Refractive Lens Exchange

What is Refractive Lens Exchange?

Refractive Lens Exchange, also known as Clear Lens Extraction or lens replacement surgery, is an advanced vision correction procedure. It involves removing the natural crystalline lens in the eye and replacing with an artificial, silicon, intraocular lens of specific power, to correct the refractive error of the eye. The procedure is similar to cataract surgery.

How RLE Works

Your eye has two main focusing structures:

  1. The cornea (the clear front surface of the eye)
  2. The crystalline lens (inside the eye)

RLE focuses on the lens. As we age, this lens becomes less flexible, leading to presbyopia (difficulty focusing on close objects). RLE removes this natural lens and replaces it with an advanced IOL, correcting your vision and often eliminating the need for reading glasses or bifocals.

Key Benefits of RLE

  • Corrects a wide range of vision problems, including presbyopia
  • Reduces or eliminates dependence on glasses and contact lenses
  • Long-lasting results with premium IOLs
  • Can correct astigmatism with specialised toric IOLs

Is RLE Ideal For You?

RLE may be ideal if you:

  • You are not suitable for Laser Eye Surgery
  • Are over 40 and experiencing presbyopia
  • Want to reduce your reliance on reading glasses or bifocals
  • Wish to prevent future cataract surgery
  • Have early signs of cataracts
For many there is an overlap of choices available to them, from Laser Eye Surgery to RLE. So it's important to consider the relative benefits and risks of these different options on an individual basis.

The RLE Procedure at AccuVision

Our expert surgeons use state-of-the-art technology to ensure precise, personalised results:

  1. Comprehensive eye examination and customised treatment plan
  2. Numbing eye drops for a painless experience
  3. Tiny incision made in the cornea
  4. Ultrasound energy used to gently break up and remove the natural lens
  5. Custom-selected IOL inserted through the same tiny incision
  6. Quick recovery with improved vision within days

The entire procedure typically takes about 15-20 minutes per eye.

RLE Recovery and Aftercare

  • Most patients return to normal activities within a few days
  • Follow-up appointments to monitor healing and vision improvement
  • Full recovery typically occurs within 4-6 weeks
  • Detailed aftercare instructions provided to ensure optimal results
Talk to us, we can help.
To find out more about our services speak to our clinical team about your needs.
The AccuVision team is not call centre based. We will use the information you provide here to direct your enquiry appropriately and your information is not used for unsolicited marketing or sold to third parties.

    I agree with terms of use and privacy policy

    The information you have provided may be held on our database. It will not be sold to any third party. Our privacy policy which we are obliged to give you under the GDPR is available here.

