Refractive Lens Exchange Surgery (RLE)

At West Texas Eye Associates in Lubbock, TX, our vision correction team can help determine whether RLE is an appropriate option for your eyes, prescription, and lifestyle.

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What Is Refractive Lens Exchange (RLE)?

Refractive Lens Exchange (RLE), also called clear lens exchange or lens replacement surgery, replaces the eye’s natural lens with an artificial lens to help correct your vision.

The surgical technique is similar to modern cataract surgery. The major difference is why the procedure is performed. Cataract surgery removes the cloudy natural lens, while RLE can be performed before a significant cataract develops to address refractive errors and age-related changes in the eye’s ability to focus. When the natural lens is removed during RLE, it cannot develop a cataract later.

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Benefits of Refractive Lens Exchange

Improves myopia, hyperopia, astigmatism and presbyopia

Reduces dependence on glasses and contacts

Corrects vision without reshaping the cornea unlike LASIK & PRK

Eliminates the possibility of future cataracts

RLE and Presbyopia After 40

One reason RLE is often considered after age 40 is presbyopia.

Presbyopia happens as the natural lens inside your eye becomes less flexible with age. You may notice yourself holding your phone farther away, needing reading glasses, or having more difficulty switching between near and distance vision.

LASIK can reshape the cornea, but it does not stop the natural lens from aging.

RLE takes a different approach by replacing that aging lens with an artificial lens selected around your visual goals. Modern lens technology can provide options for distance, intermediate, and near vision, depending on the IOL type selected. Research has identified presbyopia as a key reason for considering RLE.

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Refractive Lens Exchange Candidacy

RLE is often considered for adults experiencing age-related vision changes who want to reduce their dependence on glasses or contact lenses.

You may be a candidate for RLE if:

You're in your 40s, 50s or older and experiencing presbyopia

You have trouble seeing at multiple distances

You have significant farsightedness

You are not a LASIK/PRK candidate

You have good vision health + no prior eye diseases

Schedule a Vision Correction Consultation

A vision correction evaluation can help determine whether RLE, LASIK, PRK, EVO ICL, or another option is the best fit for your eyes and vision goals.

Frequently Asked Questions About Refractive Lens Exchange

The surgical techniques are very similar, but the treatment goals differ. Cataract surgery removes a cloudy lens to improve vision affected by cataracts. RLE replaces the natural lens primarily to correct vision before a significant cataract develops.

RLE costs vary based on the surgeon, location, lens technology, and individual treatment plan. RLE is generally considered an elective vision correction procedure. Learn more > RLE and insurance coverage

The natural lens is permanently removed and replaced with an artificial lens designed to remain in the eye. However, vision can still change due to developing eye conditions, and some patients may require glasses or additional treatment.

Yes, you can have a refractive lens exchange (RLE) after LASIK. Previous LASIK surgery does not automatically disqualify you from RLE. The most important consideration is that vision correction results may be less predictable after previous LASIK, and additional correction may sometimes be needed.

Yes, refractive lens exchange (RLE) is generally considered safe and effective for appropriately selected candidates. However, like any eye surgery, RLE carries potential risks, including infection, inflammation, retinal detachment, and visual disturbances such as glare or halos. Certain individuals, particularly those with high levels of nearsightedness, may have an increased risk of complications.

Locations

3611 50th St
Lubbock, TX 79413

Clinic

12210 Quaker Ave
Lubbock, TX 79424

Clinic

Doctors

Lisa McIntire, MD
Lisa McIntire, MD

Fellowship-trained Anterior Segment, Cataracts & Refractive Surgeon

Timothy T. Khater, MD, PhD
Timothy T. Khater, MD, PhD

Fellowship-trained Ophthalmologist, Cornea Specialist & Cataract & Refractive Surgeon