The removal of the crystalline lens for refractive purposes, or so-called refractive lens exchange (RLE), offers distinct advantages over corneal refractive surgery in selected cases. He specializes in the treatment of ocular diseases and neurorehabilitation. Refractive Lens Exchange. Alternatives to LASIK; EVO ICL™ Alternatives to LASIK. Our Reno area. Learn more about clear vision with the revolutionary refractive lens exchange procedure, available at Loden Vision Centers in Nashville, TN. Presbyopia is a kind of refractive. Mon-Thur: 8:00am – 5:00pm. With Refractive Lens Exchange (RLE), this can be a reality. 605 Reno, NV 89502 775-841-2000. EVO ICL™ PRK; Refractive Lens Exchange; Other Services. Friday: 8:00am – 12:00pm. Clear lens extraction (CLE)—also known as refractive lensectomy or refractive lens exchange—is similar to cataract surgery. Request Appointment. Hands down the best! I recently had Lasik surgery with Dr. Schedule an. A new, artificial lens is then inserted into the capsular bag: it. After cataract surgery, you could see better than you ever have before. laser eye surgery. Through this specialized and precise instrument, called a phacoemulsifier, the natural lens is then. To learn more about refractive lens exchange and whether it is right for you, please contact Schwartz Laser Eye Center and request a RLE consultation. REQUEST APPOINTMENT 310-838-0202. Schedule an appointment with us. Refractive lens exchange is an excellent treatment for people who are not suitable for laser eye surgery and who don’t have cataracts. Request Appointment. Rancho Cucamonga, CA. Dr. The removal of the crystalline lens for refractive purposes, or so-called refractive lens exchange (RLE), offers distinct advantages over corneal refractive surgery in selected cases. Remarkably, clear lens extraction dates back to the 18th. PRK works by reshaping the cornea using the excimer laser after the epithelium is removed from the center of the cornea. In addition to reversing blurry vision, patients can enjoy the following at our eye center: RLE reduces reliance on glasses, which can cause headaches and eye strain. Sugar Land, TX 77479. The Procedure. I am doing research on Refractive Lens Exchange. Refractive lens exchange involves removing the natural lens and replacing it with an artificial lens, exactly like in cataract surgery, but before the cataract is fully formed. However, the risks of. Chang lives in Reno with his wife and two children. For many years, only two modalities existed for refractive lens exchange: monofocal or the multifocal. Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. What is Refractive Lens Exchange, and is it Right for You?. Coverage of your CLEAR procedure will also depend on the severity of the lens changes documented during your comprehensive eye evaluation. The EVO ICL™ is made of a biocompatible material called Collamer ®. Our Team; Locations. Hoffman RS, Fine IH, Packer M, Refractive lens exchange as a refractive surgery modality, Curr Opin Ophthalmol, 2004;15:22–8. D. Boulcott Clinic - Lower Hutt. An RLE procedure is intended to replace your eye’s defective lens, which is causing a refractive error, with a synthetic lens that helps light better focus on your. Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. Food and Drug Administration (FDA), the iDESIGN® Refractive Studio is the only system with topography-integrated, wavefront-guided technology. Request an appointment online. The artificial lens now takes its place. In contrast, cataract surgery is mainly undertaken. Your provider’s skill and experience with the procedure. Email the Surgeon. Frederickson specializes in medical eye care and provides follow-up care for people who’ve had cataract or refractive surgery. In comparison, patients who undergo RLE. Refractive lens exchange provides better visual quality and a more permanent. There are many different intraocular lens (IOL) options which will be discussed in more detail with your Refractive Consultant. Mackenzie Rogers. Usually back to full activities 48 hours after surgery. (248) 710-2325. On the day of the procedure one can expect to spend approximately 90-120 minutes at the office / surgery center. This can help you get back to your everyday life even sooner. The purpose of the procedure is to reduce the need for glasses and contact lenses. Refractive Lens Exchange procedure. The procedure is often used for people who want to reduce or eliminate their need for glasses and contacts who. 005. Age related eye problems that may eventually occur can be monitored and treated normally. Brinton Vision has become the first eye surgery center in the state of Missouri to offer the revolutionary Light Adjustable Lens (LAL) for cataract and custom lens replacement (refractive lens exchange) patients. Barraquer C, Cavelier C, Mejia L, Incidence of retinal detachment following clear-lens extraction in myopic patients, Arch Ophthalmol, 1994;112:336–9 6. The procedure is able to correct nearsightedness, farsightedness. For patients with hyperopia, the goal of RLE surgery is to correct farsightedness and allow their eyes to focus better on objects that are close. Refractive Lens Exchange Doctor. This outpatient procedure is typically done as an initial treatment for mild to. Visual and refractive outcomes, spectacle independence, and visual disturbances after cataract or refractive lens exchange surgery: comparison of 2 trifocal intraocular lenses. Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. Whilst laser surgery may still be a suitable option, the longevity of laser treatment is not predictable as the lens. Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. Our trusted Re:Vision eye surgeons are experts at Refractive Lens Exchange surgery. RLE is an ideal surgical procedure for correcting presbyopia. Laser Floaters treatment. The crux of the issue, of course, is the risk, albeit small, of loss of vision (infection, retinal detachment, etc. iLASIK uses the most advanced laser technology available to create a precise LASIK flap using a laser, not a blade. Almost 50% of those who underwent laser vision correction were in their 30s, 30% in their 40s, and 22% in their 20s at the time of surgery. Refractive Lens Exchange (Vision correction to reduce the need of eyeglasses) Customized Cataract Surgery. Before the procedure, you will be given eye drops in order. Price Vision Group. As we age, the flexibility of our eye’s natural lens gradually dissipates, making it difficult to focus on. 2019. CLE (also known as refractive lens exchange) is similar to cataract surgery in that it involves the lens of the eye being removed and replaced with an artificial intraocular lens (IOL). This procedure, also called refractive lens exchange, is similar to cataract surgery. doi: 10. 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). The procedure has been known to provide patients with 20/20 vision if not better, and has helped patients. 2004. At Focus Clinics, refractive lens exchange surgery costs between £6,500 and £7,500 for both eyes, depending on the lens implant needed. Refractive lens exchange, or RLE, is an internal eye procedure similar to cataract surgery where the patient’s natural lens is replaced with an intraocular lens. OPHTHALMIC ASSISTANT. Both the terms refractive lens exchange and custom lens replacement apply to the same procedure. Email the Surgeon. 2019. For patients younger than the early or mid-40’s, LASIK can. Reach out with any questions or to get started with Las Vegas’ premier LASIK surgeon. Additionally, our clinic offers state-of-the-art implantable. PHONE:. RLE can help patients with presbyopia see more clearly. J Cataract Refract Surg. NVISION Laser Eye Surgery Centers Start your journey to clearer vision now and book your appointment with us at a center nearest you! With our extensive network of talented surgeons, there are many locations for you to choose from. Refractive Lens Exchange (Vision correction to reduce the need of eyeglasses) Customized Cataract Surgery. Trifocal Intraocular Lenses (IOLs) are advanced technology lenses designed to allow patients to see at all distances: near, far, and all distances in between, following cataract surgery or refractive lens exchange. For visual conditions that involve the lens inside your eye, Refractive Lens Exchange is the recommended option for an exceptional visual outcome: clear vision with a reduced need for glasses, contact lenses, reading glasses, progressives or bifocals. Trattler added that with improved technology, patients are usually happy with this option. The formation of glare or halos around lights is one of the most frequent side effects of a refractive lens exchange. So RLE or cataract surgery creates more space for fluid circulation in the front of the eye. Call us at 480-483-3937 or 888-553-3937, or email us today. About. . Lynn Eye Medical Group. Treatment Options. Conditions such as macular degeneration or glaucoma. A year’s supply ranges from $220-$250, plus an additional $150-$200 per year for contact lens solution. Cataract surgery. He has performed. In many cases, it is especially useful in treating presbyopia, the inability to focus. However, their purpose and the patients they are meant for differ. Dr. Ninety-nine percent of the responders considered themselves refractive surgeons and 34% had undergone a laser vision correction themselves. The surgery takes 30 min. Your cost for refractive lens exchange will vary based on several factors: Your location, which affects the cost of living. Sheth. 