Pupillometer Market Size, Share & Trends Analysis Report By Mobility (Table-top, Hand-held), By Type (Video, Digital), By End-use (Hospitals, Eye Clinics), By Application (Ophthalmology, Oncology), By Region, And Segment Forecasts, 2020 - 2027

  • Report ID: GVR-4-68038-850-3
  • Number of Pages: 140
  • Format: Electronic (PDF)
  • Historical Range: 2016 - 2018
  • Industry: Healthcare

Report Overview

The global pupillometer market size was valued at USD 363.2 million in 2019 and is expected to grow at a compound annual growth rate (CAGR) of 5.2% from 2020 to 2027. Pupillometry is used extensively to measure the pupil dilation to understand various underlying conditions. Various imaging modalities such as MRI and CT have identified that changes in brain activity have a direct impact on pupil dilation. Thus, measuring pupil dilation helps in understanding cognitive processes at a deep level. On the other hand, individuals with depression, anxiety, Parkinson’s disease, and Autism spectrum disorder have also shown abnormal pupillometry response towards the stimuli. Therefore, pupillometry helps in understanding the normal eye functionality of an individual along with the brain activity impacted by a disease.

The U.S. pupillometer market Size

Pupil dilation can help in offering clues to understand the lives of people with neurological disorders. Pupillometry results help in determining physiological treatment. The usage of a pupillometer can be an effective option to understand the best possible treatment for an individual. This, in turn, is expected to improve diagnostic outcomes, thus, increasing recovery rates. Furthermore, pupillometry can also be used with other systems or processes to enhance the diagnosis of neurological disease. Brain-computer Interface (BCI) can be enhanced using pupil dilation study, as it will act as an additional signal to understand the neurological signals.

The advantages associated with pupillometry are resulting in its increasing adoption. Various critical care units such as neurocritical care, surgical intensive care, cardiac intensive care, medical intensive care, pediatric intensive care, trauma, and emergency department are adopting pupillometers. Frequent pupil evaluation is now becoming the protocol in critical care units. Pupil size and Pupillary Light Reflex (PLR) is being used as a prognostic indicator and clinical parameter by various associations and centers. 

The Brain Trauma Foundation and the American Association of Neurological Surgeons recommend the usage of pupillary light reflex for each eye as a prognostic parameter. Usage of this on patients with neurological injury helps in facilitating the measurement of pupil dynamics of the patients provided with prescribed medications such as sedatives, analgesics, and anesthetic agents. Various nursing associations provide training and knowledge regarding pupillometry as it is becoming the key assessment for a neurological examination. The American Association of Critical-Care Nurses (AACN) has featured a new section on pupillometry, to guide nurses regarding automated pupillometer in its procedure Manual for high acuity, progressive, and critical care.

Mobility Insights

Table-top pupillometer led the market and accounted for 54.4% share of the global revenue in 2019. A large number of pupillometer comes in combination with other devices such as keratometer, pachymeters, wavefront aberrometers, and corneal topographers. These device combined pupillometers, mainly table-top pupillometers are installed in various facilities such as hospitals. Market players such as HAAG-STREIT GROUP, Johnson and Johnson Vision, and SCHWIND eye-tech-solutions are developing combined table-top pupillometer devices.

In November 2017, Johnson and Johnson Vision announced the launch of a series of products across various portfolios at the American Academy of Ophthalmology, 2017 meeting. During this meeting, the company introduced the iDESIGN system, which received approval from the FDA for expanded indications. The system gathers various readings which include information regarding wavefront refraction, corneal topography, wavefront aberrometry, pupillometry, and keratometry. Similarly, SCHWIND eye-tech-solutions has also developed SCHWIND Combi Wavefront Analyzer. This analyzer combines the capabilities of SCHWIND PERAMIS and SCHWIND SIRIUS into a 3-in-1 solution. An integrated pupillometry function of the system helps in capturing the pupil diameter either statically or dynamically.

