Refractive Lens Exchange

Refractive Lens Exchange

Each year thousands of patients come to Dr. Jason P. Brinton seeking what we call visual freedom, or crisp, clear vision free of glasses and contact lenses. We accomplish this through LASIK and its six variations – SMILE, Visian ICL, PRK, Raindrop inlay, Kamra inlay, and RLE.

refractive lens exchange

refractive lens exchange pros and cons

Refractive surgery refers to the treatment of eyes that suffer from refractive problems. People that are short sighted or long sighted have refractive problems and this means that viewing things far away or viewing things very close up can be difficult. The good news is that there is laser eye treatment available that can correct these refractive problems and restore sight to as it should be. Those who suffer from myopia (shortsightedness) can have their cornea flattened slightly, and anyone with farsightedness can have the curve of their cornea slightly steepened during laser vision surgery.

Many people who wear glasses or contact lenses are unaware that there is laser treatment available that can remove their eye problems altogether. The glasses can be got rid of with a simple surgery. There are many conditions that refractive surgery can help. A refractive lens exchange is another common procedure that can help many people have their sight restored. Over time the lens of the eye become hardened, and when it does it can affect sight. A refractive lens exchange removes the hardened lens and replaces it with a new one, customised to the individual's needs. It can correct longsightedness or shortsightedness at the same time. Another benefit of a refractive lens exchange is that you will never develop cataracts in later life, as these only occur in natural lenses and can't in artificial ones.

There are different type of laser vision correction surgery. Lasik surgery is suitable for less serious problems or for people with thin corneas. If only a slight refractive problem exists then the eye doctor may prescribe this treatment. There is also lasik surgery available. This is for more serious conditions of the eye. There are many different types of lasik surgery too. Advanced surface ablation reshapes the cornea, but it does without making a flap and lifting it. This is only carried out in a rare number of cases because it is quite advanced and can take longer to heal too. Usually laser eye surgery can see someone back at work just a day or two later, but with ASA it may be a week or two before the eyes have healed completely. Blended vision is also a type of lasik surgery and this treats the two eyes for separate refractive problems. The left may need treatment for myopia, whilst the right may need vision correction for longsightedness. Usually an incision is made and then a flap is folded back in order for the lasers to reach the cornea.

When a laser is used to make the incision then this type of lasik surgery is called an IntraLasik. Using a laser in this way is a little more time consuming but the incision is neater and thinner. There is also a custom type of lasik eye surgery known as wavefront. This is a tailor made procedure per individual. The whole procedure begins by taking a 3D map of the eye. From here the map can be compared to a perfectly healthy and working eye so the surgeon or doctor can choose the most appropriate treatment.

With the advancement of laser eye surgery, now a whole host of problems and conditions can be treated easily and successfully. Glasses wearers may be rid of their glasses for good with refractive surgery. There are many different types of laser eye surgery including lasik eyes surgery and a refractive lens exchange. Your eye doctor will be able to advise you on what the most appropriate treatment would be. Laser eye surgery can also be used to treat problems with the eye such as cataracts, glaucoma and even macular degeneration. Sometimes these conditions can cause blindness if not treated to regular check ups with the eye doctor are vital.

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refractive lens exchange

Not everyone likes the idea of surgery. It is not a usual occurrence in someones life and its unfamiliarity can lead to hesitation. However, when it comes to something like the eyes, there is rarely any other recourse. Whether it is undergoing refractive lens exchange or Lasik laser surgery, the best solution is usually on the operating table.

refractive lens exchange pros and cons

As sight deteriorates slowly over time, it is difficult to judge how bad the condition is getting from the individuals perspective. It explains why so many people choose to continue using their eye glasses and contact lenses instead of having eye lens replacement procedures to fully deal with their eye sight problems. However, the techniques employed by ophthalmic surgeons are not only the most advanced in eye care yet, but they are proven to be completely safe and very effective.

