Refractive Lens Exchange (RLE)

LENS REPLACEMENT – GIVE YOUR EYES AN UPGRADE

WALES CATARACT GUIDE
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HOW LENS REPLACEMENT WORKS

In this video, Prof Mohammed Muhtaseb explains what you need to know about lens replacement

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BRING YOUR EYES BACK TO LIFE

What you need to know about having lens replacement in Wales

Upgrade your eyes

You have embraced modern vision correction, and in just 15 minutes, you have fantastic unaided vision at all distances.

Feel fantastic

You no longer feel annoyed, anxious or limited by reading glasses or varifocal spectacles. You’re liberated from squinting and headaches, and this has lifted your mood and general well-being.

Feel fantastic

You no longer feel annoyed, anxious or limited by reading glasses or varifocal spectacles. You’re liberated from squinting and headaches, and this has lifted your mood and general well-being.

Save time

You never thought you’d see the day where you could leave the house without your glasses. You’re so pleased that you took the opportunity when you had the chance, and now you can enjoy the remarkable results for that much longer.

Save time

You never thought you’d see the day where you could leave the house without your glasses. You’re so pleased that you took the opportunity when you had the chance, and now you can enjoy the remarkable results for that much longer.

Be you

Glasses were so deeply ingrained into your life that you accepted them as your identity. The new you has arrived, and it’s inspiring for everyone to see.

Refractive lens exchange has given you a new lease of life. Your eyes finally see as young as you feel.

Be you

Glasses were so deeply ingrained into your life that you accepted them as your identity. The new you has arrived, and it’s inspiring for everyone to see.

Lens replacement has given you a new lease of life. Your eyes finally see as young as you feel.

LENS REPLACEMENT EXPLAINED

In these toggles we explain what you need to know about lens replacement

Lens replacement, also known as Refractive Lens Exchange (RLE), is a great way to achieve freedom from glasses.

You could be suitable for lens replacement if you:

  • are 50 years or over (although exceptions to this may be considered depending on individual circumstances)
  • have a spectacle prescription for distance or near vision, or both
  • wish to become less reliant on their glasses or contact lenses
  • want to be free from glasses and contact lenses

The eye’s natural lens is removed and replaced with a clear plastic lens. This is very similar to a cataract operation but is undertaken before a cataract develops.

The lens implant that is inserted into the eye can be chosen from a variety of types, and is chosen on the basis of your requirements and the examination findings at the consultation.

Multifocal Intraocular Lenses (mIOL’s) employ new technology to mimic the process of accommodation – they are sometimes called pseudo accommodative IOL’s. They create focal points for light coming from far, intermediate and near objects – but you will only sees the object of interest.

Watch this video on how refractive lens exchange works:

Step 1: The first step towards achieving freedom from glasses with lens replacement is to arrange a consultation with us. You do not need a referral, but it is always helpful if you can bring the report from your latest optician’s eye test.

Step 2: After a thorough consultation and examination, we may ask you to have further tests if we think it’s necessary.

Step 3: Once we have agreed to a personalised treatment plan for you, we will offer you a range of dates for the surgery and plan your post-operative care in line with your specific circumstances.

Step 4: When you arrive in the surgical centre, you will be greeted by the team. The day will go very smoothly and you will leave the hospital having received the very best care and attention throughout your time with us.

Advantages

  • Lens replacement allows a choice of visual outcomes. Namely, to either correct for only distance vision, or to correct for distance, middle and near vision. The wide variety of lens implant types allow for a tailored approach to visual correction.
  • Lens replacement also prevents cataracts from developing in future. This is because the eye’s natural lens has already been removed and replaced with a lens implant. Therefore, unlike with other methods of visual correction, a further operation to remove a cataract will not be needed.

Disadvantages

  • Lens replacement tends to be a little more costly than laser vision correction

Lens replacement is a very safe procedure.

Like all types of surgery, lens replacement carries some risk of unexpected events occurring either during or after the operation. These risks are usually 1% or less, and the vast majority of patients are very happy with the results of their surgery.

Lens replacement allows a choice of visual outcomes. The wide variety of lens implant types allow for a tailored approach to visual correction.

IOL types include the following. The visual outcomes detailed are target outcomes, not guarantees. There is a possibility that glasses may still be required to achieve best vision, whatever the type of IOL that is used.

Monofocal

You will see in the distance but uses glasses for middle and near.

Enhanced Monofocal

You will see in the distance and have some functional middle distance vision, but will require glasses for finer middle distance vision and for near.

Multifocal / Trifocal

You will see clearly in the distance, middle and near.

Multifocal – Extended Depth Of Focus (EDOF)

Lenses that combine multifocal and EDOF technology add to the range of multifocal lens options.

Alternatives to lens replacement include:

  • Laser correction with both eyes corrected for distance
  • Laser correction with both eyes corrected for monovision
  • Laser correction with both eyes corrected with a multifocal corneal ablation

Refractive lens exchange (RLE) is a very successful intervention both in terms of surgical safety and patient satisfaction. The surgical risks are very low, and I will discuss these with you in detail during the initial consultation.

