Refractive Lens Exchange (RLE)
Eye Surgery
What is RLE?
Refractive Lens Exchange (RLE) is a vision correction option for people over 45 who are experiencing age-related changes in near vision, such as the need for reading glasses (presbyopia).
During RLE, the eye’s natural lens is removed and replaced with an artificial intraocular lens (IOL). This procedure is very similar to cataract surgery, a common operation worldwide. In RLE, the natural lens is usually clear, and the goal is to reduce dependence on glasses or contact lenses for distance and near vision.
A range of intraocular lenses (IOLs) is available to match different vision needs. Your eye health and individual measurements will guide which IOL is most appropriate. Depending on the chosen lens, RLE can support vision for distance, near, or both (with a multifocal IOL). Most people find their reliance on glasses is significantly reduced after RLE, but the outcome varies based on each person’s eyes and lens selection.
Your suitability for RLE and likely results will be discussed in detail at your consultation.
Over 45 and Struggling with Reading Glasses? Consider Refractive Lens Exchange (RLE)!
Learn more about RLE
Refractive Lens Exchange (RLE) is a procedure used to correct common vision conditions, including short-sightedness (myopia), long-sightedness (hyperopia), and astigmatism. It is often recommended for people over 45 who rely on bifocal or multifocal glasses, especially if they have a high prescription or are not suitable for laser eye surgery.
Refractive Lens Exchange (RLE) is performed by Dr Justin Sherwin at a day procedure centre. Before surgery, you’ll meet with an anaesthetist who will administer a light sedative to help you feel relaxed and at ease. Anaesthetic eye drops are used to numb the eye.
Dr Sherwin creates a small opening in the eye, less than 3 mm in size, to access the natural lens. Using a process called phacoemulsification, an ultrasound probe gently breaks up and removes the lens. A flexible intraocular lens (IOL) is then inserted through the same opening, unfolding into place. This new lens is designed to stay in your eye permanently.
The procedure typically takes less than 30 minutes. However, you’ll remain at the day surgery centre for around 2 hours to recover. You’ll need someone to drive you home and stay with you for the rest of the day.
In most cases, each eye is treated at least one week apart.
You’ll need to arrange for someone to take you home and stay with you after your Refractive Lens Exchange (RLE) surgery. Plan to rest and avoid strenuous activity for at least 48 hours.
Your vision may be slightly blurry immediately after the procedure as the anaesthetic and dilation drops wear off. Most people notice clearer vision by the next day, although some fluctuation is normal in the early healing period. It can take a few weeks for your vision to fully stabilise.
It’s also common to experience mild discomfort or a gritty sensation for a few days following the procedure. Dr Justin Sherwin will provide anti-inflammatory eye drops to support healing and reduce inflammation, which you’ll use for several weeks after surgery.
Meet your Surgeon - Dr Justin Sherwin
Dr Justin Sherwin is experienced in a range of lens-based vision correction procedures, including cataract surgery, blended vision (monovision), and the use of intraocular lenses such as extended depth of focus and multifocal lenses. During your assessment, Dr Sherwin will discuss the available options to help you find a vision correction approach that suits your individual needs and lifestyle. Your expected benefits and any potential risks will be explained as part of a personalised treatment plan.
RLE Surgery FAQs
Refractive Lens Exchange (RLE) surgery is not considered painful. Anaesthetic eye drops are used to numb the eye before the procedure begins. You may feel some pressure or mild sensation, but the goal is to keep you comfortable throughout. Most people describe the experience as quick and straightforward.
While vision may be blurry immediately after surgery, many people notice an improvement the next day. However, it’s normal for vision to fluctuate slightly as your eyes adjust and heal in the weeks following your RLE procedure. Your expected recovery timeline will be discussed during your consultation.
Most people return to normal daily tasks—such as work or driving within a few days after the second eye has been treated. The eyes are usually treated one week apart. While recovery is generally quick, you’ll be given personalised advice based on your procedure and visual goals.
Like all surgical procedures, RLE carries some risks, although complications are uncommon. These may include inflammation, infection, or visual disturbances. All potential risks and your individual suitability will be discussed during your consultation with your ophthalmologist, so you can make an informed decision.
Schedule your initial consultation today
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