Refractive Lens Exchange (RLE)

Is refractive lens exchange worth it?

For those seeking vision correction but ineligible for LASIK or PRK due to extreme nearsightedness, farsightedness, or  some corneal issues such as astigmatism, refractive lens exchange is a viable alternative suggested by your eye specialist.

 

What is the life expectance of refractive lens exchange?

The Refractive Lens Exchange (RLE) is a quick surgical procedure that typically takes about 15 minutes. It is designed to provide long-term vision correction for patients, with the expectation that it will be effective throughout their lifetime as long as there are no additional complications. While many individuals who undergo RLE may achieve independence from glasses, it is important to note that this procedure does not eliminate the possibility of needing glasses or other forms of corrective eyewear in the future.

 

What is the difference between cataract surgery and refractive lens exchange?

The primary distinction between cataract surgery and Refractive Lens Exchange (RLE) lies in the fact that while cataract surgery involves the removal of a cloudy lens from the eye, RLE aims to reduce reliance on glasses or contacts post-operation through exchanging the lens which may not yet be cloudy.

What is the downside of lens replacement surgery?

Individuals with myopia may experience an increased likelihood of retinal detachment during refractive lens exchange surgery. Certain individuals may notice halos and glare in specific lighting situations following the procedure. It is important to note that not all individuals may be suitable candidates for this surgery.

 

What are the side effects of refractive lens exchange?

Post-surgery vision may not meet expectations, as there is a possibility of residual short or long-sightedness, or astigmatism following lens replacement surgery. This may necessitate the use of spectacles for activities like reading small print or driving. 

 

Patients might experience haloes and glare after undergoing lens replacement treatment. These visual disturbances typically diminish within the first month post-surgery and continue to improve over a three-month period. 

 

Some patients may encounter redness, soreness, or irritation in the eye area after the procedure, which usually subsides within a few days. 

 

Can your eyesight deteriorate after lens replacement?

After undergoing cataract surgery, your eyesight typically remains stable unless complications like infection, macular degeneration, or glaucoma occur. During lens exchange surgery, an ophthalmologist in London removes your eye's natural lens and substitutes it with a transparent artificial lens to improve vision.

Can you have RLE if you have cataracts?

Individuals opting for refractive lens exchange (RLE) may have early signs of a minor cataract that has not yet affected their vision, or they may simply wish to avoid dealing with cataracts in the future. Since the natural lens is replaced during the procedure, those undergoing refractive lens exchange are unable to develop cataracts.

 

Do eyes look different after lens replacement?

After undergoing lens replacement or cataract surgery, the eyes typically maintain their original appearance, with the main goal of the procedure being to enhance vision by replacing the cloudy natural lens with a clear artificial intraocular lens (IOL). While most people may not notice significant changes in their eyes post-surgery, some may observe slight improvements such as reduced cloudiness from cataracts and a clearer pupil. As the eyes heal, temporary conditions like mild redness, swelling, or bruising-like marks on the white part of the eye may occur but are expected to fade over time. Ultimately, as recovery progresses, the eyes should appear clearer and more vibrant.

 

How risky is refractive lens exchange?

The risk of a loss in viison is 1 in every 500 cases. The retina can be permanently damaged, leading to serious visual impairment, due to various factors such as infection, inflammation post-surgery, retinal detachment post-surgery, or intraoperative bleeding. Complications during surgery, like posterior capsular rupture, can heighten the risk of vision-threatening issues in the future. There is a risk of needing further surgery should a complication arise. 

 

What is the most common reason for deterioration in vision after RLE?

The most frequent cause of visual decline following refractive lens exchange (RLE) is the development of posterior capsule opacification (PCO). This condition involves a gradual clouding of the membrane located behind the intraocular lens (IOL), impacting a significant number of patients. PCO can manifest months or even years post-surgery and is commonly resolved through a single one off laser intervention known as YAG laser capsulotomy.

 

How long does it take to recover from refractive lens replacement?

After undergoing refractive lens exchange surgery, the recovery period typically lasts between three to four days. It is common to experience temporary blurred vision, glare, sensitivity, and discomfort in the eye during this time. These symptoms will subside within a few days with the help of prescribed antibiotic and anti-inflammatory drops. You  will be cleared to drive once your vision meets the required standard in your follow-up appointment.

How much does refractive lens exchange (RLE) surgery cost?

• NO HIDDEN CHARGES
• NO PRESSURE
• AFFORDABLE ALL INCLUSIVE PRICING
• UK TRAINED SURGEON
• PRICING INCLUDES:
  1. Initial Consultant Assessment
  2. Diagnostic tests
  3. Local anaesthetic costs
  4. Surgery costs
  5. Eye protection shield
  6. Follow up appointments
  7. Post operative auto-refraction

For a free video consultation call us on:

02079357484

Refractive Lens Exchange

King Edward VII's Hospital

5-10 Beaumont Street

London W1G 6AA