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What Is Refractive Lens Exchange? | History of Intraocular Lens | Are you a canadidate? | Benefits | Q & A | Cost

What Is Refractive Lens Exchange?
  Refractive Lens Exchange is a non-laser corrective procedure where the natural lens of the eye is removed and replaced with an artificial lens, similar to cataract surgery. Currently this procedure is for people with moderate to high degrees of nearsightedness or farsightedness.  
What are the advantages of Refractive Lens Exchange?

   Permanent and maintenance-free vision correction without using a laser
   Rapid visual recovery
   Eliminates the need in future for cataract surgery
   Preserves central cornea
   Predictable outcome
What are the disadvantages of Refractive Lens Exchange?
The loss of the ability to read up close. The implant corrects distance vision. This loss is a normal age change that happens when a person reaches 40 or 50 years of age. There is now the possibility of a multifocal implant being inserted to correct both distance and near. Dr Fitterman will decide if you are a candidate for this.
The Refractive Lens Exchange Procedure

Dr. Fitterman performs this procedure in a private clinic with trained staff. Qualified candidates are given topical anaesthesia (eye drops). A small incision is made at the edge of the cornea then a special ultrasonic suction probe is used to gently break up and suction out the gel from the lens capsule. The implant of predetermined power is then inserted into the natural lens capsule. Dr. Fitterman usually uses a foldable lens implant. The whole procedure takes about 15-20 mins. Drops are used 1 week pre-op and continued after surgery for 3 weeks.

Visual recovery after a Refractive Lens Exchange is usually fast. A few minutes after surgery patients usually can see quite well and not long after return to regular activities. 

Possible Complications:
As with any surgery, there are some possible complications to Refractive Lens Exchange. However, the risks are minimal.
   Increased possibility of Retinal Detachment
Farsighted people have a very low risk of detachment, however, because nearsighted people have longer than normal eyes, the retina is vulnerable to detachments. The risk of retinal detachment is extremely small. A retinal exam pre-op is always done to determine the risk of each patient.

   Other Eye Complications:
Hemorrhage, infection, reflections or distortion from the implant, increased floaters, loss of clarity, dislocation of implant, wound leak, glaucoma and uveitis. These are all uncommon and most can be effectively treated if they occur.

   Corneal Complications:
Dryness of the cornea and induced astigmatism are not serious and can be treated.
 

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