If you have presbyopia or suffer from severe farsightedness (hyperopia), you may not be a good candidate for some of the more common corrective procedures like PRK, LASIK or phakic IOL surgery. Refractive lens exchange (RLE) to the rescue.
Also referred to as clear lens exchange or refractive lensectomy, RLE is a surgical procedure that involves removing the natural lens of the eye and replacing it with an artificial intraocular lens (IOL). This might sound like a similar procedure to cataract surgery. That’s because it is. RLE is essentially the same procedure without the presence of a cataract. Like LASIK and other modern eye surgeries, refractive IOLs have allowed millions of patients to achieve 20/20 vision or better without the need for corrective lenses.
Removal of the eye’s natural lens and replacement with an IOL sounds like a very involved surgery. So it might surprise you to learn that the procedure only takes 15 minutes per eye, and is performed on an outpatient basis.
As mentioned, the procedure itself is essentially identical to cataract surgery and involves removing the natural lens of the eye and replacing it with one of three IOL varieties:
Monofocal IOLs are the most basic option, providing clear vision for a single distance type (near, intermediate or far). Multifocal IOLs are premium lenses that provide correction across multiple distances at fixed points. Toric intraocular lenses (IOLs) are the procedure of choice to correct corneal astigmatism.
To perform RLE, your surgeon will apply numbing eye drops that will minimize any discomfort. If you are have IOLs implanted in both eyes, you will not be able to have treatment on the same day. Each eye must be treated separately one or two weeks apart.
You will not be able to drive yourself home after treatment, meaning you will need to arrange a ride after your surgery. Most people are able to resume normal activity (including driving) within a week of RLE.
Improved vision should be immediate for most patients, but total corrective benefits may not be fully realized for several weeks. During this recovery period, it’s not uncommon for patients to experience issues like glare, halos, blurred vision and mild discomfort as the eye heals.
Refractive lens exchange may benefit you in a number of potentially life-changing ways.
If you don’t have cataracts but you do have severe myopia (nearsightedness) or hyperopia (farsightedness), your surgeon has probably informed you that you are not a good candidate for LASIK. But thanks to options such as RLE, you too can enjoy the transformative benefits of refractive surgery. Similarly, if you are not a good candidate for LASIK due to thin corneas, RLE is a viable alternative.
Surgery to implant refractive IOLs also offers the following benefits:
You must be 21 years old or older to be considered a good candidate for RLE. In addition, you must have stable vision for the six months leading up to your procedure, and you must have healthy eyes, with no history of eye disease. Finally, it is important that you understand and accept the risks associated with procedures involving the implantation of refractive IOLs.
Many experts believe that the best candidates for refractive lens exchange are people with moderate to high farsightedness, and those with farsightedness who are over age 45 and have presbyopia (the latter have a lower risk of retinal detachment than people with high myopia).
If you have a condition that is more readily correctable with LASIK or PRK, your doctor will likely urge you to consider these more conservative alternatives.
How is it actually done? Here is a small display of a patient that has been hesitant to do Lasik for years.
Consultant Ophthalmologist
Cornea And Refractive Surgeon
Consultant Ophthalmologist
Cornea, Refractive And Anterior Segment Surgeon
Specialist Ophthalmologist
Head Of Pediatric Ophthalmology & Strabismus Unit
Specialist Ophthalmologist
Oculoplasty And Orbit Surgeon
Wonderful experience with (eye consultants). Dr. (AHMED EL KHASHAB) and Dr. MOHAMED AWADALLA are wonderful surgeons, and the staff was always helpful and kind. They ensured I had a smooth prep, surgery, and follow-up. I am so glad I chose (Eye Consultants) and would highly recommend to anyone.
I have been able to discard my glasses after 50+ years! Dr Ahmed El Khashab was very kind, professional & patient. Efat & Stephanie at the reception were awesome. I would recommend Eye Consultants at Dubai Healthcare City for all your eye challenges. They will be honest & straightforward about what can be done & they will deliver.
The number one medical center for eyes in Dubai, the most professional experts in ophthalmology. I have done two procedures in the same eye and I am very pleased with the results; a big thank you to Dr. Ahmed El Khashab and Dr. Shérif Emerah.
I loved being in this establishment, the staff is super carrying and processional and Doctor Sherif was excellent from the consultation to the surgery day.
Dear Eye Consultants, Thank you very much for providing Ultra Lasik service. Everything was at a high level. Special thanks to Dr. Rajaa and Dr. Sherif, they are great professionals, everything was very very cool. 1 week have passed since I corrected my vision and already two friends want to come to you. Many thanks and Best regards, Muhammad M.
I have been using eyeglasses for a decade now, and finally decided to do UltraLasik at Eye Consultants. I called them to book an appointment and everything went smooth from initial test to post-op follow up. Thank you very much to Dr. Sherif Emerah and team for making this possible! It feels so amazing to see everything clear! Best decision I've made.
Dr. Nadire Erdogan is one of the best eye doctors I ever met. She literally saved my eyes and career. Super professional team overall. I strongly recommend this clinic in Dubai Healthcare City.
Very satisfied with Eye consultant team and specially Dr Nadire Erdogan Dib, she is very professional and informative she took time to examine my eyes and explained very well about my condition. I had pterygium surgery and now I am extremely happy with the outcome. My vision has significantly improved. She is the best doctor. I would like to say thank her and highly recommend this clinic to everyone.
I had my cataract surgery and lens implantation with Eye Consultants Clinic. What a beautiful experience! All the staff were very kind, helpful, and competent. Special thanks to the clinic manager for being so accommodating and caring in all of my inquiries. Thank you, Dr. Mohamed Awadalla for your dedication and for being best at what you do. Overall, I highly recommend Eye Consultants, they made sure that I get the best treatment possible.
Thank you so much Dr. Sherif! I can see clearly now. This really made a difference. And thank you to all the nurses and receptionist who are very much accommodating, helpful and respectful. Job well done. Will surely recommend to my friends. 😊