PRK is a type of laser refractive surgery that is used for the correction of myopia, hyperopia and astigmatism. We look forward to working with you to determine the best eye surgery or nonsurgical treatment for your individual needs. Unlike LASIK, refractive lens exchange can treat presbyopia, age-related hardening of the lens that causes many people to need reading glasses. There are many advantages of getting refractive lens exchange. To schedule an appointment, you may call 803-256-0641. doi: 10. Eur J Ophthalmol. Humble - S. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Refractive Lens Exchange (RLE) is an excellent approach for older people to get rid of their spectacles and contact lenses for distance vision and increase their range of focus so that they hardly ever need to use reading glasses. The removal of the crystalline lens for refractive purposes, or so-called refractive lens exchange (RLE), offers distinct advantages over corneal refractive surgery in selected cases. This outer corneal layer is able to repair itself, which is the reason why the recovery period is. Refractive lens exchange, or RLE, is a type of corrective vision surgery that involves removing the eye’s natural lens and replacing it with an artificial lens (IOL). Below is a list of questions commonly asked by people considering Cataract or Refractive Lens Exchange (RLE) surgery. 10. Like the lenses in your eyeglasses, your implant will contain the correct prescription to give you the best possible vision. Our state-of-the-art technology allows for personalized treatments tailored to your specific needs. RLE, sometimes called “clear lens extraction,” is most commonly performed on patients older than 40 who have high levels of hyperopia (better distance vision than near vision). If you want to achieve better vision with surgery but have been told that you are not a candidate for LASIK or PRK, clear lens extraction (CLE) may be an option for you. Hura says. An advertised price lower than $1000 is typically only for the lowest prescriptions without astigmatism. Consequently, the measurements of axial length, keratometry, and so forth are usually quite different from. (248) 710-2325. Also referred to as clear lens extraction or lens replacement surgery this is a great alternative to. Multifocal IOLs can be used to decrease your need for distance and/or reading glasses. The procedure will also reduce your need for cataract surgery in the future. The Refractive lens exchange is also meant for people with extreme farsightedness and not cataracts. Only the selected eye is “frozen” for this painless surgery. On the day of the procedure one can expect to spend approximately 90-120 minutes at the office / surgery center. Careers; Blog; Testimonials; Our Doctors. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Moreover, we provide advanced cataract surgery, restoration of reading vision, as well as leading-edge refractive surgery. PRK works by reshaping the cornea using the excimer laser after the epithelium is removed from the center of the cornea. The difference is that in RLE, the lens being replaced is clear, rather than a cloudy lens due to a cataract. S. Our Surgeon: Dr. IntraLase ® FS Laser System. The procedure takes about 10 minutes. The light adjustable lens is a customizable intraocular lens that allows patients' vision to be modified after the lens is implanted, resulting in nearly perfect vision. “Higher hyperopes are prime candidates because they’re not the greatest LASIK candidates,” he avers. Tailored for individuals over 40, RLE effectively addresses the natural vision changes that come with aging, as well as common vision. Skip to content. Analysis of. Evania. Of the survey responders, 8. PubMed Google Scholar Horgan N, Condon PI, Beatty S: Refractive lens exchange in high myopia: long term follow up. Dr. Refractive Lens Exchange is a vision correction procedure that treats presbyopia, a common age-related vision disorder that occurs in our early- to mid- 40’s and affects our up-close vision, and high hyperopia (severe farsightedness). Refractive lens exchange is a surgical procedure involving removing your eye's natural lens and replacing it with a permanent "state-of-the-art super contact lens. S. Weekend: Closed. Billing & Insurance. This is also known as Clear Lens Extraction And Replacement (CLEAR). The polar opinion is that refractive lensectomy is no different from any other elective refractive procedure. Some patients are better suited for procedures that remove the natural lens in a technique similar to cataract surgery, called refractive lens exchange (RLE). REQUEST APPOINTMENT 310-838-0202. Refractive Lens Exchange Doctor. 