How Successful is RLE (Refractive Lens Exchange)?
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- เผยแพร่เมื่อ 16 ม.ค. 2023
- Dr. Mathew Sharpe answers the question, "How Successful is RLE Surgery?"
During RLE surgery, the natural lens of the eye is removed and replaced with an artificial Intraocular Lens (IOL) to correct and focus your vision. RLE is a very similar procedure to cataract surgery, which is the most common surgery performed worldwide
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Got this surgery 5 months ago - Panoptix I am now 20/20 for near, middle, and far vision. Best decision I have ever made!!! I had -7.0 contacts before surgery. Now I don’t need any glasses. FREEDOM!
Hi Chad, I am considering this surgery but am worried about some of the risks. Do you have any ghosting where reading text on your phone or computer is difficult? Can you see well at night still so driving is not compromised?
May I ask how old you are?Why didn't you get prk? Your eye sight is not that bad.
I have an eval appt with a major HMO here in California who has offices like yours. I can't wait. By the end of the year I could have near perfect vision again. Two things have surprised me so far. 1) some doctors will not perform this surgery on myopic patients (me) because the risks don't outweigh the benefits. Personally, I think this is an opinion that should be decided by the patient, especially since I'm paying out of pocket. Presumably, the risk doesn't change with age, only the benefit. 2) When I got contact lenses last year, the technician made a comment that I can look forward to cataract surgery one day. I didn't know anything about it, but once he explained, I asked, why don't they offer it to younger people (me thinking longer time to enjoy the benefits). He said one day they might. Just a couple of weeks ago I found out it's a thing! Why don't other eye technicians and doctors know that RLE is commonly done, and in their own company no less? This must be the least advertised health benefit ever. I wish I'd known about this at least 5 years ago. Thank you for your video. Every piece of information I gather helps me solidify my decision.
I had RLE two weeks ago & I am in heaven with my results! I threw all my readers in a drawer…you will not need them! I can see the smallest print now. Best surgery ever!
@@abrown9786 how timely your message! I'm waiting to start my evaluation as I type this message. Your post is making me really excited! Congrats and happy seeing!
@@abrown9786 what type of lenses did you get?
Does the implanted lens flex to focus on close objects in the same way the natural lens does? Or does the close vision come via some kind of multi focus built into the lens?
This sounds like a dream come true! Would the new lens be able to be replaced if there were a problem in the future?
Thank you for this question. The lens would be able to be replaced if there were a problem. That likelihood is extremely remote, as these materials have been time-tested over 50 years of intraocular lenses. Over 4 million cataract procedures are done in the United States each year also utilizing similar materials. The lens would be removed someday when the recipient develops cataracts, which is typically in one’s 60s and 70s. Dr. Sharpe
Thank you for the informative video. I do have a question, I have INTACS placed in my left eye. Would it still be possible to have the RLE surgery performed on that eye?
Hello. Yes, this is a possibility.
I have intacs in both eyes n waiting for my RLE surgery
Dr. Sharpe, how often do patients encounter night driving issues after this surgery? How often do patients have ghosting where reading text is difficult? I work on a computer daily so am worried about ghosting and blurry vision. I also need to be able to drive at night. I would really like to have this surgery though so I could be glasses free.
Thank you for your question James. There are multiple variables such as astigmatism, pupil size, choice of intraocular lens dry eyes, to name a few. The Panoptix lens is our preferred lens which gives you good distance intermediate and near vision. Occasionally we need to do a touchup to adjust any residual prescription (about one in 20) If you have no significant astigmatism you won't have ghosting postoperatively. It is a wonderful procedure. Please do come in for your evaluation.
Hi, what about neural adaptation - that it's needed because the multifocal IOL effectively projects, on the retina, images which are both in focus and out of focus? Does it take only 24 hours for the brain to learn the "new way" of seeing?
Very insightful question! It does take weeks to several months to adapt, and you are correct in that the light is split between distance and near focus, and there is a noticeable night glare. Daytime visual quality is excellent, and near vision allows almost all but the smallest and closest objects to be seen clearly without glasses. Different lenses have slightly different profiles with more of a distance focus, vs. better near, which affects night glare a little more. Fortunately, the vast majority of people adapt quite well and are very happy with the tradeoff to not have to wear glasses the vast majority of their waking moments. I hope that helps.
Interesting video, but they really rushed through the risk section as quickly as possible. More information should have been provided on the risks and frequency of those risks.
1 in a thousand chance for retinal detachment..... I will admit I don't like those odds.
I am 38, I had lasik 3 times and went terribly, my cornea shape is very irregular. Would RLE fix lasik failed treatments?
I would like an answer to this as well.
can you explain why a person needs to be over 45?
After about age 45+ no one can have perfect distance vision and near vision without glasses for one or both distance because the lens of our eye gets gradually less flexible. Because of this loss of flexibility, with the RLE procedure, we replace the natural lens of your eye with an artificial multifocal lens that corrects any need for glasses for distance and near vision. Additionally, you will never need cataract surgery because you have already had your lens replaced. You can enjoy clear glasses-free vision for the rest of your life rather than waiting until you are in your 70s or 80s to have cataract surgery.