Refractive Lens Exchange (RLE) FAQs

1. What is refractive lens exchange (RLE)?

RLE is a vision correction surgery where the eye’s natural lens is replaced with a clear artificial lens, similar to cataract surgery. It’s often chosen by people who want freedom from glasses or contacts and are not good candidates for LASIK or ICL.

2. What symptoms or problems does it help?

RLE helps correct farsightedness, nearsightedness, and presbyopia (age-related loss of near vision). It reduces or eliminates the need for reading glasses, bifocals, or contacts.

3. Am I a good candidate?

You may be a candidate if you’re over 40, rely on reading glasses or bifocals, or have a prescription that’s too high for LASIK or ICL. Your eye doctor will confirm candidacy with a full exam.

4. Does it hurt? What kind of numbing or anesthesia is used?

No, the procedure isn’t painful. Numbing eye drops and mild sedation keep you comfortable. You may feel slight pressure but not sharp pain.

5. How long does it take, and where is it done?

The procedure takes about 20–30 minutes per eye and is performed in an outpatient setting. You go home the same day and will need someone to drive you.

6. What is recovery like? When can I get back to normal?

Most patients notice improved vision within a few days. You’ll use prescribed drops and avoid rubbing your eyes or heavy lifting at first. Many people return to normal routines within a week.

7. When will I notice results, and how long do they last?

Clearer vision is often noticed within 24–48 hours. The new lens is designed to be permanent and does not wear out, giving long-term results.

8. What are the risks or side effects?

Like any surgery, RLE carries some risks, including infection, glare, or retinal issues. These complications are rare, and your doctor will review potential risks before the procedure.

9. Will I still need glasses or other treatments afterward?

Depending on the type of artificial lens chosen, you may still need glasses for some tasks—such as fine print or night driving. Advanced lenses can reduce this need further.

10. What happens at the first appointment?

Your doctor will examine your eyes, measure them carefully, and review your vision goals. Together, you’ll decide which lens implant best fits your lifestyle.