Refractive Lens Exchange (RLE)


Laser eye surgery can be considered at any age. For patients over 40 however, laser surgery is not always the best option.

Refractive Lens Exchange is a particularly good choice for patients over the age of 45 years. Often at this stage, the natural lens starts to lose it’s functionality and reading glasses are required as well as distance glasses. Whilst laser may be still be a suitable option, the longevity of laser treatment is not predictable as the lens starts to change.

RLE involves the replacement of the natural lens in the eye, with a new mono-focal, multi-focal or pseudo-accommodative intra-ocular lens implant (IOL). Accurate measurements of the eye taken prior to surgery allow for a bespoke, customised intra-ocular lens (IOL) to be implanted which can correct for any degree of long or short-sightedness and astigmatism so that clear distance vision without glasses is a reality. With the choice of premium lens implants, achieving excellent reading vision without glasses may be achieved allowing for true spectacle independence.

In simple terms, this means that each patient benefits from new, personalised lenses, which provide the best and most accurate correction for their vision.

The lens exchange procedure takes between ten and fifteen minutes and is virtually painless. As with LASIK treatment, it is usually performed under local or topical anaesthetic. Patients return home the same day of their treatment and most see an immediate improvement in their vision.

Most patients will have their second eye treated within a couple of weeks and it is following this that the most dramatic results are seen.

If you are interested in finding out more about replacement lens exchange and your suitability, please contact us and we will be happy to arrange a consultation.

Lens Types

Very subtle differences in lens design mean that some perform better in certain circumstances than others and that is why accurate measurements and an in-depth consultation is needed prior to the procedure to ascertain which lenses or combination of lenses best suit you and your lifestyle.

There are several types of lens and these are namely; monofocal, multifocal (also called bifocal), accommodative, toric for the correction of astigmatism and phakic lenses. Sometimes combining lenses is necessary and it may even be necessary to have lenses specially made.


Our Locations

LaserVision was initially founded in Guildford, Surrey. Now with clinics in over 6 locations, we are able to treat the eye conditions of patients nationwide. This treatment is available at:

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