00 D) and high (>4. Please contact Nevada Eye Consultants in the Reno and Lake Tahoe area to schedule a consultation. GET STARTED. What is refractive lens exchange (RLE)? RLE is a surgical procedure in which the natural lens of the eye is removed and replaced with an artificial lens. At Eye Care Professionals, we are here to help. We also offer refractive lens exchange — a surgical procedure for patients 40+ who do. The EVO ICL™ is made of a biocompatible material called Collamer ®. Table 1 lists the large studies [7,8,12,14,23–26,27 ,28–32] published comparing different options. Clear lens extraction (CLE)—also known as refractive lensectomy or refractive lens exchange—is similar to cataract surgery. Next, a round opening is made in the lens capsule, and the lens is removed by ultrasound. He returned about 15 years later for refractive lens exchange (RLE) surgery with Dr. A LASIK technician runs tests using iDesign technology with 25x more accurate measurements than other methods used for contacts or glasses. short. Only one eye will be treated at a time. You don’t need general anesthesia, meaning you can go home the same day. Surgery Day. This outpatient procedure is typically done as an initial treatment for mild to. This is because IOLs are thinner than the natural lens. Free Information Booklet. Learn more about clear vision with the revolutionary refractive lens exchange procedure, available at Loden Vision Centers in Nashville, TN. Plan your Recovery. The technical procedure is very similar to cataract surgery, although in RLE. Learn how refractive lens exchange can correct common vision problems such as myopia, hyperopia, astigmatism, and presbyopia. Discover everything you need to know about refractive lens exchange surgery including cost, insurance. Refractive lensectomy can be used to correct moderate to high degrees of myopia (nearsightedness) and hyperopia (farsightedness). Refractive lens exchange is an excellent option for many of our patients who want to reduce or eliminate their dependence on eyeglasses or contacts. 5420 Kietzke Lane, Suite 103. Refractive Lens Exchange (RLE) is an excellent approach for older people to get rid of their spectacles and contact lenses for distance vision and increase their range of focus so that they hardly ever need to use reading glasses. Dr. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. Nevertheless, in some middle-aged patients with high refractive errors, corneal refractive surgery can be a safe and effective treatment. Refractive Lens Exchange; Implantable Contact Lens; PATIENTS. RLE procedure is a type of surgery that replaces the natural eye lens with an artificial. Reno, Nevada 89511. In order to see close-up objects, our eyes have to accommodate. Nevada Eye Care East. Refractive lens exchange is a type of lens replacement surgery. The RLE procedure usually takes around 15-20 minutes. Email the Surgeon. 8528. Refractive Lens Exchange (RLE) can reduce or eliminate large amounts of nearsightedness and farsightedness and therefore may be a better surgical solution than LASIK for high prescriptions. Request an appointment online. A refractive lens exchange is a simple outpatient procedure. Conditions such as macular degeneration or glaucoma. Richard A Erdey, MD is a Board Certified Ophthalmologist specializing in the diagnosis and treatment of eye conditions. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. Facilities touting extremely low costs (less than $1,000 per eye) are generally providing unrealistic estimates. I had my technicians attain my preoperative measurements, and I made my own calculations. Dr. Conclusion: Refractive lens exchange results in rapid and predictable improvement in unaided vision in patients with high myopia. Refractive Lens Exchange suitability criteria. Reno, Nevada 89511. The surgery takes 30 min. 4 D) in 32 children. From a clinical perspective, refractive lens exchange—also referred to as clear lens exchange or, more recently, refractive lensectomy—is a viable alternative for patients with refractive errors who are not candidates for LASIK. A fast, comfortable procedure. RLE can also correct nearsightedness, farsightedness, and astigmatism. Your surgeon will utilize the state-of-the-art laser system to create the corneal flap with the utmost degree of accuracy. We can assess your condition, helping you decide on the best option. This might sound like a similar procedure to cataract surgery. Replacing Your Lens. Mackenzie Rogers. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. EN. Why Choose KP? For decades, Kaiser Permanente has been one of the most trusted healthcare names in the country. This condition, called presbyopia, causes your natural lens to become firm and less. Additionally, if you have this corneas or high levels nearsightedness this. Thousand Oaks Eye Surgery. Lynn Eye Medical Group. Cornea; Glaucoma; Eye Conditions; Patient Info; Blog; Contact; OD Portal; Patient Portal; 775. Age-related changes can cause the lens to become stiff, and over time it can become cloudy and form cataracts. Benefits of Refractive Lens Exchange. The EVO ICL™ is an updated version of the original ICL™ that allows the lens to be implanted without the. Jason Stahl, MD, who is in practice in Overland Park, Kansas, says his practice doesn’t participate with insurance, but he has been providing in-office refractive lens exchange and refractive cataract surgery for almost two years. A pair of prescription glasses costs $300. It’s not as flexible, but it’s clear. Replacing them every year will cost the average 25-year-old $18,000 throughout their lifetime. A total of 17 eyes from nine patients were included in the study. While dangerous, infections and retinal detachments are extremely uncommon side effects + everything. Many patients are surprised to. He attended the University of Nevada, Reno before receiving his Bachelor of Science degree in Vision Science from. Refractive lens exchange (RLE) is a procedure in which the natural lens of the eye is broken down, suctioned out, and then replaced with a synthetic lens that corrects your vision. Use of laser-assisted refractive surgery for the treatment of myopic anisometropia has been reported in over 17 case series. Your surgeon makes a small cut at the edge of your cornea, removes your natural lens, and replaces it with a plastic lens implant. (317) 844-5530. Ninety-nine percent of the responders considered themselves refractive surgeons and 34% had undergone a laser vision correction themselves. Usually back to full activities 48 hours after surgery. Our doctors and staff will discuss which of these lenses and which surgical techniques may be best suited for your particular vision, lifestyle and activities. Intraocular lenses allow a patient to see at a distance and up close for reading, reducing or even. Reno Eye Care Professionals Contact Us 10685 Professional Circle, Suite A Reno, NV 89521 (At south intersection of Professional & Double R) Phone: (775) 322-1000 Toll-Free: (877) 292-2739 Fax: (775) 322-1050 Another lens that could put RLE within reach for more patients is the Apthera IC-8 (B + L) and refractive surgeons are excited by the potential. Call us at (877) 852-8463 or Schedule Appointment online to learn more. Also referred to as clear lens exchange or refractive lensectomy, RLE is a surgical procedure that involves removing the natural lens of the eye and replacing it with an artificial intraocular lens (IOL). The purpose of the procedure is to reduce the need for glasses and contact lenses. A Refractive Lens Exchange, also known as a Clear Lens Exchange, is an almost identical procedure to cataract surgery. Curr Opin Ophthalmol. “The issue I have with the promotion of dysfunctional lens syndrome is that its proponents are basically trying to. RLE can both reduce the need for glasses and remove any risk of future problems due to angle closure. The crux of the issue, of course, is the risk, albeit small, of loss of vision (infection, retinal detachment, etc. Learn more about the RLE eye surgery. This advanced treatment can serve as an effective alternative to LASIK and other laser vision correction procedures. At Eye Care Professionals, we are here to help. One of its bigger disadvantages is its premium. OUR ADMINISTRATION TEAM. The only difference is that people who undergo cataract surgery already have a cataract. Refractive Lens Exchange (also called Clear Lens Exchange) refers to removing the natural lens of the eye, and replacing it with an artificial implant. Next, the new intraocular lens will be folded and injected through the same micro. RLE is also. 1. It helps redirect the light rays entering your eye, so they can focus properly on the retina. About 76 percent of American adults wear prescription glasses or contacts. Concept. It can correct extreme myopia and hyperopia. 801-581-2668. An ICL, also called an Implantable Collamer® Lens, is a refractive implant to correct myopia (nearsightedness) and astigmatism. Sugar Land, TX 77479. Your best option should be decided after a thorough examination and discussion with one of our surgeons. Our Plano location has moved to 4708 Dexter Dr #450, Plano, TX 75093. Request an appointment online. RLE is also. For many individuals, this is a chance to live an active lifestyle, read comfortably, and continue doing work that requires close vision. Another option for vision correction surgeries is RLE (Refractive Lens Exchange). (Unlike LASIK). In both procedures, a synthetic lens is inserted into the eye through a small incision to replace the native lens. The RLE procedure usually takes around 15-20 minutes. Need help deciding? Explore feedback from real patients, what awards they've won, and much more to help you choose. Refractive lens exchange is a more extensive form of eye surgery than laser eye surgery. At this age due to presbyopia and DLS, LASIK is most likely not the best option. Almost identical to cataract surgery, RLE can be used to treat myopia,. 