The hand-held pupillometers segment is expected to grow at the fastest rate during the forecast period. Hand-held pupillometer allows the user to efficiently and accurately obtain the pupil image which can be helpful in diagnosing various neurological diseases such as Alzheimer's disease. Moreover, the easy mobility of the hand-held pupillometer is leading to its increasing development and adoption. NeurOptics one of the leading players in the market has developed a hand-held pupillometer for critical care as well as applied research. Additionally, companies such as Adaptica have come up with a combined hand-held device called 2WIN which includes pupillometry as a feature. The Dynamic Pupillometry (DP-App) which is an additional feature of the product helps in detecting pupillary changes, pupil distance, and pupil size. The development of an advanced hand-held pupillometer is expected to propel the overall segment growth during the forecast period. 

Type Insights

The video pupillometer segment held for the largest revenue share of 56.6% in 2019 and is expected to witness a significant growth rate during the forecast period. Video pupillometer helps in capturing the entire activity of pupil dilation which helps in understanding the changes and reason for the same. NeurOptics, a company that deals in the science of pupillometry have developed innovative technologies to help clinicians in providing better patient care. The company has come up with various video pupillometers for critical care as well as applied research. NPi-200 pupillometer is a video pupillometer developed by NeurOptics for critical care. This product is equipped with an infrared camera, processor, high-precision optics, and LED light source. The video feature of the product helps in capturing the changes in pupil size and its reactivity over time.

VIP-300 pupillometer, PLR-3000 pupillometer, and DP-2000 are also video pupillometers by NeurOptics which are used for applied research. Some of these video pupillometers are hand-held whereas some are tabletop. These devices store data of the pupil measurement which can later be played or recalled on a screen. This, in turn, helps in increasing the efficiency of the clinicians in order to capture pupil movement, pupil size, and other changes in the pupil due to medication or disease. Additionally, the integrated systems by various market players such as Essilor, HAAG-STREIT, also includes video pupillometry in its products. LENSTAR LS 900 and APS by HAAG-STREIT and Wave Analyzer Medica (WAM) 700 by Essilor are few of the combined devices with video pupillometer.

The digital pupillometer segment is expected to experience the fastest growth rate during the forecast period. The digital pupillometer helps in accurate and rapid assessment of pupil size. This device captures several frames in a second and average the measurements to determine the pupil dilation. Digital pupillometer helps in capturing all the fluctuations happening in the pupillary response, which, in turn, enhances the detection of neurological diseases. Market players such as Essilor, Luneau Technology Group, Reichert Technologies have developed digital pupillometers for proper diagnosis.

Application Insights

Ophthalmology held for the largest revenue share of 49.4% in 2019 owing to the growing usage of pupillometry for checking pupil dilation, which in turn, helps in assessing retinal diseases. Pupillary light reflex helps in assessing the visual system’s functionality. Pupillometry identifies differences in the response of melanopsin and cone/rod photoreceptors to understand damage on the outer and inner retina. Additionally, the measurement of pupil size helps refractive surgeons in understanding the after-effects of LASIK surgery. Large pupils measured patients are likely to have increased post-LASIK visual disturbances in scotopic conditions. Therefore, increasing the adoption of pupillometry in ophthalmic diagnostics is expected to enhance segment growth.

Neurology held a significant share and is expected to witness the fastest growth rate in the pupillometer market during the forecast period. Various studies are being conducted regarding the usage of pupillometry in diagnosing neurological disorders. The examination of Pupillary Light Reflex (PLR) is helpful in the neurological assessment. PLR assessment helps in examining the functional status of the optical nerve and oculomotor nerve. Impaired PLR is the risk indicators of the horizontal shift of the intracranial tissues or central brain herniation. Usage of a non-invasive tool like a pupillometer helps in monitoring the neurological conditions of the patients in the ICU. Pupillometer helps in measuring pupil constriction, pupil size, dilation velocities, and latency. The growing usage of pupillometer in the field of neurology is driving its development by market players. NeurOptics NPi-200 is a critical care pupillometer by NeurOptics which is used in neurological care units to assess numerological procedures.

