Stahl Vision LASIK SurgeryEye Laser and Cataract Surgery Center
Stahl Vision
(937) 643-2020
General / Cataracts
(937) 427-2020
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Refractive Lens Exchange, Lens Replacement, or Clear Lensectomy with Advanced Lifestyle Bifocal Lens Implants


For most patients wanting to see better without glasses, LASIK eye surgery is the most popular option in order to see distance.  However, for patients who are over 50, especially those wanting to see better up close or those with early Cataracts, Refractive Lens Exchange may be a better option than LASIK.  Imagine being able to see your world more like when you were younger, less dependent on glasses and contacts, or even reading glasses. Well, it may now be possible with refractive lens exchange or clear lensectomy.  Stahl Vision and Eye Laser and Surgery Center is Dayton's most experienced center for Refractive Lens Exchange, or as it is also known, Clear Lensectomy, or Lens Replacement Surgery. 

AcrySof ReSTOR®, Crystalens & Trulign®, & Multifocal Tecnis® Intraocular Lens Implants (IOL)s for Refractive Lens Exchange at Stahl Vision in Dayton Ohio

Glossary:  Refractive Lens Exchange RLE) is a synonym with Clear Lensectomy, or Lens Replacement Surgery.  ReSTOR® , Multifocal Tecnis®, Symfony (said like "Symphony") and Crystalens® are the names of Advanced Lifestyle Bifocal Implants or Premium Implant Lenses. These are types of bifocal implant lenses used with Refractive Lens Exchange as well as cataract surgery. These lenses are also know as intraocular lenses or IOLs.  Presbyopia is the name of the condition that causes us to lose our near vision past the age of 40 something. LASIK is often the best vision correction choice for those with corneal shape or curvature problems that cause blurry vision. Conditions like nearsightedness (myopia), farsightedness (hyperopia) or astigmatism can be corrected with LASIK by changing the shape of the cornea according to a very precise treatment. Refractive Lens Exchange is a better option for vision correction for those who have a lens problem such as Presbyopia or Cataracts  or who have extreme amounts of myopia, hyperopia, or astigmatism where LASIK would require the removal of too much tissue from the cornea to achieve your prescription.

At a Glance:  Refractive Lens Exchange
Refractive Lens Exchange is becoming a more popular option for those over 50 seeking to regain their youthful vision!  Refractive Lens Exchange is done at our ambulatory surgery center, Eye Laser and Surgery Center, as an outpatient procedure— you go in for your surgery in the morning, and go home a couple of hours later.  Our center is in the same building as our office, so no hospitals, and we do it with no shots, and no stitches!  One eye is done at a time, separated by a few weeks.  Topical anesthesia with light sedation is all that is needed to keep the procedure pain free and comfortable.  Best results are obtained after both eyes have been done to allow the eyes to work naturally together.  This is the similar surgery as cataract surgery where the eyes natural lens is removed, and an artificial implant lens is put in its place. Choosing to have this surgery now means you won't need cataract surgery later in life. The choice of which implant is best for you is something our surgeons will discuss with you after we determine the best range of vision for your lifestyle with the least amount of compromises. The best candidates for this procedure are over 50 years old, possibly with early cataracts, with otherwise healthy eyes, and who need glasses for both distance and near vision.  For most patients living without their bifocals or reading glasses is something they have dreamt about.

Help for eyes that cannot focus up-close!

Before age 40 our lens is clear and flexible allowing us to focus on things at near.  As we reach our mid forties, everyone begins to experience the problem of our "arms becoming too short", and near vision begins to fade.  This condition is called presbyopia, and gets progressively worse as we age.  Eventually, we start wearing bifocals or reading glasses, or if you are nearsighted, begin to take our glasses off to read.   Some patients will try monovision contacts, where one eye is set for distance, and one eye for near.  This can be done with LASIK eye surgery as well, and monovision LASIK and is a good option for some patients, but it is a compromise— neither distance or near is as clear as it would be if both were set for that distance.

A second problem starts as we reach our fifties, about that time our lens starts to become slightly cloudy, and at this point Refractive Lens Exchange may become a better option than LASIK eye surgery. Patients wanting to see both distance and near more like when we were younger will do better with Refractive Lens Exchange.  Eventually, this cloudiness within the lens progresses to the point where we don't see as well even with glasses.  At this point, we call the cloudiness a Cataract, and if we all live long enough, we will all develop cataracts.  Some early “baby cataract’ changes start occurring in our 50’s, but most patients are in their 60’s or 70’s before they have cataract surgery. Cataracts are a natural part of the aging process, but Refractive Lens Exchange can halt that, and this means you will not need cataract surgery later in life.

How to Decide Which Implant Lens is Right for You?

