Refractive Lens Exchange (RLE)
Preface to Refractive Lens Exchange (RLE)
The RLE Procedure
During this detailed procedure, the eye’s natural lens is carefully extracted through a micro-incision—approximately 2mm wide. Utilising specialised tools and a delicate fluid technique, the lens is segmented into segments and meticulously rinsed out. After that, a new, translucent artificial lens, prepared from a long-lasting, plastic-like material, is established into the lens capsule. This capsule acts as a natural holder, affixing the artificial lens firmly within the eye.
Options for Lens Implants
1. Multifocal Lens Implants:
- These lenses are engineered for sharp, apparent sight across all distances: close (such as reading), medium (like using a computer), and distant (including driving or watching TV).
- They are designed to maximise independence from glasses but may produce haloes around lights in nighttime conditions for some individuals. If these haloes evolve invasively, an alternative lens type might be supposed to better suit the patient’s requirements.
2. Extended Depth of Focus (EDOF) Lenses:
- EDOF lenses are optimised to deliver prominent clearness for distance and intermediate duties without the reliance on glasses.
- Although these lenses enhance some near vision, they might still necessitate the use of reading glasses for small print or in dimly lit conditions.
- Compared to multifocal lenses, EDOF lenses significantly reduce the likelihood of patients noticing haloes, making them a preferable choice for many.
3. Blended Vision or Monovision:
- This innovative approach involves using distinct lenses for each eye—one optimised for distance and the other for near vision, effectively replicating the “monovision” effect previously achieved with contact lenses.
- It is particularly suited for patients who have experienced positive outcomes with monovision using contact lenses. For those unfamiliar with monovision, multifocal or EDOF lenses may present more appropriate alternatives.
Refractive Lens Exchange in Australia
What to Expect During the Operation
This surgical process is conducted under local anaesthesia, which can be administered through eye drops or, in some instances, an injection around the eye to ensure a completely pain-free experience. Sedatives are also provided to maintain relaxation yet keep you sufficiently alert to follow vital instructions during the surgery. This careful balance is crucial for ensuring both the safety and the success of the procedure.
By proposing these cutting-edge surgical alternatives, refractive lens exchange not only strives to significantly enhance optical sense but also aims to sweeten the overall quality of life for those influenced by vision impairments due to ageing or refractive blunders.