Refractive Lens Exchange

Refractive Lens Exchange (RLE), also known as Clear Lens Exchange (CLE) or Lens Replacement Surgery, is a surgical procedure used to correct refractive errors and reduce dependency on glasses or contact lenses. It involves removing the eye's natural lens and replacing it with an artificial intraocular lens (IOL) implant.

Refractive Lens Exchange is considered a safe and effective option for individuals with significant refractive errors who may not be suitable candidates for other forms of refractive surgery such as LASIK or PRK.

 

  • Vision Correction: RLE can effectively correct refractive errors like nearsightedness, farsightedness, and astigmatism, often reducing the need for glasses or contact lenses.

  • Presbyopia Treatment: RLE is a good option for those with presbyopia, allowing for multifocal or accommodating lenses that provide clear vision at multiple distances.

  • Stable Results: Unlike laser vision correction, which reshapes the cornea, RLE involves replacing the natural lens with an artificial one, providing long-lasting results.

  • Customisation: Surgeons can choose from a variety of intraocular lenses (IOLs) tailored to the patient's specific visual needs and lifestyle.

  • Quick Recovery: Most patients experience a quick recovery time, often returning to normal activities within a few days.

  • Improved Quality of Life: Many patients report enhanced vision quality and overall satisfaction, contributing to a better quality of life.

RLE surgery is completed using the same technique as cataract surgery, although no cataract is present.  The clear natural lens inside the eye is removed and replaced with an artificial intraocular lens (IOL).  It is popular with patients who are above the age of 50.  RLE is a great alternative to laser eye surgery for those over 50 as it can offer a more permanent near vision result as well as great distance vision.  By replacing the natural lens, you will never suffer with cataracts or the visual deterioration caused by cataracts.

The replacement lens, known as an IntraOcular Lens (IOL) are a made of a soft, flexible plastic.  Premium lenses perform a range of functions to help avoid the need for wearing glasses after surgery. The range of lenses include:

  • Monofocal - Also known as standard lenses, monofocal lenses are only able to be set for either near or distance vision so glasses will be needed after surgery for completing certain tasks.
  • Bifocal/Multifocal - These lenses allow two ranges of vision, usually near and far vision. However, medium range distance, such as computer work may still require glasses.
  • Trifocal - The latest in lens technology. Trifocal support near, medium and distance vision and are often the best lenses to avoid needed glasses after surgery.
  • Toric lenses - Toric lenses are designed to correct astigmatism. Glasses may still be required following surgery for near vision.
Despite being the same procedure as cataract surgery, a Refractive Lens Exchange is not covered by Medicare. It is viewed as a cosmetic procedure even though it is an early and proactive step to avoid cataracts and a reliance on glasses in the future.

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