The vast majority of patients are very satisfied with the results of RLE surgery and the published literature on the subject shows consistently positive results. Patients consistently report greater freedom from needing glasses than before RLE, including for reading if a multifocal lens implant was chosen.

INSURERS

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Discover the number one mistake patients make when choosing cataract surgery

Most people have cataract surgery without knowing about all the options they actually have surrounding cataract surgery. Unfortunately, most people only find this out after having cataract surgery. The information in this Wales Cataract Guide could save you frustration and worry. Simply click the button below to give us your email and we’ll send you this life changing guide:

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WHO WE SERVE

If you can see yourself below, then we can help you

You’re over 45 and would love to read again without glasses

Unfortunately, reading glasses or varifocals get in the way of many of the things you most enjoy. Yes, spectacles help, but they are annoying little appendages that you lose or must clean to see clearly.

If you feel annoyed, anxious and limited by reading glasses or varifocal spectacles, we can help. Don’t let your favourite hobbies become tiring chores.

Be free from reading specs for good. Experience the liberation from squinting and headaches that you might have already begun to accept as part of life.

Instead, look forward to enjoying everything that your vision has to offer. Whether you enjoy reading, gardening, or the great outdoors, everything looks better when your eyes see as young as you feel.

Get a new lease on life. Contact us today and take the first step towards a better life.

Your vision is yellowing, duller, and cataracts are forming. You feel like your eyes are letting you down

The effect on your life can vary from being slightly frustrating, through to significantly affecting your ability to function independently, or even causing a devastating reduction in vision.

Before you developed cataracts, you were living a full life. You may enjoy the outdoors, have indoor hobbies or enjoy travelling. Or, perhaps you have finished working and are now taking the time to enjoy everything you may have missed when you were busy making a living.

Sadly, your eyes now dull the shine of life’s beautiful landscape. The trees, the flowers and even the sky don’t seem as bright as they used to look.

Get your life back without the compromise. Experience what life used to look like. Even better, if you’ve worn glasses or contact lenses, discover the incredible once-in-a-lifetime opportunity that modern cataract surgery affords.

