Refractive Lens Exchange (RLE)

A premium vision correction solution for people 45+ years seeking clarity, comfort, and long-term freedom from glasses.

What is Refractive Lens Exchange?

Refractive Lens Exchange (RLE) is sometimes also referred to as “clear lens extraction” or “lifestyle lenses” these terms all refer to the same procedure. RLE surgery involves the same steps as a cataract procedure, it involves removing the contents of the lens before a cataract has developed. The technology of IOLs has improved to the point where multifocal IOLs are so sophisticated in their design that now people are electing to have RLE to achieve reduced spectacle dependence in the absence of a cataract.

At Fendalton Eye Clinic we have been offering RLE since the late 1990s. There is no intraocular lens (IOL) that can perform like a 20-year-old natural human lens and with every option there are some compromises or side effects.

Each person is different in what they would like to achieve, and what compromises are acceptable in suiting each individual’s lifestyle needs. In making the right decision for the best IOL option for you a careful examination of the health of your eyes is necessary plus a discussion as to what you are prepared to compromise on. It is important that you advise us of specific tasks that are important to you in your life in making the right decision on the IOL that will best suit your needs.

Am I a candidate for Refractive Lens Exchange?

You may be a good candidate for RLE if:

    • You are aged 45 or older
    • You are frustrated with reading glasses or progressive lenses
    • You are in good general and ocular health
    • You are seeking a long term solution for vision correction

You may not be suitable if you have:

    • Advanced glaucoma or macular degeneration
    • Uncontrolled diabetes affecting the eyes

To discover if RLE surgery is an option for you we offer a free lens screening suitability assessment with a member of our technical team.
This is the best way to learn more about the options available for you.

Common Questions

FAQs about Refractive Lens Exchange (RLE)

Is RLE permanent?

Yes. The lens implant is designed to last for life.

How is RLE different from laser eye surgery (LASIK/SMILEpro)?

Laser eye surgery works by reshaping the cornea to adjust how the eye focuses. In contrast, RLE surgery involves replacing the lens of the eye with an artificial lens. RLE can be a better option for people who need different prescriptions for distance and near vision, who currently rely on glasses or contact lenses for both. The best way to determine which procedure is right for you is to book a free screening assessment a 30 minute appointment with a member of our technical team. During this visit, we’ll take detailed measurements and scans of your eyes and recommend the most suitable treatment options for your vision.

What is Refractive Lens Exchange (RLE)?

Refractive Lens Exchange (RLE) is a refined surgical procedure where the lens of your eye is replaced with a high performance intraocular lens (IOL) to provide long term vision correction.

What is involved at the consultation for RLE?

A consultation for RLE is approximately 90 minutes. Your appointment begins with one of our experienced ophthalmic technicians who will take several measurements of your eyes on diagnostic equipment.  You will then meet with the eye surgeon, who will examine the health of your eyes and discuss which options best suit your eye condition and lifestyle needs. Your eye surgeon will tailor a unique treatment plan for you. The eye surgeon will answer any questions that you may have about your RLE surgery.

What are the risks of RLE?

The risks of RLE are similar to those of cataract surgery. These may include dry eye and inflammation, which is generally managed with eyedrops. You may be aware of visual effects such as halos, glare, or starbursts. The visual effects typically improve over several weeks to months as the brain adapts (a process known as neuroadaptation). Rare but more serious risks include infection inside the eye and retinal detachment.

Will I ever get cataracts after RLE?

No. Because the lens of the eye is replaced, a cataract (clouding of the lens of the eye) cannot form as the lens is no longer in the eye.
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