The Vision Council (TVC) has released its latest research report, “Provider inSights Q3-Q4 2025,” offering an overview of economic conditions and operational trends among US eyecare practices during the second half of 2025.

Based on a survey of more than 300 eyecare professionals across the United States, the report finds that many providers reported revenue growth and improved patient retention during the latter half of the year, despite ongoing pressures from tariffs, inflation, and staffing challenges. Although respondents indicated cautious optimism heading into 2026, economic concerns remain prevalent.

According to the findings, more than half of surveyed providers believe the US economy performed worse in the second half of 2025 compared to the first half, and nearly half expect conditions to deteriorate further in 2026. Even so, many practices reported stronger revenue performance between the first and second halves of the year.

Tariffs were reported to have a widespread impact on the optical sector. Most respondents indicated that tariffs affected their practices, most often through increased wholesale prices for eyewear and supplies. Many providers also expect tariff-related pressures to continue in the coming year.

Inflation also remained a significant factor for practices during the reporting period, affecting more than 70% of respondents. Approximately one-third of providers surveyed expect inflation to have at least a modest impact on their businesses in 2026.

"The data reveals a sector that is adapting, not just enduring," said Alysse Henkel, TVC’s vice president of research and insights. "Providers navigated real economic challenges in 2025, including tariff-driven cost increases, persistent inflation, and staffing pressures, yet still reported stronger revenue and improved patient retention for the second half of the year. Looking ahead, the data highlights certain areas where confidence is building: new patient acquisition and staffing are bright spots, even as tariffs and economic uncertainty continue to cloud the outlook for 2026." 

In addition to economic trends, the report examines practice investment plans, telehealth adoption, hearing aid sales, and the role of opticians in purchasing decisions. Members can access the full report, available here, at no cost; nonmembers can purchase it through the organization’s website. OM