Adults 45–64 years old generate half of revenue

Revenue in optometry tends to cluster around three main patient segments, but one stands out as the biggest driver:

Primary Revenue Driver: Adults 45–64 years old

• Why:

  • Almost everyone in this group develops presbyopia → need reading glasses, progressives, or multifocals.

  • Higher likelihood of dry eye, glaucoma suspicion, cataracts → more frequent exams and diagnostics.

  • Often purchase premium lenses, coatings, and multiple pairs (work + driving + hobbies).

  • Many have vision insurance through employment and use benefits annually.

• Revenue impact: This group typically accounts for the largest share of optical and exam revenue.

Secondary Revenue Driver: Children (5–18 years old)

• Why:

  • Driven by back-to-school campaigns and parental concern for learning/academic performance.

  • Myopia management is a fast-growing, high-value service (specialty lenses, ortho-k, atropine therapy).

  • Families bring siblings → one child recall can lead to multiple appointments.

Emerging Revenue Driver: Seniors (65+)

• Why:

  • Medicare covers eye disease management (glaucoma, AMD, cataracts, diabetic retinopathy).

  • Often need frequent visits and specialized testing (OCT, visual field).

  • Lower spend on fashion eyewear, but steady stream of medical reimbursements.

Summary:

• 45–64 y/o = highest optical sales + exam frequency → main revenue driver.

• Kids (5–18) = growing driver due to myopia control.

• 65+ = steady, medical-heavy revenue source.

For a $1M optometry practice, the projected revenue contribution by age group looks like this:

• Children (5–18): ~$200,000 (20%)

• Adults (45–64): ~$500,000 (50%) → largest revenue driver

• Seniors (65+): ~$300,000 (30%)