Refractive Lens Exchange (RLE)
Imagine reading a menu, checking your phone, or working on your computer without reaching for your glasses every time. For many adults in their 40s, 50s, and beyond, the challenge isn’t seeing – it’s the constant on-off routine of readers, bifocals, and progressives. If you’ve been told you’re not a candidate for LASIK, Refractive Lens Exchange (RLE) may be the solution that best fits your lifestyle.
What is Refractive Lens Exchange?
Refractive Lens Exchange, also called lens replacement surgery, replaces the eye’s natural lens with a clear, customized intraocular lens (IOL) to improve vision at multiple distances and reduce your reliance on glasses. Because the natural lens is removed, it prevents cataracts from ever developing in the future, making RLE a long‑term solution to age‑related vision changes.
Benefits of RLE surgery
Reduces your dependence on reading glasses, bifocals, or progressives
Allows you to see more comfortably at both near and distance ranges
Prevents cataracts from developing in the future
Quick recovery and long-lasting results – most patients notice clearer vision within a day or two
Book your free consultation today to see if RLE is right for you
How the procedure works
Refractive Lens Exchange (RLE) is a quick and safe procedure that delivers long‑lasting results and typically takes about 20‑30 minutes per eye to perform.
1
Before the procedure
To prepare for the surgery, eye drops are used to dilate your pupils. This step may cause temporary light sensitivity and blurred vision. Additional eye drops are then administered to numb your eyes, ensuring a relatively painless experience during the procedure.
2
During the procedure
Lens removal: Your eye surgeon will make a tiny opening to gently remove your eye’s natural lens. This is done using advanced ultrasound technology that allows for a safe and efficient process.
Lens implantation: A new, foldable intraocular lens (IOL) – custom selected to match your vision goals – is carefully inserted through the same small opening and positioned securely in place. No stitches are needed, and the eye begins to heal naturally right away.
3
Recovery and results
Most patients experience smoother vision within just a few days and can resume regular activities, like driving or reading, the next day. Some mild dryness or sensitivity is normal and fades quickly as your eyes adjust. Follow-up visits will ensure your healing is progressing well and your new vision is stable.
Who is a candidate for RLE?
RLE is most often recommended for:
- Adults over 45 experiencing presbyopia, farsightedness, nearsightedness, or astigmatism
- Individuals looking for a long-term solution to reduce their reliance on readers, bifocals or progressive glasses
- Patients who may not be ideal LASIK candidates
FAQS about Refractive Lens Exchange
What’s the difference between RLE and LASIK?
Unlike LASIK, which reshapes the cornea, RLE addresses the root cause of age-related vision changes by replacing the lens itself.
Can I have RLE if I’ve had LASIK before?
Yes. Many people who had LASIK later choose RLE to treat age-related vision changes, like presbyopia or early cataract. Dr. Greenberg will evaluate your eyes to ensure RLE is safe and the best option for your vision needs.
How much does Refractive Lens Exchange cost?
Pricing varies based on lens type and visual goals. RLE is not typically covered by insurance, but we offer flexible financing options, and HSA/FSA funds can be used to help you cover the cost of the procedure.
How long does the RLE procedure take?
The procedure is quick, usually about 20-30 minutes per eye. Most people are surprised by how fast and comfortable the experience is.
How soon will I be able to see clearly after RLE?
Many patients notice clearer vision within the first day or two. Your vision will continue to sharpen over the next couple of weeks as your eyes adjust to the new lens.
Will my new lens ever need to be replaced?
No. The artificial lens used in RLE is designed to last a lifetime. It won’t wear out, and cataracts cannot develop in that eye after the lens is replaced.
Life without readers is possible
Discover how RLE can restore clear vision at all distances. Book your free consultation today and find out if you’re a candidate for refractive lens exchange.