WHAT OUR PATIENTS SAY

We treat patients from all across Wales

“I would like to thank you most sincerely for the laser surgery you performed to improve my eyesight. It really has improved the quality of my life and I feel like a new person.” ★★★★★
R M, Refractive Surgery
"I was given a choice of lenses and detailed information before making my decision. I am now able to drive and read without glasses. It was entirely painless and the care I received before and after the procedures was excellent.” ★★★★★
Mrs. B R, Intraocular Lens
“I was very impressed with the preop eye assessment and the consultation by Mr Muhtaseb explaining the options properly, sensibly and in detail focusing on my individual situation. Surgery (PRK) went well, and the results are excellent.” ★★★★★
Dr. C E, Laser Refractive Surgery
“My vision is really clear. I easily read the Sunday paper without glasses the day after my surgery.” ★★★★★
M B, Lens Exchange
“Today I walked into work, enjoying seeing birds (I hadn't realised how few I'd been seeing). The cloud to my left eye has gone, and I have been able to read, type, teach without needing my glasses once.” ★★★★★
Mrs. C, Cataract surgery with multifocal lens implant
“Thank you so much for your kind and attentive care of my eyesight. Wonderful work! It is now a treat to have good binocular sight again!” ★★★★★
Dr. C, Cataract surgery
“I am just sending you this message to say that my optician seemed amazed at how well I am able to see and was very happy with everything. Thank you so much. I am really thrilled!” ★★★★★
Mrs. E, Cataract surgery
“Mr T. called and asked me to pass a message to yourself stating that he had a marvellous experience with his visit and wanted to thank you very much for your time this morning. He said you were a proper gentleman and that he thought very highly of you.” ★★★★★
Mr T’s hospital secretary, Cataract surgery
“A very grateful thank you to you and your team for the operations that have enhanced my sight so much. It is a wonderful feeling to have my confidence back both in walking and driving” ★★★★★
Mrs. F L, Cornea
“Many thanks to ‘The No. 1 Medic'." ★★★★★
Dr. A E, Intraocular Lens
“Thank you so much, you’ve changed my life forever.” ★★★★★
J E, LASIK
“Mr Mutaseb and his team were very professional , friendly and reassuring and held a no hassle policy on having to follow through with any procedure for laser correction. The procedure could not have run smoother and the after care was excellent." ★★★★★
Mr. C P, LASIK
“I’m absolutely delighted with the vision in my eye following cataract surgery. The only problem is that I can no longer hit the golf ball out of sight!" ★★★★★
Dr. R, Cataract surgery
“Thank you for fixing my left eye." ★★★★★
Mr. I, Cataract surgery
“Thank you so much for the care and attention you gave me during my cataract operation. Much appreciated. You are the best. Thank you." ★★★★★
Mrs. W, Cataract surgery
“Thank you for the care, help and being wonderful." ★★★★★
Mrs. W, Cataract surgery
“I am very happy with Mr Muhtaseb’s professional, detailed and careful approach to my surgery. I have had successful surgery and am very happy with the result. This has been a life changing surgery for me." ★★★★★
Professor H J, Refractive Surgery
“Thank you for all that you have done. I would not have gone through it without the complete trust I have in you. Thanks again.” ★★★★★
Mrs. S G, Multifocal Intraocular Lens
“It’s fantastic. I feel like a new person.” ★★★★★
D R, Refractive Lens Exchange
“Thank you for taking such good care of me during my LASIK surgery – I was terrified! I am so pleased with the outcome, which was pretty much instant – it has made such a difference to my life not having to wear glasses all the time." ★★★★★
Mrs. A L, LASIK
“I would like to thank you for operating to remove my cataracts in both my eyes. It is the first time in my life that I'm able to see without glasses or contact lenses. I've been short-sighted since I was a child when I used to sit at the front of the class in school to see the blackboard. Once again thank you, I'm so grateful to you." ★★★★★
Mrs. W, Cataract surgery
“I reviewed Mrs A in my clinic today, where she tells me she is extremely grateful to you for her recent right cataract surgery. She is absolutely delighted with the result, although very disappointed that she is now able to see the wrinkles in the mirror!" ★★★★★
Mrs A’s referring doctor , Cataract surgery
“I would like to take this opportunity to thank you and your surgical staff for making my life so much better after my two cataract operations. It has meant a massive change to my life, both physically and mentally. It is literally like a massive cloud has been lifted from my life and taken me back years." ★★★★★
Mr. B, Cataract surgery
“Many thanks to you and your team for all the kindness, care and expertise shown to me when having my cataracts removed. It is lovely to have a new lease of life.” ★★★★★
Mrs. R B, Cataracts
“I can’t thank you enough for the gift your ability as a surgeon has given me. I am like a child with a wonderful new toy. I can see the world anew." ★★★★★
Mrs. A D, Refractive Lens Exchange
“I’m amazed at how much I can see.” ★★★★★
C H, Multifocal Lens
“I made my highest break in years last week. It was 137!" ★★★★★
Anonymous, Multifocal Piggyback Lens
“Thank you for the amazing operations - they have made a wonderful difference. I enjoy seeing the world so well!" ★★★★★
Mrs. S, Cataract surgery
“Thank you for your time and patience. I haven’t that much care [afforded] to me, and you have a wonderful team around you. Once again, big thank you." ★★★★★
Mr. D, Cataract surgery
“I would like to thank you for the cataract surgery to both my eyes, which for me have been life-changing. From being barely legal to drive even with glasses, not being able to recognise faces while out walking and not being able to see the racing marks while out sailing, I have been able to consign those to history." ★★★★★
Mr. A, Cataract surgery
More patient stories

Patients will form queues for post-COVID cataract surgery. You can make progress towards clear vision (and beat the queue for surgery) by having your first appointment from the safety of your home

Meet online or over the phone with our surgeon, Prof Muhtaseb, and get a clear answer about all of your cataract surgery options (including the little known possibility of fixing your reading and/or distance vision at the same as you fix your cataracts). Critically, after your video or telephone appointment, you will have the opportunity to secure your spot on the waiting list once our clinic re-opens. Click the button below now to book your video or telephone appointment…

GET A VIRTUAL APPOINTMENT
HOW IT WORKS

Enjoy a life free from cataracts, glasses and contact lenses in three easy steps

Talk to us

Give us a call on:

073 80 80 2000 and we’ll guide you towards an initial assessment.

GET A VIRTUAL APPOINTMENT

Meet your consultant

I’ll see you before treatment to ensure you’re a good candidate and treat you at one of my facilities in South Wales or Bristol.

Revitalise your eyes

I’ll supervise your aftercare as you begin to experience a life free of cataracts and glasses and contact lenses.

COMMON QUESTIONS

Learn more about eye conditions and eye treatments

FOR MORE INFORMATION ABOUT LENS REPLACEMENT

Educate yourself further about lens replacement by reading the links below

The NHS has compared laser eye surgery and lens replacement, and is worth a look. Click here for more information.

This 12-page guide provides you with the benefits of refractive lens exchange, as well as the risks and alternatives. Click here for more information.

Presbyopia is a condition that can make patients undergo a lens replacement – but what exactly is it? Click here for more information.

AFFILIATIONS AND MEMBERSHIPS

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ABOUT THE EXPERT

Prof Mohammed Muhtaseb, FRCOphth

Consultant Cornea, Cataract and Refractive Surgeon

iLase is the private practice of Consultant Ophthalmic Surgeon, Prof Mohammed Muhtaseb. Based in South Wales, he is one of the very few ophthalmologists working in the UK who is a fellowship-trained specialist in Cornea, Cataract and Refractive Surgery. He holds full specialist registration with the General Medical Council and was appointed as a Consultant in the NHS in 2006.

More about me