
The main reasons that patients are unsuitable for laser eye surgery treatment is the existence of Presbyopia which can occur with age and is related to the eyes inability to focus. Reshaping the cornea through laser eye surgery will not help to remedy Presbyopia and as laser eye surgery produces permanent results RLR surgery will be recommended as a more effective alternative treatment. Refractive Lens Replacement surgery is also suitable for those patients with a very thin cornea.
Intra-ocular lens implant surgery is a technique that takes the natural lens of the patients' eye and replaces this with an artificial lens, a similar operation to those used to treat cataracts.
Lens implants can be classified in to two separate types of surgery:
The cost of RLR surgery starts at around £1300 per eye.
Implantable lens retain the patients natural lenses and essentially works like a contact lens, however instead of being placed on the outside of the patients' eye it is surgically inserted inside the eye. This lens replacement option is usually reserved as options purely for middle aged and younger patients due to its requirement for the patients' lenses to still be adaptable and accommodate. This is where the persons' lens accommodates to see clearly over long distances (due to the elasticity of the persons' lenses that comes with youth)
With this form of lens replacement surgery comes the slight chance that the surgery may introduce an infection to the eye and like any type of eye surgery there comes the risk of surgery related issues occurring. It would be worth consulting an optometrist to find out whether ICL surgery is the correct option for you and to discuss the possible outcomes you can hope to achieve.

RLR surgery involved the surgeons removing the patients natural lens and replacing it with a synthetic lens however a number of options exist.
Refractive lens replacement surgery is generally performed on an out-patient basis and the patient will not normally spend more than a few hours in the clinic. The procedure is generally performed under a local anaesthetic, in which anaesthetic eye drops are used to numb the eyes during the procedure. Incisions are then made in the eye after which the old lens will be extracted and the new artificial lens fitted. The natural lens will be removed with the assistance of ultrasound before the replacement synthetic lens is inserted.
RLR utilises a tried and tested procedure that is is performed on millions of patients each year to remove cataracts and is now considered by medical professionals to be one of the safest and most effective procedures available.
Unlike laser eye surgery, Refractive Lens surgery is fully reversible which may justify the higher cost of the procedure to many patients. Lens Replacement surgery is also a permanent solution to cataract sufferers and those patients who have undergone RLR surgery will never require cataract surgery later in life. For patients already above the age of 40 years old the results of Refractive Lens Replacement will remain constant as opposed to laser eye surgery where presbyopia can still develop later in the patient's life. Refractive Lens surgery costs will vary from clinic to clinic although the cost element should not be as important as the proven experience and successful track record of any clinic and eye surgeon under being considered by potential RLR patients.
Refractive lens replacement surgery has it's origins in cataract surgery and is very similar in technique to this procedure which helps treat millions of cataracts sufferers every year. The main difference between cataract and lens replacement surgery is that the surgery is not replacing a cloudy lens as in the case of cataract, but is replacing a clear lens for the purpose of vision correction. For this reason RLR surgery is also referred to as clear lens extraction or CLE to make this difference clear.