The best way to determine which Advanced Lifestyle Implant Lens that is used for Refractive Lens Exchange is to come in for a complete eye exam.  Once our surgeons have measured and examined your eyes, we can discuss your lifestyle and near vision needs and determine which Advance Lifestyle or Premium Implant Lens will help you see your best.  The current options include Crystalens, Multifocal Tecnis, and the ReSTOR.  All of these choices have been approved by the FDA after years of testing, and have been used for many years. All of these choices are a vast improvements over the standard or monofocal implant lens which leaves people needing glasses most of the time.

About the Crystalens® Lens Implant
crystalens picture from dayton ohioThe Crystalens® moves and flexes within the eye allowing it to change power or accommodate.  This lens allows clear vision at distance and intermediate, but reading smaller print closer than 17 inches, may still require reading glasses.   The Crystalens works different than other implants like the Multifocal Tecnis or the ReSTOR and has the advantage of less night glare, and sharper contrast.  The Crystalens can also correct for astigmatism, and this is a strong advantage for patients who have astigmatism, and may help them see better at distance.  The Crystalens that fixes astigmatism is a Toric lens, and is called a Trulign Lens.


About the Symfony Lens and Tecnis® Multifocal Implant
The Symfony (pronounced "symphony") and Tecnis® Multifocal Implant Lenses work by splitting the light reaching the eye into separate focal points, providing good vision at near and far.  The Symfony Lens is an extended depth of focus lens, the newest and first of its class. The Symfony has good distance vision, very good intermediate vision, and fair near vision. The Symfony lens is also the first multifocal implant approved by the FDA to correct for astigmatism. The Tecnis Multifocal uses diffractive optics spread over the entire lens surface, and works well in dim and bright light conditions. The Tecnis Multifocal is better at near vision, but not quite as good at intermediate as a Symfony lens. Along with the ReSTOR lens, these lenses have some night glare and halos around lights.  This night glare is very noticeable at first, but improves over time. In our hands, the newest generation Symfony lens has the least amount of night glare and the highest patient satisfaction of the lenses available. Strengths: distance and near. Weaknesses: Some glare/halos with night driving that improves over time.

About the Acrysof ReSTOR® Implant Lens
ReSTOR implant lens picture Dayton OhioLike Symfony Lens, and Tecnis® Multifocal Lens, the Acrysof IQ ReSTOR lens works by splitting the light reaching the eye into two focal points, providing good vision at near and far.  The ReSTOR lens uses diffractive optics concentrated over the center of the lens surface, and works best in brighter light conditions.  While the optical qualities of these lenses allows patients to see distance and near, some intermediate distances may be a little out of focus.  In our experience, this lens has a little more night glare and halos around lights than the Multifocal Tecnis lens and Symfony lens.  This night glare is very noticeable at first, but improves over time.  ReSTOR lenses (ReStor IQ, come in several strengths, and now are able to correct for astigmatism. This allows your doctor to customize your vision to the distance where you are most comfortable reading. Strengths: distance and near. Weaknesses: Some glare/halos with night driving that improves over time, slightly less clear intermediate, near vision not as good in dim light conditions.

How is Refractive Lens Exchange or Lens Replacement Surgery different than LASIK Surgery?

LASIK Surgery can correct your distance vision, but NOT your near vision, unless you choose to have Monovision LASIK.  LASIK remodels the surface of the eye, whereas Refractive Lens Exchange replaces the lens on the inside of the eye.  LASIK is usually done on both eyes the same day, but with RLE we wait a few weeks in between surgeries.

What do I have to do after my Refractive Lens Exchange Surgery?

You will be using medicated eye drops for several weeks and need to take a couple of days off driving and work. Your distance vision clears quickly whereas adapting to your new found near vision will get better over several weeks.

Does this mean I won’t have to have Cataract Surgery later in life?

That is correct. This is the same surgery as Cataract Surgery but done to decrease your dependence on glasses. Your natural crystalline lens will be replaced with an artificial plastic implant lens and that means you won’t need cataract surgery later.

How much does this cost?

We charge $3900. This includes your surgery center costs, advanced implant lens charge, surgery fees and measurement fees as well as your after care for a year. Insurance does not cover RLE unless you have significantly bad cataracts, not just early cataracts.  We offer several financing options with approved credit for Refractive Lens Exchange.

Our best eye surgeons Dr. Brian Stahl and Dr.James Knowles specialize in Refractive Lens Exchange  with ReSTOR® , Multifocal Tecnis® and Crystalens®  advanced bifocal implants.  This can be an excellent solution to help regain the vision you deserve.

Please call Stahl Vision at 937.427.2020 to schedule an appointment to learn more about refractive lens exchange or for a refractive lens exchange evaluation and complete eye examination. 

Stahl Vision Cataract Surgeons- building better vision, one patient at a time...
For Refractive Lens Exchange, or Cataract Surgery, trust your eyes to the best, Doctors Stahl & Knowles
(937) 643-2020