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"Biometry" is the term used by eye surgeons to describe the eye measurements that need to be made before a cataract or Refractive Lens Exchange operation. In both of these procedures the natural lens of the eye is removed and replaced with a plastic artificial lens, called "the lens implant". In a cataract operation the natural cloudy lens of the eye is removed to restore vision. In Refractive Lens Exchange the natural lens remains clear but is removed and replaced so as to correct a focus problem with the eye. Technically the operations are virtually identical.

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The pre-operative measurements are needed in order to calculate the power of the lens implant required to give the desired focus to the eye following surgery. These measurements are simple, quick and painless to perform. There are two main measurements. These are: (1) the curvature of the cornea (the window of the eye), and (2) the overall length of the eye; called the "axial length". Sometimes the depth of the front chamber of the eye is also measured. Once these measurements are known formulae are used to calculate the required lens implant power.

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The curvature of the cornea is determined by analysing reflections from its surface. Instruments that do this shine an array of lights or bright rings onto the eye and then measure the size of their reflections. Some instruments are table mounted. With these the patient places their chin and forehead against rests just in front of the instrument. Others are hand held by the examiner who positions the instrument just in front of the eye.

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The overall length of the eye (axial length) is the distance from the front central point on the cornea to the centre of the retina at the back of the eye. This distance can be measured either using ultrasound or a weak laser light. The instruments that use the ultrasound method need to touch the eye. An anesthetic eye drop is used to numb the surface of the eye. The measurement is then taken either using a pencil like probe which lightly touches the centre of the cornea, or with a saline bath placed over the eye.

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The formulae that calculate the required lens implant power are complex but the principle is simple. To see clearly an image must be in focus on the retina. The total focus needed is related to the length of the eye. The two parts of the eye that "do the focusing" are the cornea and the lens. If the focus provided by the cornea is known then the amount of focus that must be provided by the lens implant can be worked out.

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An implantable contact lens can help eyesight but it does not actually cure the refractive error. Instead it purely provides a more permanent solution to glasses. If you really want to be free from sight problems for the rest of your life then refractive lens exchange is the only option available. Furthermore an implantable contact lens is only a suitable solution for people younger than 60. Anyone older than this and the procedure is not recommended even by those who provide this treatment.

refractive lens exchange cost

The price for refractive lens exchange varies depending on a number of factors and can cost $2500 to $4500 per eye or even more. The price usually includes the comprehensive eye assessment fees. Visual acuity measurements are needed to assess how clearly the eyes are seeing. Refractive tests determine the lens power needed to correct any refractive errors such as short sightedness, long sightedness, and astigmatism.

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Although on first evaluation it may seem that an implantable contact lens and refractive lens exchange are similar, they are not. An implantable contact lens is inserted over the top of the existing lens of the eye. This means perfect vision cannot be guaranteed and it also means cataracts can still form and create a problem in the future. The refractive error is not fixed it is just simply given a temporary plaster.

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When inserting an implantable contact lens, it is possible to harm the structure of the eye. When doing so conditions like cataracts and glaucoma are more likely to occur.

Refractive lens exchange is primarily suitable for the over 50s as this age group has more to gain. It actually corrects the refractive error and removes the need for glasses altogether. It is a lifelong solution to bad eyesight. Vision is returned to its more youthful state and as a huge bonus it prevents the formation of cataracts too. Because cataracts are so common and cause so many difficulties in day to day life, this is most definitely a bonus worth having.

Cataracts can prevent people from carrying out normal everyday activities. This means doing things like reading, arts and craft, sports and driving are no longer possible. Cataracts can eventually cause the lens of the eye to change colour to a yellow or brown colour. This can mean everything becomes yellow or brown in colour. Being able to avoid this condition is hugely beneficial. The advantage of RLE is that the cornea remains untouched. This is suitable for people who cannot go through laser treatment because of very thin corneas or dry eye conditions.

The cornea is the clear front part of the eye that acts like a window to control and focus the light that comes into the eye. When the cornea has an irregular shape, it causes refractive errors such as short sightedness, long sightedness, and astigmatism wherein the light does not focus properly, making certain vision distances look blurry.

