Summary of Key Points from the Expert Call on China's Ophthalmology Market Industry Overview - **Industry**: China's Ophthalmology Market - **Key Event**: Congress of Chinese Ophthalmological Society (CCOS) held in September 2025 Core Insights 1. **Market Dynamics**: The expert highlighted several key topics discussed during the CCOS, including the launch of new technologies and the current state of various ophthalmology segments [1][2][7] 2. **Business Pressure**: The ophthalmology segment faced significant pressure in Q3, with salary cuts and declining surgery volumes being major concerns among ophthalmologists [2][7] 3. **Refractive Surgery Trends**: - Surgery volume saw a decline in July and August after decent demand in June - Prices for refractive surgeries, particularly SMILE, are on a downward trend due to increased competition and new technology [2][10][20] 4. **Cataract Surgery**: - Q3 typically experiences low surgery volumes, exacerbated by hot weather and strict market screening controls by private hospitals [2][8] 5. **Optometry Demand**: Demand for optometry services was strong only during specific periods, such as the start of summer holidays and the new semester [2][9] Pricing and Competition 6. **Pricing Trends**: - The price of SMILE 3.0 has been reduced to RMB 9,800, while the price for SMILE 4.0 is set at RMB 16,800 but has not been firmly established in hospitals [7][10] - Public hospitals are expected to cut prices for OK lenses due to competition [20] 7. **High-End Intraocular Lenses (IOLs)**: - The market for high-end IOLs is limited, with concerns over the materials used in newer products [11][14] - Eyebright's EDOF IOL was recently approved, but its market potential remains uncertain [13] Industry Challenges 8. **Insurance Funding Control**: Tighter control over basic medical insurance (BMI) funding has been noted, with stricter requirements compared to the previous year [21] 9. **Hospital Closures**: Approximately 50% of eye hospitals have closed in recent years, with another 30% expected to close in the next three to five years [16] 10. **Competitive Landscape**: Large hospital chains are becoming more competitive, leveraging procurement advantages over smaller hospitals [17] Alcon's Acquisition of STAAR 11. **Acquisition Challenges**: Alcon's proposed acquisition of STAAR is viewed as challenging, with major shareholders expressing concerns over the low offering price [3][18] 12. **Potential Impact**: If successful, Alcon may enhance doctor training and marketing efforts for ICL, although it faces challenges in marketing compared to competitors like Carl Zeiss [19] Future Outlook 13. **Market Potential**: The potential launch of new SMILE equipment by domestic companies in 2026 could lead to significant price reductions through group purchasing organizations (GPOs) [22] 14. **Regulatory Risks**: The healthcare industry faces risks including unexpected price cuts from GPO programs, intensified competition, and stricter regulatory measures [24] This summary encapsulates the key points discussed during the expert call regarding the current state and future outlook of China's ophthalmology market, highlighting both opportunities and challenges within the industry.

Investment Rating - The report assigns a Neutral rating to Aier Eye Hospital with a 12-month target price of Rmb14, indicating a potential upside of 12.9% from the current price of Rmb12.4 [10][8]. Core Insights - Aier Eye Hospital is experiencing improvements in refractive surgery pricing due to new technologies, with a forecast of double-digit revenue growth for 2025 [2][7]. - The company anticipates a recovery in cataract surgery revenue growth to double digits in the second half of 2025, following price cuts of approximately 8-10% since the second half of 2024 [9][7]. - The overall ophthalmology market in China is expected to grow at a 12% CAGR from 2020 to 2030, driven by increased service upgrades and market penetration [7]. Summary by Sections Recent Trends - Growth in refractive surgeries slowed in April and May after a busy first quarter, but June showed improvement due to an increase in average selling prices (ASP) from new technologies [3]. - Cataract surgeries faced volume declines due to tightening reimbursement policies, while optometry performance remained moderate [3]. Refractive Surgery Pricing - New technologies such as SMILE 4.0 and SMILE pro have been launched, with SMILE 4.0 contributing 12% of refractive surgery revenue in Q1 2025 [3][6]. - The ASP for SMILE 4.0 is around Rmb18,800, with approximately 100 installations [3]. Cataract Surgery Outlook - The company expects cataract surgery revenue growth to recover to double digits in H2 2025, as the lower prices from H2 2024 are now reflected [9]. - Premium cataract surgeries accounted for 45%-50% of total cataract surgeries as of Q1 2025, with 15% of revenue coming from femtosecond laser-assisted surgeries [9]. Optometry Services - Recent pricing pressure on OK lenses was noted, particularly after public hospitals in Beijing reduced prices by 50% [9]. - The annualized cost for OK lenses is around Rmb10,000, while defocal lenses cost only Rmb2,000 to Rmb3,000 [9]. Overseas Expansion - Aier Eye Hospital is focusing on expanding its presence in South America [9].