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At Laser Eye Center in LA and Orange County, we offer Refractive Lens Exchange (RLE). RLE is a procedure wherein the eye natural clear lens is replaced with an intraocular lens (IOL) to correct your refractive error. RLE patients do not yet have a substantial amount of cataract formation. The aim is for you to achieve sharper focus, thereby reducing your need for reading glasses or bifocals.


Presbyopia is a naturally occurring age-related condition where your eye’s natural lens becomes increasingly firm and inflexible, causing you to lose the ability to focus on near objects. It ultimately affects just about everyone and usually becomes noticeable sometime after the age of 40.  Refractive Lens Exchange is a potential solution, offering the greatest freedom from eyeglasses through the use of intraocular lenses (IOLs) to expand your range of clear vision. The result is to improve your near vision, while maintaining your distance vision.

Multi-Focal IOL or Symfony IOL

If you desire RLE surgery and want the greatest freedom from eyeglasses following surgery, you may want to consider multifocal or Symfony IOL. The procedure for refractive lens exchange is virtually identical to cataract surgery. The difference is that in RLE, the lens being replaced is clear, rather than a cloudy lens due to a cataract. As in cataract surgery, there are options for the type of IOL available to replace your natural lens, depending on your vision needs and the health of your eyes.

With intraocular lenses, there is no “one size fits all“, and your eye surgeon will recommend an IOL that is most suitable for your individual needs.


Candidates for refractive lens exchange typically have presbyopia, which is a common condition that can affect people as early as their forties. As one ages, the eye loses flexibility and experiences difficulty focusing through a range of distances. With this condition people struggle with close range vision, also known as farsightedness and can no longer read without eyeglasses.
Another type of candidate for refractive lens exchange are patients who have extreme farsightedness as a condition, while also finding that LASIK, PRK or phakic IOL surgery generally are not suitable options. In fact, if you have both presbyopia and moderate to severe hyperopia, this procedure may be the only viable option for you to attain clear vision.

Schedule your Consultation for Refractive Lens Exchange

Schedule a consultation with our talented eye surgeons to learn more about refractive lens exchange by calling 1-800-80-LASER. With 8 offices across Los Angeles, Orange County, Inland Empire, we have experienced and compassionate professionals that serve Southern California including Los Angeles, Orange County, and Inland Empire California-area facilities.