if you look at search data for lasik, "lasik cost" got a big boost around the time of the recession. in other words, as lasik procedures declined, "lasik cost" searches rose. that says to me that there is a large group of people out there who want lasik but can't afford it (versus the idea that essentially all the first adopters already fixed their eyes and now we've reached a steady state rate of procedures per year). if and when the confidence in the economy picks up, we could see a really massive growth in lasik procedures, especially as the millenials are reaching peak lasik years, which is in 30s.
The crash of the economy destroyed the procedure count. I don't know of any reason that the procedure count should not bounce back. Lasikplus has a 97% customer satisfaction rate, so that should count for something and confidence in their quality of service.
there is a good article that can be found under is lasik dead. basically there isn't much price competition in lasik (or lasik proceducres aren't price senstive). lasik patients don't go for cheap procedures (although I did just hear an ad on the radio for LVI touting the low, low prices). anyway, the article is pretty bullish on lasik.
and if you do a search for similar procedures like liposuction, the search trends are pretty similar. not saying that this really tells you much about future of lcav, but lasik is probably not dead. in addition, lcav has nice platform to add all kinds of elective eye procedures, which is big opportunity. consumer medicine is here to stay, more and more procedures will be outside of hospitals and off medical plans.