Refractive Lens Exchange

Refractive Lens Exchange (RLE) is a long-term solution for clear vision – through a range of distances – without glasses or contact lenses.

What is Refractive Lens Exchange?

Refractive Lens Exchange (RLE) is designed for adults over 50 who want freedom from glasses or readers. Unlike LASIK, which reshapes the cornea, RLE replaces the natural lens with a clear, advanced implant. This makes it especially effective for people who are already experiencing age-related near-vision loss (presbyopia). By removing the natural lens and implanting a new one, RLE improves vision now and also ensures you’ll never develop a cataract in the future.

Benefits of RLE
  • Reduces or eliminates dependence on glasses
  • Provides a safe, proven alternative to LASIK for adults over 50
  • Prevents cataracts from ever developing
  • Offers long-term stability and clear vision

How the Procedure Works

RLE is nearly identical to cataract surgery, with one important difference: it’s done before a cataract forms. Dr. Rodriguez removes your natural lens and replaces it with a custom-selected lens implant. This lens is chosen to match your lifestyle, allowing you to see clearly at the distances most important to you, with very little dependence on glasses. 

The procedure typically takes about 15 minutes and is performed on an outpatient basis in our accredited, in-office surgical suite. Most patients notice improved vision within days.

Is RLE Right for You?

Refractive Lens Exchange is is often recommended for people who:
  • Struggle with age-related near vision loss (presbyopia)
  • Want greater freedom from glasses
  • Don't adjust well to bifocals or monovision contact lenses
  • Are not good candidates for LASIK or PRK
“It feels incredible not having to reach for glasses every morning.”

Surgical Excellence, Delivered In-Office

Dr. Yasaira Rodriguez, board-certified ophthalmologist and lens replacement specialist, combines surgical precision with a warm, personal approach, ensuring you feel informed, comfortable, and confident every step of the way.

Your procedure can be performed in our office surgical suite. This offers a safe, comfortable environment without the added steps of a hospital or surgery center, making the process more convenient and efficient. 

  • Advanced lens implant options tailored to your visual goals
  • Laser-assisted cataract surgery for greater precision
  • In-office surgery for max convenience: no IV and no fasting, for a smoother, easier preparation process
  • Highly trained surgical and support team dedicated to your comfort

What to Expect After Surgery

Recovery is typically quick. You’ll need a driver on the day of your procedure, but most patients return to normal activities within a few days. Vision continues to improve as your eyes heal, and our team follows up closely to ensure you’re comfortable and healing well.

Why Patients Choose RLE

Vision After Refractive Lens Exchange

After RLE, patients enjoy the freedom of seeing clearly at the distances that matter most in their daily lives. Whether you want crisp vision for driving, working on a screen, or reading a book, your lens choice can be tailored to your goals. Because the natural lens is replaced, cataracts can never return, giving you lasting clarity and confidence in your vision.
  • Advanced multifocal or extended depth-of-focus lens implants provide clear vision at near, intermediate, and far distances, reducing dependence on glasses.
  • Toric lens implant or laser-assisted surgery can correct astigmatism for sharper distance vision with less need for glasses.

See What Patients Say

More than 600 five-star reviews on Google
5/5

I can finally read, work, and drive without reaching for glasses — it’s like getting all three ranges of vision back.

5/5

Knowing I’ll never face cataracts in the future gives me peace of mind.

Technician preparing patient for cataract evaluation at Elmquist Eye Group
Older woman reading her phone clearly after cataract treatment

Frequently Asked Questions

Is RLE the same as cataract surgery?

The procedures are nearly identical, but with RLE the lens is replaced before a cataract develops.

How long do the new lenses last?

Lens implants are designed to last a lifetime. Once placed, you won’t need to worry about cataracts in the future.

Does RLE hurt?

The procedure is quick and performed under local anesthesia with sedation. Most patients describe it as comfortable and stress-free.

Am I a candidate if I’ve had LASIK?

Yes, many patients who had LASIK in the past and now face age-related vision changes are excellent RLE candidates.

Regain Your Focus

Say Goodbye to the Blurred View

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Ready to explore your options?

Schedule a consultation with Dr. Rodriguez to learn if Refractive Lens Exchange is right for you.