Refractive Lens Exchange (RLE) in San Antonio

Refractive Lens Exchange (RLE), also known as Clear Lens Extraction, is a minimally invasive quick and painless procedure tailored to permanently improving vision and reducing or eliminating the need for glasses or contact lenses at far, near, and intermediate distance. This is done by replacing the eye's natural lens with an artificial intraocular lens (IOL) that contains a customized vision prescription, similar to a contact lens or eyeglasses. This elective outpatient procedure is beneficial for addressing various refractive errors, offering a more permanent immediate solution with the benefit of not having to worry about cataract surgery later on in life.

What is refractive lens exchange?

Who is a good candidate for refractive lens exchange?

Refractive Lens Exchange (RLE) is particularly suitable for individuals seeking to correct vision problems and reduce or eliminate their dependency on glasses or contact lenses. It's often considered for people who:

  1. Are Generally Over the Age of 40: especially those experiencing presbyopia (the age-related difficulty in focusing on close objects) and who want a permanent solution for their vision correction.

  2. Have High Degrees of Refractive Error: Those with high degrees of myopia (nearsightedness), hyperopia (farsightedness), or astigmatism that may not be ideal candidates for other types of refractive surgery like LASIK or PRK.

  3. Seek a Potential Alternative to Cataract Surgery: Since RLE involves replacing the eye's natural lens with an artificial one, it can preemptively address cataracts before they develop.

  4. Desire a Permanent Solution: Those looking for a more permanent correction of their vision, as opposed to temporary solutions like eyeglasses or contact lenses, might consider RLE.

  5. Have Stable Vision: Ideal candidates should have had stable vision for at least a year prior to the surgery.

Will I still need glasses for certain distances?

Whether you'll need glasses for certain distances after undergoing Refractive Lens Exchange (RLE) depends on the type of intraocular lens (IOL) implanted and your specific vision goals. There are different types of IOLs available, including monofocal, multifocal, and accommodating lenses. Monofocal lenses are designed to provide clear vision at one particular distance (usually far), meaning you might need glasses for near tasks. Multifocal and accommodating lenses, such as the Light-Adjustable Lens (LAL) aim to provide a range of vision, reducing the need for glasses at all distances.

Your vision goals and lifestyle will influence the choice of IOL and the likelihood of needing glasses. Schedule a consultation with out office today to discuss your vision expectations. Our trusted ophthalmic surgeon will help you understand the realistic outcomes based on the type of lens implanted and your individual circumstances.

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 FAQs

  • Refractive Lens Exchange (RLE) surgery is generally not covered by insurance, as it is considered an elective procedure. However, patients may utilize Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), and various financing plans offered by our clinic or third-party financial institutions to manage the cost of the procedure, making it more accessible despite the lack of insurance coverage. Contact our office to discuss your options.

  • Refractive Lens Exchange (RLE) surgery is typically a quick and efficient procedure, with each eye taking only a few minutes to complete. Patients are usually able to go home the same day of the surgery.

  • Most patients notice an improvement in vision within a few days to one week.

  • The procedure is generally painless, as local anesthesia and sedatives are used to ensure the patient's comfort during surgery.