1016/j. You need to be accompanied on the day of surgery and for 24 hours. LASIK surgery is a procedure in which a specialized laser is used to precisely and carefully remove corneal tissue, reshaping the cornea to adjust its focusing power. 06. The difference is that in RLE, the lens being changed is clear, rather than a cloudy lens due to a cataract. NORTHERN NEVADA'S PREMIER LASIK PROVIDERS Leaders in experienced, state-of-the-art medical and surgical care for the eyes. 329. contact us. RLE also eliminates the need for future cataract surgery by replacing the lens that would. The difference is that in RLE, the lens being replaced is clear, rather than a cloudy lens due to a cataract. At Eye Care Professionals, we are here to help. Jamison J. 1016/j. IntraLase ® FS Laser System. After the eye is completely numbed with topical or local anesthesia, the eyes natural lens will be gently removed through a tiny 2. Refractive lens exchange is a type of lens replacement surgery. The Eye Center - LASIK Testimonial. Reach out with any questions or to get started with Las Vegas’ premier LASIK surgeon. Refractive lens exchange is a type of lens replacement surgery. Increasingly popular for people in their 40s and 50s, the surgical procedure replaces the eye’s natural lens with an artificial one – an intraocular lens (IOL) – to correct focusing errors and sharpen vision. If you are interested in improving your vision for the long term without having to keep up with eyeglasses or contact lenses, RLE is a viable solution. 1-7. After discussing treatment options with the patient, we decided to perform a customized refractive lens exchange with implantation of a toric IOL (Figure). As stated above, it is recommended only for people who cannot qualify for common vision corrective procedures. 00 D) and high (>4. Eye Surgery Center, we offer a variety of solutions to help people experience. CALL US (775) 322-1000 | 10685 Professional Circle, Suite A - Reno, NV 89521. 1135 W University Dr Suite 155, Rochester, MI 48307. (888) 723-9284. After discussing treatment options with the patient, we decided to perform a customized refractive lens exchange with implantation of a toric IOL (Figure). Refractive lens exchange helps in promoting your overall eye health by correcting the poor refraction in your eye. Dr. The incisions are so small that they require no sutures and heal by themselves. Refractive lens exchange provides good visual outcomes for a range of refractive errors. Refractive lens exchange procedure is really cataract surgery and is one of the most successful procedures performed in medicine today. Humble, TX 77338. Visual recovery takes a few more days in lens replacement vs. It is performed the same way cataract surgery is, but is an elective procedure designed to correct refractive errors that. Visit our eye clinic on Reno or schedule an appointment today! Skip to content. Typically patients will be aimed plano with a monofocal lens in the dominant eye and then an IC-8 in the non-dominant eye set for about -0. Thousand Oaks Eye Surgery. PurposeBy reporting clinical characteristics and retinal image quality before and after refractive lens replacement surgery in early-onset high myopia (eoHM) patients presenting with partial cataract, we emphasized the need for an objective way to grade the severity of partial cataracts. This can often prompt the need for reading glasses or bifocals. NORTHERN NEVADA'S PREMIER LASIK PROVIDERS Leaders in experienced, state-of-the-art medical and surgical care for the eyes. Cornea, Cataract, LASIK & Refractive Surgery Specialist. Andrew Kopstein, M. 1124 S Main St. Refractive lens exchange is a great alternative to LASIK, especially for those over 50. Hura says. Benefits include: Improvement of refractive errors like nearsightedness, farsightedness, astigmatism, and presbyopia. Eur J Ophthalmol. Cataracts, or cloudy. The difference is that cataract surgery is intended to remove a cataract, whereas a refractive lensectomy corrects your vision by removing your natural clear lens. Refractive Lens Exchange is a vision correction procedure that treats presbyopia, a common age-related vision disorder that occurs in our early- to mid- 40’s and affects our up-close vision, and high hyperopia (severe farsightedness). Dr. The natural lens of the eye is replaced with an intraocular lens (IOL) during a Custom Lens Replacement procedure, also known as RLE, to restore vision and eliminate refractive errors. Take control of your vision and explore the life-changing benefits of Refractive Lens Exchange in Reno. The technical procedure is very similar to cataract surgery, although in RLE. It’s an excellent option for patients over 40 and can improve long-sightedness. 005 > Crossref Medline Google Scholar; 20. In normal vision, light passes through the cornea. 