Patient Satisfaction Rates for Refractive Lens Exchange Surgery

June 26, 2023 | Eye Surgery

The decision to opt for refractive surgery can be complex, involving various factors like the expected outcomes, risks, costs, and personal health considerations. At 43Vision, we have dedicated our lives to being leading experts in refractive surgery, also known as vision correction surgery. Our dedication keeps us at the forefront of refractive surgery advancements. Our goal is to offer patients the most advanced, effective, and tailored vision correction procedures that have the potential to transform their lives.

In this article, we take a look at patient satisfaction rates for Refractive Lens Exchange (RLE). Refractive Lens Exchange, also known as Custom Lens Replacement, has become the most popular vision correction option at 43Vision because it simultaneously addresses many vision concerns. It may just be the procedure for you.

What is Refractive Lens Exchange?

Refractive Lens Exchange, often referred to as Custom Lens Replacement, lens replacement surgery, or clear lens extraction, is an innovative ophthalmology procedure that corrects near-sightedness, far-sightedness, astigmatism, and presbyopia. Most of the time it is the preferred procedure in someone who wears readers, bifocals, progressives, or must wear readers over contact lenses. However, refractive lens exchange, or RLE, is sometimes the preferred procedure in other situations, such as in extreme farsightedness at any age. These are conditions that are best treated with a lens based option rather than LASIK or photorefractive keratectomy (PRK).

RLE, or custom lens replacement, involves replacing the eye's natural lens with an intraocular lens (IOL) to correct refractive errors. This is essentially the same procedure as cataract surgery, which is approved by the food and drug administration in the United States. When performed off-label before cataracts develop, custom lens replacement prevents the development of cataracts. It is performed under local anesthesia, using phacoemulsification - a technique that gently removes the lens with an ultrasound. Once the lens is removed, a prescription intraocular lens is inserted into the lens capsule.

What is the Patient Satisfaction Rate for Refractive Lens Exchange Surgery?

According to research data from various clinical trials, the patient satisfaction rate post-refractive lens exchange surgery is remarkably high. A recent widespread study found that 87% of people who had RLE said they were "satisfied" or "very satisfied" with their vision. In this study, the most common reasons for being unhappy were difficulties with night vision, not being able to read small print up close, and symptoms associated with ocular surface disease. Within our practice at 43Vision, satisfaction rates are much higher, with a recent survey showing that 96.5% of 43Vision patients would recommend RLE to their friends and family. If you have any specific concerns, you may ask our doctors at your free consultation.

At 43Vision, the number one thing we hear from our patients is that they wish they had done it sooner. Our patients are highly satisfied with their decision to have a Custom Lens Replacement and often describe colors to be brighter and more vivid. To find out more information about Refractive Lens Exchange and see if you are a candidate call our office to schedule your initial consultation.

What Factors Predict Post-Operative Patient Satisfaction Following Refractive Lens Exchange Surgery?

Several elements contribute to patient satisfaction following CLR surgery. A comprehensive approach to patient care including detailed preoperative consultation, accurate IOL calculations, and post-operative care can significantly enhance patient satisfaction. Other important factors include achieving an accurate refractive target, treating any ocular surface disturbances, and managing healing process expectations such as early night-time visual phenomena.

Post-operative dry eye can be managed with appropriate medication, and thorough patient education helps manage expectations about potential visual disturbances, such as glare or starbursts at night, which are temporary and resolve over time.

Is Refractive Lens Exchange Worth It?

From a patient satisfaction perspective, the data suggests a resounding "yes." RLE/CLR often results in excellent distance, intermediate, and near vision, reducing the need for glasses or contact lenses. For many patients, the prospect of gaining independence from glasses or contact lenses significantly boosts their quality of life.

RLE pays for itself by eliminating decades of expensive glasses and contacts and is able to treat most of your vision needs in one procedure. One of the other major benefits of Refractive Lens Exchange is that since RLE involves the removal of the aging lens, it prevents the development of cataracts – a significant advantage as cataracts are a common cause of vision loss in the aging population. Our 43Vision patients would agree that RLE is definitely worth it!

Who is a Good Candidate for Refractive Lens Exchange?

Ideal candidates for RLE are individuals over 40 struggling with signs and symptoms of presbyopia and those who may not be eligible for other forms of laser vision correction. This includes patients with high refractive errors, thin corneas, or dry eyes. Also, patients seeking a permanent solution for vision correction and are open to reducing the dependency on glasses or contact lenses are suitable candidates for this procedure.

Can I have Refractive Lens Exchange if I am not a candidate for LASIK?

Yes, you can potentially have Refractive Lens Exchange (RLE) even if you are not a candidate for LASIK.

In fact, RLE is often an excellent option for patients who are deemed unsuitable for other refractive surgeries like LASIK or PRK. Certain factors may make you ineligible for LASIK, including thin corneas, dry eyes, or high refractive errors that exceed the treatable range of laser eye surgery.

RLE, on the other hand, is not limited by these factors. The procedure involves replacing the natural lens of the human eye with an intraocular lens, which corrects your visual acuity. This procedure is not dependent on the thickness of your cornea or the severity of dry eye syndrome, making it suitable for a wider range of patients. A comprehensive eye examination and consultation with a board-certified ophthalmologist is crucial to determine the best course of action for your individual case. The decision should be based on your visual needs, overall eye health, lifestyle, and personal preferences.

What are the Advantages of Refractive Lens Exchange?

RLE provides several advantages. First, it treats a wider range of refractive errors than laser eye surgery. Second, it offers a permanent solution for clear vision at all distances – near, far, and intermediate. Third, it prevents cataract formation, reducing the future risk of cataract surgery. Finally, the procedure can be customized to the patient's visual needs with the selection of a variety of intraocular lenses, including monofocal, extended depth of focus, or multifocal intraocular lenses.

In essence, refractive lens exchange is a promising solution for patients with presbyopia and those who may not be eligible for other forms of refractive surgery. The high rates of patient satisfaction post-RLE speak volumes about its effectiveness and potential to enhance visual perception.

Are you tired of reaching for your glasses every day? Are you eager to explore your options beyond LASIK surgery? If you want to break free from the constraints of corrective lenses, we invite you to consult with our board-certified surgeons at 43Vision. We can provide an in-depth evaluation of your eyes and help you decide if refractive lens exchange or custom lens replacement is the right choice for you.

Change the way you see your world - for life! At 43Vision, our technology and experience often allow us to give you your clearest vision possible. Reach out to us today, and let's take the first step towards a clearer future together.


“I just wish I had done it sooner!”

The number one thing we hear from our patients is that they wish they would have had vision correction sooner.

So the question for you is… why wait any longer?

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