Refractive Lens Exchange

For patients who want to reduce their dependency on glasses or contact lenses but are not good candidates for LASIK, a refractive lens exchange involves removing the clear lens from the eye and replacing it with an artificial lens.

Similar but more advanced than the procedures that we have done for over 40 years during cataract surgery, a small blade free femtosecond laser incision is made into the eye and high frequency sound waves are used to emulsify and remove the lens. An implant is then inserted into the eye. The painless procedure takes about 10 minutes and no stitches are necessary. Visual recovery is quite rapid and the risks and complications are rare and include those of standard cataract procedures.

The implant options include monofocal (lenses providing good distance vision in both eyes), monovision (one eye focused for distance and the other for near) and premium lens implants, providing each eye with both distant and near vision. All your options are discussed during your free, no obligation evaluation.

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Frequently Asked Questions

Is the refractive lens exchange procedure painful?

No, refractive lens exchange (RLE) is completely painless. We will numb your eyes with a local anesthetic to ensure you’re completely comfortable throughout the procedure. You may experience some discomfort afterward, but it’s usually very mild.

Will I need to wear glasses or contact lenses after refractive lens exchange?

Whether you need to wear glasses or contact lenses after the procedure will depend on the type of intraocular lens used. Most patients, at the very least, don’t need to wear their glasses or contact lenses as often. Others won’t need to wear them at all.

Do I need to avoid anything after the refractive lens exchange procedure?

After a refractive lens exchange, you’ll want to avoid rubbing your eyes, getting water and/or makeup in your eyes, heavy lifting, strenuous activities, and swimming. This will help prevent infection and complications.

Is refractive lens exchange covered by insurance?

Refractive lens exchange is not typically covered by insurance, but it can depend on your individual policy. As it’s usually an elective procedure, it’s often not covered.

Who is a good candidate for refractive lens exchange?

Good candidates for refractive lens exchange include patients who are over 40, struggling with nearsightedness, farsightedness, or astigmatism, and are not suitable candidates for LASIK. If you have thin corneas, dry eyes, or a high prescription and are looking to reduce your dependence on glasses or contact lenses, this is likely the perfect option.

Are there any side effects with refractive lens exchange?

As with any surgical procedure, refractive lens exchange does come with some possible side effects. Some of the most common include light sensitivity, dry eyes, glare, and halos.

What anesthetic is used during refractive lens exchange?

At CarlinVision, we usually use a local anesthetic like numbing eye drops during the refractive lens exchange procedure. This will help numb the area and ensure you’re comfortable throughout treatment.

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