2012;23:54–61. For visual conditions that involve the lens inside your eye, Refractive Lens Exchange is the recommended option for an exceptional visual outcome: clear vision with a reduced need for glasses, contact lenses, reading glasses, progressives or bifocals. During RLE eye surgery, we remove your natural lens and replace it with an IOL. Refractive lens exchange (RLE) is the removal and replacement of the eye's natural lens with an artificial intraocular lens (IOL) to improve vision. 404-531-9988. Frederickson is. Background To assess and compare the efficacy, safety, accuracy, predictability and visual quality of a diffractive trifocal intraocular lens (IOL) and a refractive rotationally asymmetric bifocal IOL in eyes with axial myopia. The RxSight™ Light Adjustable Lens (LAL) is the first and only intraocular lens ( IOL) of its kind, making it possible to personalize a patient’s vision after cataract surgery. Refractive lens exchange is designed to reduce dependence on glasses or contacts. 5. Multifocal IOLs. To learn more about refractive lens exchange and whether it is right for you, please contact Schwartz Laser Eye Center and request a RLE consultation. Gabrić N, Dekaris I, Karaman Z: Refractive lens exchange for correction of high myopia. Two types of intraocular refractive surgery are described below: phakic intraocular lens and refractive lens exchange (clear lens extraction). At Young H. Costs are gathered from ophthalmologists who routinely perform LASIK surgery and other vision correction. The surgery itself consists of four easy steps: – The surgeon creates a tiny incision in the eye, where the lens will be inserted. 1136/bjo. Nevada Eye Consultants has an amazing staff!Our skilled team can diagnose and address common and complex eye conditions, including vision degeneration, cataracts, glaucoma, cornea disorders, and more. YAG laser posterior capsulotomy was performed in 38 of 62 eyes (61%) and did not represent a risk for retinal detachment. Request an. Your surgeon will utilize the state-of-the-art laser system to create the corneal flap with the utmost degree of accuracy. Pros of refractive lens exchange. Gulani’s relentless pursuit to design vision and lend artistry to surgery raises even cataract surgery to his proprietary approach called LenzOplastique™ where he personally studies all patient diagnostics and measurements. Chaffin, MD. Online Bill Pay Virtual Optical Shop. An advertised price lower than $1000 is typically only for the lowest prescriptions without astigmatism. Refractive lens exchange (RLE) is an eye surgery used to treat refractive visual errors. (805) 495-0458. Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. The purpose of the procedure is to reduce the need for glasses and contact lenses. Overall, Visian ICL surgery takes about 15 to 30 minutes for each eye. It works by reshaping your cornea to reduce refractive errors such as hyperopia, myopia, and astigmatism. “The small aperture optics of the IC-8 confer extended depth of focus. (713) 580-2525. It generally takes about 15 minutes per eye. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Moreover, we provide advanced cataract surgery, restoration of reading vision, as well as leading-edge refractive surgery. Learn more about clear vision with the revolutionary refractive lens exchange procedure, available at Loden Vision Centers in Nashville, TN. PubMed Google Scholar. The eye is opened at the edge of the cornea and the natural lens is broken down and suctioned away with the aid of an ultrasonic device, as in modern cataract surgery. Refractive lens exchange is a vision correction surgery that involves replacing the eye’s natural lens with an artificial intraocular lens (IOL). Refractive lens exchange is designed to reduce dependence on glasses or contacts. 3% survey response rate. Refractive Lens Exchange (RLE) or Clear Lens Exchange (CLE) is a surgical procedure for people who are over 40 who may be experiencing new visual changes. (Dysfunctional Lens Syndrome) or early cataracts, the result of a natural aging process that reduces visual. This adds up to a total of $500. LASIK & Vision Correction Surgery. Some patients get a brief rash around their eyes, while others experience a brief annoyed expression in their eyes. There are different types of artificial intraocular. Some Walmart stores have within them, where you can get an eye exam for $75 to $85 without insurance. Presbyopia is a kind of refractive. A variety of presbyopia-addressing intraocular lens options are available and. A refractive lens exchange and advanced cataract surgery are the same procedure. Refractive lens exchange is a procedure designed to replace the natural lens in your eye with an artificial lens