Understanding The RLE Procedure for Reading Vision: A Bird’s Eye View

Home » Blog » Understanding The RLE Procedure for Reading Vision: A Bird’s Eye View

Posted by: Missouri Eye Institute in Blog on May 13, 2025

Clear vision is a goal shared by many, and today’s advanced procedures make it more attainable than ever. For many people considering LASIK in Missouri, the long-lasting results make laser eye surgery an attractive option. However, if you’re not a candidate for LASIK or have different vision needs, there are other options. 

One such option is Refractive Lens Exchange, or RLE. In this article, we’ll take a bird’s eye view of RLE – what it is, how it works and who can benefit from this innovative procedure.

What is Refractive Lens Exchange (RLE)?

RLE is a surgical procedure designed to improve your vision by replacing your natural lens with an intraocular lens (IOL). Unlike traditional laser treatments that reshape the cornea, RLE surgery addresses issues within the lens itself. 

By swapping out the natural lens for a new intraocular lens, RLE can correct refractive errors like nearsightedness, farsightedness, astigmatism and presbyopia (age-related difficulty in seeing up close). The primary goal is to reduce or eliminate your dependence on glasses, contacts, readers and bifocals by permanently improving the eye’s ability to focus at different distances.

Benefits of RLE

One of the greatest advantages of RLE is its ability to restore clear vision, thereby reducing dependency on corrective eyewear. By addressing the underlying causes of visual decline, RLE can provide a lasting solution for those plagued by constant reliance on glasses or contact lenses. Also, because RLE replaces the natural lens, the procedure prevents cataracts from ever developing, providing over-40 patients with a lifetime of clearer vision.

Many patients find that post-surgery, everyday tasks become easier and more enjoyable, as they experience sharper clarity and precision in their vision. This not only enhances eyesight but also boosts self-confidence and overall quality of life.

Who is an ideal candidate for RLE?

While modern LASIK works well for a broad range of vision issues, RLE is uniquely beneficial for individuals who may not be ideal candidates for corneal reshaping techniques. Patients over 40, those with advanced hyperopia or individuals with thin corneas often experience greater benefits from RLE. By opting for this procedure, many find a more natural and enduring solution to the challenges of aging vision without compromising on safety or efficacy.

The RLE Procedure and Recovery

The RLE procedure is typically performed on an outpatient basis and involves minimal discomfort, as local anesthesia is used to ensure patient comfort. The entire process takes only minutes per eye, and most patients notice an improvement in their vision within days.

Post-surgery, your dedicated team at Missouri Eye Institute will provide a personalized care plan that includes simple guidelines for recovery, ensuring a smooth transition to a new chapter of visual clarity. 

With its innovative approach and proven benefits, RLE stands out as a transformative method for those seeking freedom from cumbersome and expensive prescription eyewear. Whether you’re considering LASIK or evaluating alternative procedures, Missouri Eye Institute is ready to guide you toward the best option for your unique needs.

Frequently Asked Questions

Is RLE a safe procedure?

RLE is considered very safe and is performed using the same techniques as modern cataract surgery, which has a high success rate and is one of the most common surgical procedures performed today. Your surgeon will evaluate your eye health thoroughly beforehand to ensure you’re a suitable candidate.

How is RLE different from LASIK? 

LASIK reshapes the cornea (the surface of the eye) to correct vision, whereas RLE works by replacing the lens. RLE is often recommended for older adults or those with presbyopia and high prescriptions that LASIK may not fully address. Unlike LASIK, RLE also prevents future cataracts since the natural lens – which could become cloudy with age – is gone.

Who is a good candidate for RLE? 

RLE may be appropriate for adults aged 40 and older who rely on bifocals or reading glasses, or those with vision problems outside the range of LASIK. It can be used to fix both distance and close-up vision in one procedure. A comprehensive eye exam is needed to confirm if RLE is ideal.

How long does the RLE procedure take? 

RLE surgery takes about 15 to 20 minutes per eye, although you can expect time at the clinic for preparation and a brief recovery afterward. Usually, one eye is treated at a time (with the second eye scheduled soon after) to ensure the best healing experience.

What is recovery like after RLE? 

Recovery from RLE is much like recovery from cataract surgery. You will likely notice improved vision within the first day or two, and most patients resume normal activities within a few days. Over the next weeks, your vision will continue to stabilize.

Will I need glasses after RLE? 

The goal of RLE is to greatly reduce or eliminate the need for glasses. In fact, many people who get multifocal lens implants via RLE can see well both far away and up close without glasses, although outcomes can vary. Overall, most patients experience significant or total freedom from glasses for most daily activities.

Missouri Eye Institute has helped thousands of patients attain freedom from glasses and contact lenses, with convenient locations in Springfield, Joplin and Branson. Contact us at (800) 383-3831 to schedule a thorough consultation or visit MissouriEye.com to learn more about our services.