
What Is Refractive Lens Exchange (RLE)?
Refractive Lens Exchange is a vision correction procedure in which the eye’s natural lens is removed and replaced with a customized artificial intraocular lens (IOL). This is the same foundational procedure used in cataract surgery, performed electively to improve vision rather than treat a cloudy lens.
RLE uses proven cataract surgery techniques combined with advanced intraocular lens technology to correct refractive errors before cataracts develop.
RLE can correct:
- Nearsightedness (myopia)
- Farsightedness (hyperopia)
- Astigmatism
- Presbyopia (age-related difficulty with near vision)
By replacing the eye’s natural lens, RLE not only improves vision but also prevents cataracts from developing in the future.
How RLE Works
RLE corrects vision by addressing the eye’s internal focusing system rather than reshaping the cornea:
- The natural lens is removed through a small, precise incision
- A premium intraocular lens is implanted in its place
- The new lens is selected based on your vision needs and lifestyle goals
Because the artificial lens does not age or cloud over, RLE provides a permanent vision correction solution.

Benefits of Refractive Lens Exchange
RLE offers a number of advantages for the right candidates, including:
- Clear vision at multiple distances, depending on lens selection
- Freedom from cataracts later in life
- Reduced dependence on glasses or contacts
- Long-lasting, stable vision correction
- No corneal reshaping, making it a strong alternative to LASIK
- Highly customizable lens options to match your visual goals
Many patients choose RLE for its predictability, durability, and ability to address both current and future vision needs.
Who Is a Good Candidate for RLE?
You may be a good candidate for Refractive Lens Exchange if you:
- Are typically over age 40
- Have presbyopia or difficulty seeing up close
- Have farsightedness or high prescriptions
- Are not a good candidate for LASIK due to corneal thickness or dry eye
- Want a long-term vision correction solution without future cataracts
A comprehensive eye exam and consultation will help determine whether RLE is the best option for your eyes.
RLE vs. LASIK and Other Vision Correction Options
While LASIK reshapes the cornea to correct vision, RLE replaces the eye’s natural lens entirely. This makes RLE particularly effective for patients with age-related vision changes or those who want a solution that also eliminates the possibility of cataracts.
Other options, such as EVO ICL or PRK, may also be appropriate depending on your prescription, eye anatomy, and visual goals. Our specialists will review all suitable options with you and help guide your decision.
Why Choose Eye Associates of Tucson for RLE?
Our experienced ophthalmologists specialize in advanced vision correction procedures and cataract surgery, bringing a high level of expertise to every RLE procedure. We combine advanced diagnostics, premium lens technology, and personalized care to help patients achieve their best possible vision outcomes.
From consultation through follow-up care, our team is committed to providing thoughtful guidance and exceptional results.