known as an intraocular lens (IOL). The cost of a Custom Lens Replacement (also known as Refractive Lens Exchange or RLE) is a common concern for those who are thinking about having surgery done to improve their eyesight. Multifocal IOLs can be used to decrease your need for distance and/or reading glasses. Visit Our Site. He was raised in Tampa, FL. This lens is replaced with a synthetic one, made out of silicone or plastic. Unlike a contact lens on the eye, this lens is implanted. Everything references "X% of patients are happy with the results, happiness is worth more than results". Curr Opin Ophthalmol. Yin et al described successful use of LASEK in myopic astigmatism (SE ranged from −15. The only difference is, patients don’t have a cataract that needs removal. Only the selected eye is “frozen” for this painless surgery. Deciding between the two. Give us a call today! 1016 68 Ave SW #110, Calgary, AB T2V 4J2, Canada. In terms of surgical technique, refractive lens exchange (RLE) and cataract surgery may be very similar, but the 2 procedures are performed in different patient populations. Macular and vitreoretinal surgery. If you’d like a better idea of the cost of refractive lens exchange, make an appointment today with our team at SightTrust Eye Institute. Eur J Ophthalmol. You don’t need general anesthesia, meaning you can go home the same day. This might sound like a similar procedure to cataract surgery. There are many advantages of getting refractive lens exchange. Of the survey responders, 8. Reno Eye Care Professionals Contact Us 10685 Professional Circle, Suite A Reno, NV 89521 (At south intersection of Professional & Double R) Phone: (775) 322-1000 Toll-Free: (877) 292-2739 Fax: (775) 322-1050. At 1 month postoperatively the UCVA of the RLE group was slightly better than the Artisan group. Nevada Eye Consultants. Without insurance, an eye exam at Costco will usually cost about $75 to $80. Surgery is performed in our fully accredited surgery center at our Dallas location under twilight sedation and often one of our custom high tech lenses is chosen to. RxSight™ Light Adjustable Lens; What To Expect; IOLs; Cataract Surgery Technology; LASIK. Visual outcomes and patient satisfaction following RLE with bilateral implantation of a trifocal intraocular lens (IOL) were assessed in a cohort of patients with presbyopia and without. It involves removing the patient’s natural lens and implanting a synthetic one. Learn more about the RLE eye surgery. RLE is an alternative to LASIK for patients with presbyopia (needing reading glasses) who want to reduce their. Bogorad has a long-standing interest in surgery of the anterior segment of the eye. Ph: (03) 9070 0955 BOOK AN APPOINTMENT. Insurance; Testimonials; New Patient Forms; ABOUT. Anesthetic eye drops are used to numb the eyes prior to RLE surgery, and the technology used today provides a quick, pain-free experience for patients. This clear lens is surgically implanted through a microscopic opening in the cornea to sit in front of the. 8528. To perform a refractive lens exchange, Dr. Almost 50% of those who underwent laser vision. Refractive lens exchange is usually reserved for patients who are outside the range of other forms of refractive surgery. Our comprehensive services in ophthalmology at our Lake Nona office include the treatment of many eye diseases, such as cataracts, glaucoma, macular degeneration, diabetic eye disease, uveitis, dry eye and screening for medication-induced retinal toxicity. EVO ICL™ PRK;. Patient Rick Simeone originally had LASIK surgery at Sheth-Horsley Eye Center in 2003. Refractive lens exchange (RLE) replaces your eye's clear natural lens with an artificial intraocular lens (IOL) to correct your refractive error and achieve sharper. Refractive lens exchange or mild cataracts are best treated with a cylindrical laser pattern. Insurance; Testimonials; New Patient Forms;. Suite 102 Corona, CA 92882 (951) 234-3735. PurposeBy reporting clinical characteristics and retinal image quality before and after refractive lens replacement surgery in early-onset high myopia (eoHM) patients presenting with partial cataract, we emphasized the need for an objective way to grade the severity of partial cataracts. Additionally, if you have this corneas or high levels nearsightedness this. The light adjustable lens is a customizable intraocular lens that allows patients' vision to be modified after the lens is implanted, resulting in nearly perfect vision. and graduated from high school earning the esteemed International Baccalaureate Degree. Faculty Profile - David Bogorad, MD. The lens is invisible and undetectable, and the procedure takes less than 20 minutes. Justin Needham is a board certified Ophthalmologist who specializes in cataract and refractive surgery, including LASIK, PRK, Implantable Collamer Lenses, Refractive Lens Exchange and Cataract Surgery. 