The usage of pupillometry in the field of oncology is gradually increasing. Clinical trial studies are being conducted to understand the effectiveness and efficiency of pupillometry in oncology. Pupillometry for a brain tumor is in practice across various settings, whereas studies are being conducted to understand the depth of anesthesia using pupillometer for health conditions such as breast cancer, thyroid tumor, and stroke. Determination of pupil size, pupillary response, pupillary unrest, and other pupillary characteristics can be an indication of conditions such as head trauma, brain tumor, or stroke. Therefore, a growing number of studies regarding pupillometry in oncology is expected to contribute towards segment growth during the forecast period.

End-use Insights

The hospital segment held the largest revenue share of 49.7% in 2019 owing to the increasing adoption of the pupillometer in the setting. Pupillometer developed by NeurOptics is adopted by 400 hospitals around the U.S., thus, contributing towards the growth of the segment. Additionally, the growing usage of pupillometer in critical care units is also expected to contribute to segment growth. NeurOptics pupillometer is used in various critical care units such as neurocritical care, medical intensive care, emergency department, and cardiac intensive care.

The eye clinic segment is expected to grow at the fastest rate during the forecast period. Various eye clinics diagnostic departments have included pupillometry as one of the major diagnostic procedures. Ophthalmic Clinic has involved pupillometry in its diagnostic examinations and prevention control department.

Global pupillometer market share

Pupillometry is used as a pre-operative measure along with the wavefront technology in the clinic before a refractive surgery to avoid post-surgery vision problems. London Vision Clinic Partners Ltd also used pupillometry as an assessment test before the ophthalmic surgery. Pupillometry results help in determining the type of laser treatment required for eye treatment. Therefore, the growing adoption of pupillometry by various eye clinics is expected to enhance segment growth during the forecast period.

Others segment includes research institutions, research centers, and education centers/associations. Research institutions and centers are conducting research to understand the efficiency and effectiveness of pupillometry in other applications such as oncology. On the other hand, since the adoption of pupillometry is increasing in the field of neurology, education centers or associations are including it as one of the segments. The new Core Curriculum for Neuroscience Nursing by the American Association of Neuroscience Nurses (AANN) has included a section on automated pupillary assessment. This section talks about the usage of pupillometer to understand pupillary reactivity in an objective, consistent, and quantifiable way.

Regional Insights

North America dominated the market and accounted for over 26.5% share of global revenue in 2019, owing to the increasing prevalence of vision-related problems and neurological disorders. Additionally, the adoption and installation of a pupillometer across various settings in the U.S. are expected to drive the overall market growth. Major market players such as NeurOptics is headquartered in the U.S. and is developing advanced pupillometer for enhanced diagnosis in the country. Moreover, the company is also researching the usage of pupillometer in various critical care fields to increase its product reach for different health conditions.

In Asia Pacific, the market is expected to grow at the fastest rate during the forecast period. The growing availability of pupillometer in the region through various online platforms and suppliers is expected to contribute towards segment growth. Additionally, global market players such as NeurOptics, Johnson and Johnson Vision, and Konan Medical are providing a pupillometer through its subsidiaries. NeurOptics is providing its pupillometer through its distributors Hansraj Nayyar Medical India, IMI Co., and Neuroplus in India, Japan, and South Korea respectively. Furthermore, the presence of global players such as NIDEK has also increased the availability and accessibility of pupillometer in the region.

In Europe, the market is also expected to grow at a considerable rate during the forecast period. Major market players such as SCHWIND eye-tech-solutions, Luneau Technology Group, and HAAG-STREIT GROUP are located in the region and are developing advanced digital as well as video pupillometers. Additionally, these market players are incorporating pupillometry in various other ophthalmic diagnostic devices, and hence are offering integrated products. These products are expected to replace traditional products, thus, boosting the market growth.

