Refractive Lens Exchange

Refractive Lens Exchange (RLE): Is a surgical procedure in which the eye's natural lens is removed and replaced with an artificial intraocular lens (IOL) to correct refractive errors such as nearsightedness, farsightedness, and presbyopia (age-related loss of near vision). 

How it works: RLE is very similar to cataract surgery. The key difference is that with RLE, the natural lens being replaced is still relatively clear (not completely clouded by a cataract). The goal is to eliminate the need for glasses or contact lenses by using a custom IOL to adjust the eye’s focusing power.

Who is a Good Candidate: RLE is typically recommended for:

• Individuals over 45 who are not good candidates for LASIK or PRK
• People with presbyopia (age-related loss of near vision, making readers essential)
• Those with high farsightedness (hyperopia) or moderate-to-high nearsightedness not treatable with corneal laser surgery
• Patients wanting a long-term solution for both near and distance vision

Benefits of RLE 

• Can correct multiple refractive errors (distance, near, and astigmatism) 
• Eliminates the need for future cataract surgery
• Long-lasting results
• Fast recovery time

Considerations and Risks 

• As with any eye surgery, there are risks including infection, dry eyes, glare, halos, or the need for enhancement procedures
• It’s a permanent procedure (unlike EVO ICL, which is reversible)
• Not usually covered by insurance, as it’s considered elective