1. Refractive lens exchange is sometimes called Clear Lens Exchange, Clear Lens Extraction, and Refractive Lens Replacement. S. During RLE surgery, the natural lens of the eye is. Read Our Reviews. Our animated video below shows the procedure in more detail: How is Refractive Lens Exchange (RLE) surgery performed? The lens isn’t visible to others in the way a contact lens can be, and. The lens is invisible and undetectable, and the procedure takes less than 20 minutes. Visual and refractive outcomes, spectacle independence, and visual disturbances after cataract or refractive lens exchange surgery: comparison of 2 trifocal intraocular lenses. In addition to improving the quality of your vision, this advanced lens material can filter ultraviolet light to help protect your eyes from the sun’s harmful rays. Learn More. Patients who have RLE performed will not have to have cataract. As a result, we are able to use these advanced lenses to replace a non-cataract lens in order to improve vision. Patients who are seeking vision correction, but are not ideal candidates for LASIK surgery can still reduce or eliminate their need for glasses or contact lenses with procedures. Dr. Aim: To establish long term outcomes and incidence of complications following refractive lens exchange (RLE) for the correction of high myopia. RLE surgery (refractive lens exchange) is a quick and painless procedure, with minimal recovery time. Intraocular lenses allow a patient to see at a distance and up close for reading, reducing or even. Richard A Erdey, MD is a Board Certified Ophthalmologist specializing in the diagnosis and treatment of eye conditions. “The issue I have with the promotion of dysfunctional lens syndrome is that its proponents are basically trying to. FREE YOUR EYES – FREE YOUR LIFE NO GLASSES. The LAL facilitates greater customization of treatment for St. NVISION Laser Eye Surgery Centers Start your journey to clearer vision now and book your appointment with us at a center nearest you! With our extensive network of talented surgeons, there are many locations for you to choose from. 2019; 45(10):1404–1415. Decrease Your Dependency on Contacts and Glasses. Our Plano location has moved to 4708 Dexter Dr #450, Plano, TX 75093. Learn More. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 IntraLase ® FS Laser System. Dr. short. Our animated video below shows the procedure in more detail: How is Refractive Lens Exchange (RLE) surgery performed? The lens isn’t visible to others in the way a contact lens can be, and. The ICL works with your natural lens to bend (refract) light on the retina, and this. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739If you need LASIK in Detroit, look for a surgeon who has performed thousands of surgeries and has access to the latest LASIK technology. About Us; Blog;Refractive lens exchange is a procedure that replaces your natural lens with an artificial one. Get top-quality LASIK in Raleigh now! Book a Consultation. You will be at Holy Cross for 2-3 hours. Need help deciding? Explore feedback from real patients, what awards they've won, and much more to help you choose. There is significant debate among cataract surgeons regarding the ethics of clear lens exchange. The type of lens used in the exchange. Learn More. This past year, Elizabeth Yeu, MD, assistant professor of ophthalmology at Baylor College of Medicine in Houston, noticed more and more patients in their late 40s and 50s asking for refractive lens exchange. The difference is that in RLE, the lens being replaced is clear, rather than a cloudy lens due to a cataract. Unfortunately, as we age, so do our eyes. Reno, Nevada 89511. Board Certified Ophthalmic Surgeon. RLE is also. The Lenses. Increasingly popular for people in their 40s and 50s, the surgical procedure replaces the eye’s natural lens with an artificial one – an intraocular lens (IOL) – to correct focusing errors and sharpen vision. As is an option in cataract surgery, RLE may employ multifocal or accommodative intraocular lenses (IOLs). The procedure is done with the patient awake, but anesthetic drops are used to completely numb the eye and sedative is administered by an Anesthesiologist for relaxation. Use of laser-assisted refractive surgery for the treatment of myopic anisometropia has been reported in over 17 case series. Refractive Lens Exchange procedure. Refractive Lens Exchange (RLE) Refractive lens exchange (RLE), is when a clear lens is implanted to replace your eye’s natural lens to correct your vision. A multifocal IOL could reduce your reliance on these vision aids. We also offer refractive lens exchange — a surgical procedure for patients 40+ who do.