Key Companies & Market Share Insights

The market players are developing digital and integrated pupillometers with advanced features to be used for various clinical applications in critical care units. Additionally, companies such as brightlamp, Inc. is focusing on integrating advanced technology into pupillometry to provide easily accessible pupillometry through mobile. Some of the prominent players in the pupillometer market include:

  • NeurOptics, Inc.

  • Adaptica

  • Essilor Instruments USA


  • Johnson & Johnson Vision

  • Luneau Technology Group

  • NIDEK CO., LTD. 

  • Reichert Technologies

  • SCHWIND eye-tech-solutions

  • US Ophthalmic

  • Konan Medical

  • brightlamp, Inc.

Pupillometer Market Report Scope

Report Attribute


Market size value in 2020

USD 381.4 million

Revenue forecast in 2027

USD 543.7 million

Growth Rate

CAGR of 5.2% from 2020 to 2027

Base year for estimation


Historical data

2016 - 2018

Forecast period

2020 - 2027

Quantitative units

Revenue in USD million and CAGR from 2020 to 2027

Report coverage

Revenue forecast, company ranking, competitive landscape, growth factors, and trends

Segments covered

Mobility, type, end-use, application, region

Regional scope

North America; Europe; Asia Pacific; Latin America; MEA

Country scope

The U.S.; Canada; The U.K.; Germany; France; Italy; Spain; Russia; Netherlands; Switzerland; Turkey; Poland; China; India; Japan; Thailand; South Korea; Indonesia; Taiwan; Hong Kong; Philippines; Malaysia; Mexico; Brazil; Colombia; Argentina; Chile; South Africa; Saudi Arabia; UAE; Kuwait; Qatar

Key companies profiled

NeurOptics, Inc.; Adaptica; Essilor Instruments USA; HAAG-STREIT GROUP; Johnson and Johnson Vision; Luneau Technology Group; NIDEK CO., LTD.; Reichert Technologies; SCHWIND eye-tech-solutions; US Ophthalmic

Customization scope

Free report customization (equivalent up to 8 analysts working days) with purchase. Addition or alteration to country, regional & segment scope.

Pricing and purchase options

Avail customized purchase options to meet your exact research needs. Explore purchase options

Segments Covered in the Report

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2016 to 2027. For the purpose of this study, Grand View Research has segmented the global pupillometer market report on the basis of mobility, type, end-use, application, and region:

  • Mobility Outlook (Volume, Units; Revenue, USD Million, 2016 – 2027)

    • Table-top

    • Hand-held

  • Type Outlook (Volume, Units; Revenue, USD Million, 2016 – 2027)

    • Video

    • Digital

  • End-use Outlook (Volume, Units; Revenue, USD Million, 2016 – 2027)

    • Hospitals

    • Eye Clinics

    • Others

  • Application Outlook (Volume, Units; Revenue, USD Million, 2016 – 2027)

    • Ophthalmology

    • Neurology

    • Oncology

    • Others

  • Regional Outlook (Volume, Units; Revenue, USD Million, 2016 – 2027)

    • North America

      • The U.S.

      • Canada

    • Europe

      • Germany

      • The U.K.

      • France

      • Italy

      • Spain

      • Russia

      • The Netherlands

      • Switzerland

      • Turkey

      • Poland

    • Asia Pacific

      • China

      • Japan

      • India

      • Thailand

      • South Korea

      • Indonesia

      • Taiwan

      • Hong Kong

      • Philippines

      • Malaysia

    • Latin America

      • Brazil

      • Mexico

      • Argentina

      • Colombia

      • Chile

    • Middle East & Africa

      • South Africa

      • Saudi Arabia

      • UAE

      • Kuwait

      • Qatar

Frequently Asked Questions About This Report




This FREE sample includes market data points, ranging from trend analyses to market estimates & forecasts. See for yourself.



We can customize every report - free of charge - including purchasing stand-alone sections or country-level reports, as well as offer affordable discounts for start-ups & universities.

Contact us now to get our best pricing.

BBB icon gvr sidebar D&B icon gvr sidebar

We are GDPR and CCPA compliant! Your transaction & personal information is safe and secure.