To correct these various refractive errors in vision, prescription glasses or contact lenses are usually required. But sometimes, people prefer to be free from corrective eyewear to be able to enjoy life better without having to worry about broken or lost eyeglasses and eye irritation due to contact lenses.

Laser eye surgery is the most widely used method to surgically correct poor vision. Another procedure becoming popular especially among people over the age of 50 is refractive lens exchange. Both procedures can be used to treat blurry vision caused by refractive errors.

LASIK or laser in situ keratomileusis is the most used laser eye surgery method. It has continued to evolve over the years and newer techniques has made it safer than ever. It is popular because it a quick procedure that requires no overnight hospital stay.

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Laser eye surgery takes place while the patient is awake with mild sedative given. In LASIK, the area of the cornea to be operated on is marked prior to surgery. In this method, a very thin flap is created and carefully lifted. The eye surgeon uses a computer to adjust the laser and the laser light pulses painlessly reshape the cornea, precisely removing very tiny bits of tissue. The procedure is completed in minutes but the higher the prescription, the longer the operation will take. After the procedure, a protective shield may be placed over the eye and a mild pain reliever is prescribed. Care should be taken and the eye should not be rubbed, poked, or touched during this time.

On the other hand, refractive lens exchange is an alternative to laser eye surgery. It is essentially a cataract surgery but used particularly for refractive purposes. In contrast to laser surgery which involves reshaping the cornea, RLE corrects refractive errors through the replacement of the lens of the eye with an artificial one to achieve sharper focus. The procedure is very much like cataract surgery. During the operation, a small incision is made along the edge of the cornea. A special fine probe is then inserted through the incision and this is used to gently break up and suction out the lens of the eye. An intraocular lens is then implanted in place of the original lens and this acts as a permanent lens replacement. After the procedure, the dependence on glasses and contact lenses is eliminated, there is quick recovery, and the results are permanent.

The use of refractive lens exchange is a practical option especially for those adults over 50 years old. It works best for older patients who are short sighted or long sighted and want to lessen their dependence on reading glasses. The good thing about lens exchange is that it eliminates the need for cataract surgery in the future. Since the lens is replaced with an artificial one, it will not develop clumps of protein that leads to cloudiness of vision. While cataracts can develop at any age, they are most common in the older population and around two thirds of all adults will have some sign of cataracts by the age of 60 years old.

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Refractive lens exchange or clear lens exchange is an option especially for people who have the signs of early cataracts and would choose to have lens replacement instead of waiting for the cataracts to advance enough to necessitate cataract surgery.

Therefore, while laser eye surgery and refractive lens exchange can correct refractive errors, laser surgery involves reshaping the front surface of the eye while lens exchange involves surgically replacing the natural eye lens with an artificial lens.

Newer technology has made it possible to use accommodating or multifocal intraocular lenses that can improve far vision as well as enhance close vision.

The status that eye glasses have is pretty mixed. Popular to the extent of being a fashion accessory, glasses are also the source of complaints, with tired eyes, sore nose bridges and the hassle of having to take them on and off repeatedly every day the most common. Getting refractive surgery is the perfect solution to everything, it seems.

The fact is that getting to the root of an eye sight problem is more effective than simply covering over the problem with frames. But despite the fact that replacing the flawed natural lens with an artificial refractive lens is the best route to take, there are those who still hesitate.

Reasons for hesitation vary, with some feeling that surgery is not necessary, and others believing that the refractive lens exchange cost is probably too high. Neither of these reasons are based on fact, however, and when one reads the refractive lens exchange reviews from patients who have already gone through the procedure, taking the plunge is clearly worthwhile.

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What cannot be denied is that there are several drawbacks to sticking with eye glasses, regardless of the style, brand and even value of the glasses that are worn. Whether high street or designer brands, whether cheap or expensive, the negative aspects are the same. And getting surgery to treat the refractive failings of the eye is the permanent and hassle free option.

