Are you suffering from the problem of reading and blurred sight? Do you desire to have a clear vision in your routine life? Poor vision can be frustrating and disruptive for day to day activities . Refractive surgery is one of the most preferred and frequently recommended solutions for refractive errors, and one such safe and effective procedure is lens replacement surgery or refractive lens exchange (RLE) with a specialized artificial implant known as intra ocular lens (IOL).

What is RLE?

RLE is replacing your natural lens with an artificial intraocular lens (IOL) to improve your vision problems. RLE can treat Nearsightedness (myopia), Farsightedness (hyperopia), and Presbyopia (age-related farsightedness). RLE’s success depend on your present visual issues, age, goals and refractive errors. At Mr Deshmukh’s clinic, you will get the best consultation regarding suitability of the procedure and result orientated approach for spectacle independence with the replacement of a poorly functioning natural lens or problem of refractive error with a high-performance lens implant or psuedoaccomodative intra ocular lens.

Who is a good candidate for RLE?

45 years or over (exceptions may be considered depending on individual circumstances).

Have a glasses prescription for distance or near vision, or both.

Wish to reduce or eliminate your dependency on glasses or contact lenses.

What are the benefits?

4 in 5 patients are completely glasses free with modern premium IOL and 95% of patients are satisfied with the outcome.

RLE eliminates the need for cataract surgery in later life.

It is often preferred to laser vision correction in the retirement age group as early stages of cataract formation is often already present.

What types of lenses can be used in RLE?

Mr Deshmukh can recommend the most advanced premium psedoaccomodative IOL tailored for your specific needs. Modern lenses used for spectacle independence include.

Multifocal/Trifocal: Unlike standard IOLs, these provide multiple focal points. The light is split, so some is focused for distance, some for intermediate and some for near. This allows the patient to focus on multiple distances simultaneously. There may be some loss of contrast and patients may experience haloes at night.  These symptoms improve with time by processing in the brain called ‘neuroadaptation’.

Extended Depth of Focus (EDOF): These IOLs use new technology to increase the range of focus compared to standard monofocal lenses but reduce the common visual side effects that come with Multifocal lenses. This enables clear vision from intermediate to far distances and provides functional near vision. The patient might, however, need to wear spectacles for near tasks like reading very small print.

Toric IOL: These IOL can correct astigmatism, a condition in which light is unevenly focussed causing blurred vision at all distances. Both Trifocals and EDOF premium IOL’s are available in toric versions to correct astigmatism.

Enhanced Monofocal IOLs: These are used to correct your dominant eye for distance, leaving your non-dominant eye slightly uncorrected which will enable you to see things close by.

What does the procedure involve?

The procedure for RLE is virtually identical to cataract surgery. Lens replacement surgery usually takes about 20 minutes and is performed on an outpatient basis. Numbing anaesthetic drops are used during the procedure, so typically there is no discomfort, and most people report immediate vision improvement after surgery. Initial recovery from refractive lens exchange — when you can resume normal everyday activities — usually takes about a week. Final outcomes of refractive lens exchange can take up to several weeks, and you may notice vision disturbances such as blurry vision, halos and glare, or a “scratchy” sensation as your eyes heal. You should be able to return to work and resume driving within a week of surgery, dependent on your eye surgeon’s instructions. The artificial intraocular lens is a permanent replacement for your natural lens and is designed to last the rest of your life. And, because IOL’s are not affected by age-related changes, there is minimal risk of loss of corrective effect or deterioration of vision over time.

Schedule your appointment today

For detailed information about Refractive lens exchange and other vision related eye conditions, feel free to contact Mr Rajesh Deshmukh’s team.

Also you can browse our channel to know our patients’ experience. Here you get videos our happy patients like –

References

Alio JL, Grzybowski A, El Aswad A, Romaniuk D. Refractive lens exchange. Surv Ophthalmol. 2014;59:579–98.

Fernández J, Rodríguez-Vallejo M, Martínez J, Tauste A, Piñero DP. From presbyopia to cataracts: A critical review on dysfunctional lens syndrome? J Ophthalmol. 2018;2018:4318405. doi: 10.1155/2018/4318405. 

Kaweri L, Wavikar C, James E, Pandit P, Bhuta N. Review of current status of refractive lens exchange and role of dysfunctional lens index as its new indication. Indian J Ophthalmol. 2020 Dec;68(12):2797-2803. doi: 10.4103/ijo.IJO_2259_20. PMID: 33229654; PMCID: PMC7856935.

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