Refractive Lens Exchange (RLE)

Good vision is vital for daily activities, enhancing quality of life, safety, and well-being.

Long-lasting vision correction for distance, near, or both.
Reduces dependance on glasses/contacts depending on lens choice and target outcome as discussed with your surgeon prior to operation
Treats Presbyopia
May reduce the risk of cataracts

Refractive Lens Exchange (RLE) Simplified

Suitable Candidate:
Over 40, with near, distance, or cataract-related vision issues.

Procedure Length:
About 7 minutes per eye.

Hospital Time:
Short, usually home the same day.

Vision Goal:
Realistic expectations will be set by your surgeon.

Early Activities:
Rest is essential, with about a week off work, especially in risky environments.

Recovery Timeframe:
Vision improves within 4-5 days, with full results in 6 months. Driving is typically possible 1-7 days post-surgery.

Refractive Lens Exchange Explained

Refractive Lens Exchange (RLE) is a vision correction procedure where the eye’s natural lens is replaced with an artificial intraocular lens (IOL). This surgery is designed to correct refractive errors such as nearsightedness, farsightedness, and presbyopia.

RLE provides a long-term solution to vision problems, often eliminating the need for glasses or contact lenses. It’s especially beneficial for those who are not suitable candidates for Laser Vision Correction and offers significant improvements in visual clarity and quality of life.

Cataract is one of the most commonly performed procedures annually across globe.

Best in class surgeons / market leading tech

50 years experience as a hospital group

Nationally Accredited by CQC

Excellent customer feedback, 5 star rated on Google

Am I suitable for lens replacement surgery?

Lens replacement surgery, or refractive lens exchange (RLE), is a procedure that replaces the eye’s natural lens with an artificial intraocular lens (IOL) to correct vision issues like presbyopia and high refractive errors. Suitability for this surgery depends on factors such as age, vision stability, eye health, and general health. It’s most commonly recommended for individuals over 40 with significant refractive errors, but may not be ideal for those with advanced eye conditions or unrealistic expectations about the outcome.

This surgery offers long-term vision correction, prevents cataract development, and provides fast recovery. However, a comprehensive consultation with a qualified eye surgeon is necessary to assess individual suitability, discuss potential risks, and set realistic expectations. If you believe lens replacement surgery may be right for you, scheduling a consultation is the best way to explore your options.

How Does Refractive Lens Exchange Surgery Work?

Preparation

Before the procedure, the eye is numbed with anaesthetic drops. A sub-Tenon’s block or general anaesthetic may be used for added comfort or in cases of patient anxiety.

Lens Removal

The natural lens is gently removed through a small incision.

Lens Replacement

An artificial IOL is inserted to correct vision.

Recovery

Most patients experience significantly improved vision within a few days.

Refractive Lens Exchange Explained

1. Your First Appointment

The initial pre-operative consultation is the most important stage in your journey of spectacle independence.

You will meet a specialist optometrist who will discuss your medical history and current lifestyle along with your initial interest in vision correction. You will be exposed to a number of diagnostic tests by your patient advisor, using cutting-edge technology to measure vital results which will be assessed by the specialist optometrist to confirm your initial suitability to a procedure, pending ophthalmologist (eye surgeon) final decision.

It is strongly recommended that you bring a friend or family member to this appointment and all subsequent as your eyes will be dilated resulting in your inability to drive for 4-6 hours. In our Manchester and Birmingham hospitals we do have a coffee shop where you could wait for the effects of the drops to wear off, before driving, if needed.

Should you be a successful and suitable candidate for the procedure you will have the opportunity to book your surgery at this appointment. Please note that you will be required to speak to your surgeon either in person or virtually at least 7 days prior to your surgery date. Most patients pay a £500 deposit at this appointment to secure a surgery date.

2. Surgeon Consultation (consent)

At this appointment you will meet, usually virtually, with your ophthalmologist. This is always at least 7 days before your surgery date, giving the ample, legal timeframe for you to be fully consented and have enough cooling off time to decide that you are completely happy to move forward. It is the consultant ophthalmologists’ job to make you aware of ‘both sides of the coin’. This being; the significant, life changing benefits of visual freedom, but also the potential side effects, complications and risks that all surgery carries. Our ophthalmologist will go into more granular detail about your chosen surgery and its pros and cons. We find that our patients appreciate the ethical approach that Transform Vision take to the consenting process, where our ophthalmologist is given complete agency to decide who is (and who isn’t) a great candidate for treatment. If your surgeon advises you against treatment, any monies paid will be refunded. Most patients are excited to know they have been given the final ‘all-clear’ to move forward by the surgeon at this appointment, and are a little nervous, but excited to move forward with surgery.