Sore Noses and Eyes One of the biggest drawbacks of eye glasses is that the eyes are still forced to suffer some discomfort. No matter how perfectly a pair of glasses sits on the bridge of the nose, wearing them can cause irritation and leave deep impressions on the skin. After long periods of time wearing the glasses, most people feel a need to remove them and rub the area.

The same can be said of the eyes themselves. With some strain caused to the eyes when glasses are removed and then worn again numerous times over the course of the day.

Inconvenience of Changing Glasses Of course, because the lenses set in the frames are designed to counter a particular vision flaw, such as short sightedness or long sightedness, it is sometimes necessary to change glasses according to the specific situation.

For example, a person working in the office may need to wear one prescription pair to allow them to read the paperwork and work at the computer. But when it comes time to go home, they may need to change prescription glasses to allow them to drive. Therefore, two pairs are necessary. Glasses Replaced It is always possible to get bifocal lenses, which means that the wearer can see objects both near and far. However, should the glasses be lost or damaged, then the consequence is doubled and the wearer can neither work nor drive. It is a bit like having all your eggs in one basket.

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The fact is that should a pair of glasses break, be scratched or even be stolen, then the process of getting another prescription pair has to be repeated. Also, as the years go by, the prescription may need to be changed as age takes its toll on the quality of sight. This underlines the fact that glasses only cover over, and do not cure, eye conditions. Hours Spent Searching A fourth drawback is the fact that people can sometimes waste hours searching for their glasses, wasting time and suffering increasing levels of frustration. It may not be a major issue, but it is something that wearers will admit to being driven round the twist over.

There are many conditions that can be rectified simply be taking out the old and deteriorated lens from your eye and replacing it with an artificial one. If you are looking to throw away your glasses and live without the hassle of dealing with contact lenses on a daily basis there is a chance that this option is suitable to you.

Refractive errors are very common, this is when the eye is unable to focus in one way or another. One of these conditions is known as Presbyopia eye correction surgery.

Presbyopia is simply caused by time, the ability to read without the assistance of glasses decreases for many people as they grow older. This can be a singular problem or it may be combined with other issues. Either way it is possible to replace the lens and eliminate the need to have glasses on when you want to focus on reading anything.

Common Eye Irregularities That Can Be Improved with Lens Implants

There are many other conditions that could be repaired by putting in a new lens in both of your eyes. This process only takes around twenty minutes per eye, and can last for a lifetime. The other common refractive errors are:

  • Myopia - This is being short sighted so that everything close to you looks good, but anything in the distance can appear blurred.

  • Astigmatism - This irregularity can cause blurred vision and is caused when the cornea is deformed.

  • Hyperopia - Being long sighted is again a very common ailment. The objects that are close to you may be blurred while you are able to see things clearly at distance.

Another problem which is surprisingly common in the over fifties are cataracts. This is when the lens becomes clouded and the vision is affected. As cataracts can result in the loss of vision many people are willing to invest in their eyesight and pay the relatively small price per eye for having good eyesight for the rest of their lives.

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What Do People Think of the Surgery?

It is always a good idea to look over refractive lens exchange reviews before you go ahead and book the free consultation. Hearing how the life of others has changed can put your mind at ease about the whole procedure. Most people are thrilled by not having to reach for their glasses every time that they wanted to read anything. You can view some wonderful testimonials by happy customers by looking online which can explain the positive impact that replacing lenses can deliver.

Most people leave the hospital and discover that they are able to read small print or see more clearly within a few hours. By the following day you will be a lot more comfortable after the surgery and able to go ahead and live your day without having to use glasses or contact lenses.

Possible Problems and How to overcome them

Although you may read about all of the positive refractive lens exchange reviews it is helpful to know some of the possible after effects that you may experience. Some people find that they have sore eyes for a couple of days after the treatment. In this situation you will be able to make use of the aftercare which is included in the cost of your surgery. A prescription of antibiotic and anti-inflammatory eye drops will be given to you and soon your eyes will feel a lot better and more comfortable.

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