    What is the average cost of refractive lens exchange?
    The cost of refractive lens exchange (RLE) can vary widely depending on several factors, including the type of intraocular lens used, the technology employed, and the clinic’s location. On average, RLE can cost between £3,000 and £5,000 per eye in the UK. However, it’s essential to consult with your eye care provider for an accurate cost estimate tailored to your specific needs.
    What is the best age for refractive lens exchange?
    The best age for RLE varies from person to person. RLE is typically recommended for individuals over the age of 40 who have developed significant presbyopia (age-related difficulty focusing on close objects) and have a stable prescription. However, the suitability of RLE is determined on a case-by-case basis during a thorough consultation with an eye care specialist.
    What is the age limit for RLE?
    There is no strict age limit for RLE. The eligibility for RLE depends on individual eye health, prescription stability, and other factors. Patients in their 60s and beyond can still undergo RLE if they meet the necessary criteria. It is best to consult with your eye care provider to determine your suitability for the procedure.
    Is refractive lens exchange worth it?
    Whether RLE is worth it depends on your specific vision needs and goals. RLE can be an excellent choice if you have cataracts or significant refractive errors, such as nearsightedness, farsightedness, or astigmatism. It can provide clear vision and potentially eliminate the need for glasses or contact lenses. The decision to undergo RLE should be made after a comprehensive consultation with an eye care specialist who can assess your individual situation and discuss the potential benefits and risks.
    Can I have lens replacement if I've had laser eye surgery previously?
    Yes, lens replacement (RLE) is a viable option even if you’ve had laser eye surgery. A comprehensive assessment with our specialists will determine your suitability.
    Will having LLR and multifocal/trifocal lenses affect my eye health in the future?
    LLR with multifocal/trifocal lenses is safe and designed for long-term eye health. Our specialists will ensure the best choice based on your individual needs.
    How soon can i expect to have good vision?
    Vision improvement is typically rapid after lens replacement, with many experiencing significant clarity within a few days. Full stabilization may take a few weeks.
    How long should I remain off work?
    Recovery times vary, but most patients can return to work within a week. Your specialist will provide personalized guidance based on your procedure and recovery progress.
    How soon after my procedure may I drive?
    Driving is usually permitted after about a week, once your vision stabilises, and you feel comfortable and confident behind the wheel.
    When can I return to playing sports and other activities?
    Engaging in sports and activities can resume within a few weeks, but consult with your specialist to ensure your eyes have fully healed and are ready for such activities.
    Can I have both eyes done on the same day?
    Yes, many patients opt for bilateral lens replacement, treating both eyes on the same day for a more streamlined recovery process.
    Will I need to wear glasses/contact lenses after surgery?
    The goal of lens replacement is to reduce or eliminate the need for glasses or contact lenses.
    What are the risks of RLE?
    While RLE is generally safe, like any surgery, there are potential risks, including infection, inflammation, increased ocular pressure, retinal detachment, corneal oedema, glare and halos, refractive error residuals, endophthalmitis, and secondary cataract. It’s important to note that the likelihood of experiencing these complications is low, and many patients undergo RLE without significant issues. Your eye care professional will thoroughly evaluate your candidacy for the procedure and discuss these risks in detail based on your individual health and eye condition.
    When can I return to work/day-to-day activities?
    Most patients can resume day-to-day activities within a week. Your specialist will provide personalised guidelines based on your progress.
    What are the alternatives to RLE?
    Alternatives include laser eye surgery (LASIK or Trans-Epi). With more advancements in Laser Eye Surgery, we've found that more and more patients are better suited to this less-invasive treatment and achieve exceptional vision quality.
    What is eye lens surgery?
    Eye lens surgery, or lens replacement surgery, involves removing the natural lens and replacing it with an artificial intraocular lens (IOL) to correct refractive errors.
    Is lens operation good for the eyes?
    Lens operation is an effective and safe procedure for improving vision, offering long-term benefits with proper preoperative assessment and postoperative care.
    Does lens eye surgery hurt?
    Lens surgery is virtually painless due to local anaesthesia. Any discomfort during recovery is typically mild and managed with prescribed medications.
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    The AccuVision team is not call centre based. We will use the information you provide here to direct your enquiry appropriately and your information is not used for unsolicited marketing or shared with third parties.

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      Fill in the contact form or call us today to arrange a complimentary screening consultation. Quote “Summer Offer!” when making your enquiry.
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        The information you have provided may be held on our database. It will not be sold to any third party. Our privacy policy which we are obliged to give you under the GDPR is available here.

        Terms & Conditions
        Offer price of £1200 per eye is valid for:
        • WaveFront Optimised Surgery for both eyes. Offer does not apply to a single eye treatment.
        • Myopic prescriptions under -3.50 dioptres only. Prescriptions with other additional conditions/variations may not be eligible and are subject to a detailed evaluation.
        • Prescriptions outside the eligible range are always competitively priced.
        • This offer cannot be used in conjunction with any other offer.
        • There are no cash alternatives to this offer.
        • All eye surgical procedures carry a level of risk including not obtaining the desired outcomes through to varying levels of visual loss. Your eye surgeon will discuss the risks and benefits including ones specific to your circumstances at the time of your preoperative consultation.
        • AccuVision reserve the right to change or withdraw this offer.