3. The Surgery

Just before the operation you will be given some dilation drops to enlarge the pupil. This will shortly be followed by an anaesthetic to numb the eye in the form of eye drops. A clip holding your eyelids apart allows you to blink safely during surgery.

Your surgeon will be looking through a microscope to perform the surgery. A small self-sealing entry point will be made at the junction of the white of the eye and cornea, the lens capsule will be removed followed by the removal of the natural lens via a high frequency vibrating probe, fluid washing and vacuum. The new artificial lens will be placed into position finished by a wash-out and refilling with fluid and antibiotics. You will be awake during the procedure but you will not be able to see what is happening apart from a bright light. During surgery you will be asked to lie as flat as possible with your head still. The operation usually lasts 7 minutes but can last longer. A pad or shield may be put over your eye to protect it.

This is a local anaesthetic procedure, usually performed to both eyes on the same day. You can go home shortly after your surgery is finished, after you have had time to rest and been given your TTA (to take away) medications. Getting a lift home or a taxi / planned transport is best. Most patients can see to drive after 1- 7 days after the operation. Your optometrist will call you the next day to do your 1 day check up, and ask you to come in to the clinic if we need to see you face to face based on how you feel you are recovering. We then see most patients after 1 week in clinic and we can show you the visual improvement on the wall and reading charts. Your aftercare will follow on from this point forward. Most patients are discharged from our care within 6 months.

What is Bilateral RLE?

Bilateral RLE (Refractive Lens Exchange) is a procedure where both eyes are treated, often on the same day. This approach helps reduce the need for multiple surgeries and recovery periods, offering a more convenient solution for patients seeking vision correction.

Key Points:

Treats Both Eyes

Both eyes are treated, typically during a single visit, allowing for a quicker recovery period.

Reduced Recovery Time

Patients can often return to daily activities sooner compared to separate surgeries for each eye.

Custom Lens Choice

Depending on your vision needs, different types of lenses can be selected to correct vision issues, such as presbyopia or myopia.

Minimises Appointments

By treating both eyes at once, you can reduce the number of hospital visits and aftercare appointments.

How Transform Vision Performs Bilateral RLE

Comprehensive Consultations

At Transform Vision, you will undergo a thorough consultation to assess your suitability for bilateral RLE.

Experienced Surgeons

Our expert surgeons are highly skilled in performing bilateral surgeries, ensuring precision and safety.

Aftercare Support

We provide comprehensive aftercare to monitor your recovery and ensure the best possible outcomes for your vision.

Success Stories - Hear it from our happy patients

I had lens replacement surgery at Transform Altrincham and can not recommend this procedure enough! The service was 1st class my initial consultation with Toni was extremly thorough.
Mr Desai ( the surgeon ) explained every step of my journey , Roberta & Snehah in theatre were lovely even held my hand but I felt nothing and the two nurses back on the ward after recording blood pressure etc reassured me & made me a cup of tea!
The best bit was I messaged my husband to pick me up "WITHOUT" glasses on I can now see everything without need for glasses / contact lenses . Thank you this is totally life changing!

When I spoke to Toni about lens replacement I couldn't have been happier. I had my procedure on 22nd Feb by Mr Desai who was brilliant. The care and after care have been excellent and the best thing is I no longer need glasses. This is one happy customer.
I highly recommend Transform at Burcot Hall hospital.

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Benefits of Refractive Lens Exchange Surgery

Corrects Multiple Vision Issues

Depending on your lens choice and the intended outcome, the surgery can effectively correct nearsightedness, farsightedness, and presbyopia, providing a stable and long-lasting solution.

Long-Term Solution

Provides lasting vision improvement.

Reduces Dependence on Eyewear

Minimizes or eliminates the need for glasses or contacts.

Suitable for Non-LASIK Candidates

Ideal for those not eligible for LASIK.

Improves Visual Clarity

Enhances vision at various distances.

Effective Cataract Treatment and Prevention

Effectively treats cataracts in patients who already have them and may help delay their development in younger individuals with a clear lens.

FAQs

What is Refractive Lens Exchange (RLE)?

RLE is a surgical procedure where the eye’s natural lens is replaced with an artificial intraocular lens (IOL) to correct refractive errors like nearsightedness, farsightedness, and presbyopia.

Who is a good candidate for RLE?

RLE is ideal for individuals with significant refractive errors or presbyopia, especially those who are not suitable candidates for LASIK due to factors like high prescription or thin corneas.

How long does the RLE procedure take?

The procedure typically takes about 7 mins per eye.

What is the recovery time for RLE?