052720. The Eye Center - LASIK Testimonial. 17600 NE Delfel Road Vancouver, WA 98642. What is refractive lens exchange (RLE)? RLE is a surgical procedure in which the natural lens of the eye is removed and replaced with an artificial lens. Unlike LASIK, refractive lens exchange can treat presbyopia, age-related hardening of the lens that causes many people to need reading glasses. Barker treats patients at SharpeVision Modern LASIK & LENS Seattle-Bellevue and Chicago. This practical and technical update on a representative group of. Age related eye problems that may eventually occur can be monitored and treated normally. As in cataract surgery, three types of IOLs are available to replace your natural lens, depending on your vision needs and the health of your eyes. Monovision LASIK is similar in cost to other LASIK procedures. After cataract surgery, you could see better than you ever have before. Click to Learn More. It works by reshaping your cornea to reduce refractive errors such as hyperopia, myopia, and astigmatism. This adds up to a total of $500. Menu. Home; About; Meet the Doctors; Services;Refractive lens exchange (RLE) to the rescue. Presbyopia is an age-related condition that makes your natural lens less elastic. Deciding between the two. 404-531-9988. Cataracts. PHONE:. The surgery takes 30 min. RLE is also known as the Lifestyle Lens because it allows patients to return to many of the activities that they enjoy. For information, call 1-800-Eye-Care: (800) 393-2273. In contrast, cataract surgery is mainly undertaken. Skip to content. Refractive Lens Exchange (RLE) Refractive lens exchange (RLE), is when a clear lens is implanted to replace your eye’s natural lens to correct your vision. Approved by the U. Methods This prospective cohort study enrolled patients with implantation of the diffractive trifocal IOL or the. Take control of your vision and explore the life-changing benefits of Refractive Lens Exchange in Reno. However, each eye is treated separately, about a week or two apart. Refractive lens exchange (RLE) is an elective eye surgery that corrects vision problems such as myopia, hyperopia, and astigmatism, with the added benefit of correcting presbyopia (age-related inability to see up close). This new, clear lens exchange is designed to correct refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. Cataract patients have a medical indication for surgery and restoring their visual acuity (VA) alone is considered a success. Gabric N, Dekaris I, Karaman Z, Refractive lens. In his spare time he enjoys skiing, playing baseball, basketball, and golf. The procedure is actually almost identical to the procedure for cataract surgery in that the. Refractive lens exchange is just one of the possible treatment options for this stage of DLS. Also referred to as clear lens exchange or refractive lensectomy, RLE is a surgical procedure that involves removing the natural lens of the eye and replacing it with an artificial intraocular lens (IOL). Short recovery period. D. He is a skilled eye surgeon specializing in LASIK, cataracts and glaucoma. The type of lens used in the exchange. He has over 25 years experience in Ophthalmic Surgery and has performed more than 25,000 cataract operations– making him one of the Nation. Riverpark Dr. Almost identical to cataract surgery, RLE can be used to treat myopia, hyperopia, and presbyopia. Learn More. Herschel LASIK and Cataract Institute is not a practice location of NVISION, nor does NVISION own, control or manage Herschel LASIK and Cataract Institute. This procedure is often used for pre-cataract patients, as a preventative vision correction solution. (360) 635-5000. D. 0 dpt in more than 90%. The refractive lens procedure involves going inside the eye, whereas LASIK does not. com. The bitoric, aspheric, aberration-neutral toric IOL was implanted through a 1. doi: 10. Andrew Kopstein has performed over 45,000 LENS Procedures!. For visual conditions that involve the lens inside your eye, Refractive Lens Exchange is the recommended option for an exceptional visual outcome: clear vision with a reduced need for glasses, contact lenses, reading glasses, progressives or bifocals. Fortunately, modern advanced technology implants can provide distance, intermediate, and near vision. You don’t need general anesthesia, meaning you can go home the same day. Contact us for more information about our life-changing services. For patients with hyperopia, the goal of RLE surgery is to correct farsightedness and allow their eyes to focus better on objects that are close. Both operations involve replacing the natural lens with an IOL. Once these drops spread over the surface of your eye, your surgeon will. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739Refractive Lens Exchange is an excellent procedure for people who are over age 40-50 and are nearsighted (distant objects appear blurry) or farsighted (close objects appear blurry), people with early cataract formation, and individuals who want to treat presbyopia (gradual decline in the ability to focus on close objects) with a multifocal implant. Using methods that are essentially the same as cataract surgery, RLE involves replacing the eye’s natural lens with an artificial intraocular lens implant (IOL). Cataract patients have a medical indication for surgery and restoring their visual acuity (VA) alone is considered a success. Refractive lens exchange (discussed at length below) is a definitive treatment (one and done-won’t need another refractive eye surgery) that allows you to focus on distant objects, near objects and not need cataract surgery as you get older; Stage 4: age 60 and older. They have the most incredible staff, from start to finish they. For Expert Eyecare, Cataract, Lens Replacement, LASIK, and More, Call or Request an Appointment With Us Today! 855-734-2020. As stated above, it is recommended only for people who cannot qualify for common vision corrective procedures. OPHTHALMIC ASSISTANT. Treatment and Surgery of Retinal diseases. Learn about the Refractive Lens Exchange (RLE) or Lens replacement surgery performed at the Dallas office of Lasercare Eye Center. Almost 50% of those who underwent laser vision correction were in their 30s, 30% in their 40s, and 22% in their 20s at the time of surgery. Directions Contact. RLE also eliminates the need for future cataract surgery by replacing the lens that would. Refractive lens exchange involves removing the natural lens and replacing it with an artificial lens, exactly like in cataract surgery, but before the cataract is fully formed. Your natural lens is surgically removed with ultrasound energy and replaced with an artificial intraocular lens (IOL). Refractive lens exchange in Australia can be considered expensive, depending on the type of lenses used and the clinic where the procedure is performed. Through this specialized and precise instrument, called a phacoemulsifier, the natural lens is then. In fact, he’s the Pacific Northwest’s foremost RLE surgeon! With over 50,000 vision correction procedures to his name, Dr. 005 > Crossref Medline Google Scholar; 20. It involves removing the patient’s natural lens and implanting a synthetic one. Refractive Lens Exchange (RLE) is an advanced form of surgical vision correction in which the crystalline lens of the eye is replaced with an. S. The sole distinction is that RLE is conducted to lessen reliance on glasses or contact lenses. With refractive lens exchange, also called lens replacement eye surgery, or Dysfunctional Lens Exchange, your natural lens is removed and replaced by a clear lens with a different lens power to correct your vision. Refractive lens exchange (RLE) Refractive lens exchange (RLE) Share +1; Tweet; Back to Top. Refractive Lens Exchange (RLE) is a vision correction procedure that is intended for people aged 40 or older. When you reach the age of 40, you may start to experience presbyopia, which is the age-related loss of near vision. An eyecare specialist will be able to evaluate which. Rancho Cucamonga, CA. To perform RLE, your surgeon will apply. Refractive Lens Exchange surgery is an outpatient procedure, taking only about 10-15 minutes per eye. RLE can both reduce the need for glasses and remove any risk of future problems due to angle closure. (281) 446-7900. What Is Refractive Lens Exchange Surgery? Translate: Search. Step 3. Click here for hours, directions, and more office information. Visual and refractive outcomes, spectacle independence, and visual disturbances after cataract or refractive lens exchange surgery: comparison of 2 trifocal intraocular lenses. Step 2. About Us; Blog;Refractive lens exchange is a procedure that replaces your natural lens with an artificial one. , surgeon Mark Packer says that, though he has no problem with refractive lens exchange as an elective procedure, he thinks the rationale behind DLS cedes too much power to payors in terms of making diagnoses. This is an outpatient procedure which means you will be. Laser Floaters treatment. Book an Appointment. Take the first step toward a life with clearer vision! Schedule your consultation with us today to explore your options and tailored solutions. Refractive lens exchange versus