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Refractive Lens Exchange

Most people have heard of LASIK as an option to restore clear vision without requiring glasses or contact lenses. However, not all patients are good candidates for this option. Instead, patients may be better suited for refractive lens exchange, or RLE. The ophthalmologists at Kung Eye Center can assess your vision needs and recommend whether RLE is a good option for you.

What is Refractive Lens Exchange?

Refractive lens exchange, or RLE, is a procedure which corrects vision by removing the natural lens of the eye and placing an artificial intraocular lens (IOL). This is a similar procedure to cataract surgery. The primary difference is that RLE is an elective surgery performed to achieve clear vision in patients who do not have cataracts.

Who is a Good Candidate for Refractive Lens Exchange?

Refractive lens exchange can be a good option for patients with nearsightedness, farsightedness, or astigmatism. It can be used in those who would like to decrease their dependency on glasses, contact lenses, or reading glasses for clear vision. In particular, RLE is recommended for patients who have presbyopia, a type of farsightedness caused by poor elasticity in the lens of the eye common in middle to older age, or otherwise severe farsightedness. RLE is a good alternative to patients who are not suitable for LASIK and patients who have severe refractive errors or astigmatism. It can also be useful for those who have two different prescriptions for distance and close vision (bifocals). Finally, RLE may be recommended to those who have a higher risk of developing cataracts, as the procedure eliminates the chance of cataracts ever forming.

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Who is a Good Candidate for Refractive Lens Exchange?

Refractive lens exchange can be a good option for patients with nearsightedness, farsightedness, or astigmatism. It can be used in those who would like to decrease their dependency on glasses, contact lenses, or reading glasses for clear vision. In particular, RLE is recommended for patients who have presbyopia, a type of farsightedness caused by poor elasticity in the lens of the eye common in middle to older age, or otherwise severe farsightedness. RLE is a good alternative to patients who are not suitable for LASIK and patients who have severe refractive errors or astigmatism. It can also be useful for those who have two different prescriptions for distance and close vision (bifocals). Finally, RLE may be recommended to those who have a higher risk of developing cataracts, as the procedure eliminates the chance of cataracts ever forming.

The Refractive Lens Exchange Procedure

The entire RLE procedure can be completed very quickly, requiring just 15 minutes per eye. The surgery is nearly identical to cataract surgery. First, your surgeon will apply numbing eye drops to prevent discomfort. The natural lens of the eye can then be removed and replaced with the IOL. Your Kung Eye Center ophthalmologist may use Light Adjustable Lens technology, which means that the lens power can be adjusted after the surgery when the lens is already placed within the eye. If you are treating both eyes, you will need to return to Kung Eye Center at a later appointment, as only one eye can be operated on at a time.

Recovery After Refractive Lens Exchange

Refractive lens exchange is an outpatient procedure; you can return home as soon as the surgery is complete. Most patients can return to work and driving within a week. As your eye heals, you may notice blurry vision, halos or glare, and a scratchy or dry sensation. These side effects can persist for several weeks. Once healing is complete, you will not be able to see or feel the IOL within your eye.

Frequently Asked Questions about Refractive Lens Exchange

What is refractive lens exchange?

Removing the natural lens and replacing it with an artificial lens. This allows the patient better vision without glasses.

Is refractive lens exchange painful?

Patients may feel pressure at the time of surgery but generally do not feel pain.

Is refractive lens exchange expensive?

It is typically not covered by insurance and the patient will need to be responsible for the surgeons fee, facility fee and anesthesia fee.

Who is a candidate for refractive lens exchange?

Many patients can be a candidate for this surgery. One must be evaluated by their doctor to see if they for all the criteria.

Does insurance pay for lens replacement surgery?

Unfortunately, no but there is financing available for this procedure.

How long does refractive lens last?

The implant that is inserted into the patient’s eye will last them their entire life.

Is refractive lens exchange the same as cataract surgery?

Refractive lens exchange is removing the patient’s clear lens, whereas cataract surgery is removing the patient’s cloudy lens. Both involve replacing the natural lens with an artificial lens.

How long does it take to recover from lens surgery?

Most patients feel quite comfortable after 2 weeks which is the typical time of surgery between the two eyes.

Can refractive lens exchange reversed?

The surgery can be reversed from the perspective of exchanging the lens implant however, one must approach this with caution as it will be an additional intraocular surgery. Patients can also have LASIK or PRK after refractive lens exchange in order to see clearer.

What are common misinterpretations regarding refractive lens exchange?

It can be performed on a wide range of patients but need to be evaluated first to see if they are a candidate

What makes your take on the refractive lens exchange procedure unique?

The ability to correct nearsightedness, farsightedness, astigmatism and presbyopia

Schedule a Consultation

To learn more about refractive lens exchange, schedule a consultation at the Kung Eye Center. You will be assessed and treated by leaders in the field of ophthalmology. Call our New York office at (718) 948-8880 or our New Jersey office at (732) 257-4900 You may also contact us online.

Request an Appointment

Please call our New York office at (929) 429-2928 or our New Jersey office at (732) 724-2535 with any questions you may have.

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