Recovery time for Refractive Lens Exchange (RLE) varies from patient to patient. Significant improvement in vision is often noticed within the first day, with further improvements over the first 4-5 days. Full visual clarity may take up to six months to achieve. Most patients meet the driving standards within 1 to 7 days post-operation.

Are there any risks associated with RLE?

As with any surgical procedure, Refractive Lens Exchange (RLE) carries some potential risks. These may include infection, inflammation, or temporary changes in vision. However, RLE is widely regarded as a safe procedure with a high success rate. While rare, more significant side effects or complications can occur. Your optometrist and surgeon will thoroughly explain all potential risks and side effects during the consultation and consent process, ensuring you are fully informed before proceeding with treatment.

Will I need glasses after RLE?

Many patients experience a significant reduction in their dependence on glasses or contact lenses following Refractive Lens Exchange (RLE). However, some individuals may still require glasses for specific tasks, particularly in low-light conditions or when reading small text. The need for glasses after RLE can depend on the type of lens chosen. Multifocal lenses, extended depth of focus (EDOF) lenses, or monovision options are designed to provide improved vision at various distances. Patients who opt for multifocal lenses often report a high level of satisfaction, with many experiencing functional vision without glasses for most daily activities. Your surgeon will discuss the expected outcomes based on your specific circumstances during your consultation.

Invest in Your Vision with Flexible Financing Options

Understanding that affordability is critical to accessing transformative health services, we offer various financing options to fit your budget. Our flexible plans make your journey to a better vision achievable and affordable. Explore our tailored payment solutions to take the first step towards a healthier vision.

We provide two key financing options:

12 months IFC 0%
This interest-free credit option allows you to spread payments over 12 months without any interest being applied, offering a 0% APR.
2 to 6 years @ 17.99% APR subject to status
For longer-term payment plans, you can choose financing options ranging from 2 to 6 years, with an interest rate of 17.99% APR, subject to credit approval.

Explore our tailored payment solutions for a clearer vision

Why Choose Us

Competitive Prices

We will beat any like-for-like UK quote (ends 31 March 2025).

Advanced Technology

We use market-leading technology to deliver outstanding results.

Top Surgeons

Patients travel from across the UK to access our renowned surgeons, like Dr. Desai for RLE.

Experienced Team

Our optometrists and surgeons have treated over 200,000 patients.

50 Years in Healthcare

We bring decades of experience as a trusted hospital group.

All Lens Types

We offer a wide range of lenses to suit your unique needs, selecting only the best for your eyes.

Premium Facilities

Our consultations and surgeries take place in beautiful private hospitals, offering a superior experience.

Thorough Consent Process

We prioritise your comfort and understanding, ensuring you’re fully informed before surgery.

Comprehensive Aftercare

Includes 6 months of follow-up care with your surgeon and optometrist, plus all necessary drops and YAG treatment if needed.

Free Chauffeur Service

Available on the day of surgery for patients travelling over an hour.

Quick Treatment

Get treated within 35 days in most cases.

Private Insurance Approved

We’re recognised by BUPA, WPA, and Healix.

Rated ‘Good’ by CQC

Our hospitals meet high regulatory standards.

Efficient Bilateral Surgery

95% of lens surgeries are performed bilaterally, minimising your recovery time and appointments.

Personalised Care Plans

We tailor each treatment plan to your specific needs, ensuring the best possible outcomes for your eye health and vision.

Aftercare Support: Ensuring Lasting Clarity

At Vision Aftercare, we’re dedicated to your well-being beyond the procedure. Here’s how we ensure you receive the best care:

Free Consultation

Start with a no-obligation consultation to discuss your needs.

Expert Hospital-Based Care

Receive treatment from experienced surgeons and optometrist in a CQC-regulated facility.

Industry-Leading Aftercare

Our commitment continues post-procedure, ensuring your recovery is smooth and successful.

Count on us for comprehensive support on your path to better vision.

Find Our State-of-the-Art Clinics and Hospitals Near You

Find top-tier vision solutions at our facilities located in key UK cities. We're ready to provide exceptional care whether you’re near Bromsgrove, or Harley. Discover the Transform Vision clinic or hospital closest to you and embark on your journey to healthier eyesight with our expert medical team.

Meet Our Dedicated Team of Specialists

Experience exceptional care from our expert team at Vision Aftercare. With a focus on personalized treatment and extensive expertise in advanced eye care, we’re here to support you throughout your journey to clearer vision.

Your Vision Transformation Starts Here!

It’s time to reclaim your vision and see the world clearly. One call with us, and you’ll know exactly where to begin your journey to #BetterVision.

Refractive Lens Exchange (RLE)