phakic intraocular lenses. Email the Surgeon. Used for LASIK procedures, as well as advanced corneal surgery, the IntraLase ® FS Laser allows our surgeons to gently and skillfully create a corneal flap without the use of a blade. and graduated from high school earning the esteemed International Baccalaureate Degree. Refractive Lens Exchange procedure. Refractive Lens Exchange (RLE) – A great alternative to LASIK for those over 50. For patients younger than the early or mid-40’s, LASIK can. Learn more about clear vision with the revolutionary refractive lens exchange procedure, available at Loden Vision Centers in Nashville, TN. 2002, 12: 384-387. Reno, NV 89521 775-841-2000. (713) 580-2525. Book an appointment today!RxSight™ Light Adjustable Lens; What To Expect; IOLs; Cataract Surgery Technology; LASIK. RLE - Refractive Lens Exchange prices from ₹15078 - Enquire for a fast quote ★ Choose from 118 RLE - Refractive Lens Exchange Clinics in India with 62 verified patient reviews. Anesthetic eye drops are used to numb the eyes prior to RLE surgery, and the technology used today provides a quick, pain-free experience for patients. For farsighted patients or those with presbyopia who fail to qualify for corrective eye surgeries like LASIK or PRK, we offer refractive lens exchange. Renown Office. 1-7. The artificial lens now takes its place. Mesa; Chandler; Blog; Real Patient Stories; Cataracts. 5420 Kietzke Lane, Suite 103. Hands down the best! I recently had Lasik surgery with Dr. PHONE: (775) 322-1000 TOLL FREE: (877) 292-2739 Additionally, our clinic offers state-of-the-art implantable lenses, lens exchange for improved vision while using high-tech equipment, methods, and techniques. The difference is that in RLE, the lens being changed is clear, rather than a cloudy lens due to a cataract. Clear. It is fast, straightforward, painless, and very effective. Every NVISION patient is different. Doctor Portal Schedule a Consultation. About Refractive Lens Exchange. This outer corneal layer is able to repair itself, which is the reason why the recovery period is. Conclusion: Refractive lens exchange results in rapid and predictable improvement in unaided vision in patients with high myopia. As in cataract surgery, three types of IOLs are available to replace your natural lens, depending on your vision needs and the health of your eyes. Presbyopia initially affects only reading vision but later will also cause deterioration in. This procedure, also called refractive lens exchange, eliminates the need for future cataract surgery. Refractive Lens Exchange is a surgical procedure that replaces the natural lens in your eye with an artificial one called an intraocular lens. Presbyopia is a kind of refractive. Samantha Schneider-Johnson, MD. Attending the University of Miami, FL on scholarship, he earned a Bachelor’s of Science. At Young H. Henry Ford is experienced in refractive lens exchange, which can help to correct age-related vision loss and reduce the need for glasses or contacts. Treatment and Surgery of Retinal diseases. Barraquer C, Cavelier C, Mejia L, Incidence of retinal detachment following clear-lens extraction in myopic patients, Arch Ophthalmol, 1994;112:336–9 6. 031 PMID: 31564315 > Crossref Medline Google Scholar; 29. As we age, the flexibility of our eye’s natural lens gradually dissipates, making it difficult to focus on. Custom lens replacement, or refractive lens exchange, is advanced laser eye surgery offered at nJoy Vision in OKC that can reduce or eliminate your need for glasses or contacts. The average cost of refractive lens exchange in Australia can range from $4000 to $6000 per eye. The extent to which it does this varies. Read about his background and philosophy toward patient care. 05. The Procedure. “The small aperture optics of the IC-8 confer extended depth of focus. Two types of intraocular refractive surgery are described below: phakic intraocular lens and refractive lens exchange (clear lens extraction). Abstract. Nevada Eye Consultants is the only iLASIK certified laser center in Northern Nevada. Step 1. 8528. About. Sometimes also referred to as cataract surgery, refractive. This article gives a brief overview about the application of RLE for individuals with presbyopia and refractive errors like myopia, hyperopia, and astigmatism who are not suitable for laser correction. About U of U Health. 2005, 89: 670-672. Our trusted Re:Vision eye surgeons are experts at Refractive Lens Exchange surgery. This is also known as a clear lens extraction, or a refractive lens replacement procedure. “Refractive lens exchange with a multifocal lens can give them four things,” he says. Frederickson is. Refractive Lens Exchange (RLE) Refractive Lens Exchange (RLE) is another form of intraocular refractive surgery.