Procedures

Refractive Lens Exchange

Refractive Lens Exchange

Refractive Lens Exchange (RLE) is precisely the same procedure that we use for cataract removal. Small incision cataract microsurgery is the most commonly performed in all of medicine with extremely consistent and excellent outcomes. Refractive Lens Exchange mates this procedure (crystalline lens removal) with the use of carefully chosen (often multifocal) lens implants to provide excellent vision without glasses or contact lenses in patients in whom such refractive surgery is preferable to laser vision correction. The combination of Refractive Lens Exchange with limbal relaxation incisions (for astigmatism correction) represents a powerful and important tool for providing vision correction to many individuals.

Refractive Lens Exchange (RLE), sometimes called Clear Lens Extraction or Presbyopic Lens Exchange, is used to treat a wide range of nearsightedness and farsightedness. This procedure involves removing the eye’s natural crystalline lens and replacing it with an artificial lens. The process is same as cataract surgery; however, in cataract surgery the lens is clouded, whereas in RLE, the lens is still clear. RLE is a better alternative than other refractive surgery procedures in certain patients with high degrees of nearsightedness or farsightedness. The main advantages this refractive lens surgery are rapid visual rehabilitation, excellent optical quality, predictability of outcome, and long-term stability. The other major advantage is that Refractive Lens Exchange, by virtue of removing the natural crystalline lens, which is the structure that eventually becomes a cataract, prevents the need for subsequent cataract surgery in our older patients or those who already have the early signs of cataract.