RLE is typically considered for individuals who:

• Are over 40 years old, as this is when presbyopia (the inability to focus on near objects) begins to affect most people.
• Have high refractive errors that are difficult to correct with traditional LASIK or other laser vision correction procedures (e.g., very high myopia or hyperopia).
• Are seeking a permanent solution to their refractive errors and want to reduce or eliminate dependence on glasses or contact lenses.
• Have healthy eyes, free from conditions such as untreated glaucoma or advanced cataracts (though RLE is sometimes performed on patients with cataracts).
• Do not have other serious eye health problems.

1. Permanent Vision Correction: Since the natural lens is replaced with an IOL, the correction is permanent. This eliminates the need for future adjustments that may occur with glasses or contacts.

2. Reduced Dependence on Glasses or Contacts: RLE can significantly reduce or eliminate the need for corrective eyewear, even for people who had significant refractive errors before surgery.

3. Treats Presbyopia: Unlike LASIK, RLE can also correct presbyopia, which is a common age-related condition that affects near vision. Multifocal or accommodating IOLs can restore the ability to focus on close objects.

4. Suitable for a Variety of Refractive Errors: RLE can address a wide range of refractive errors, including myopia, hyperopia, and astigmatism, making it a good option for people who may not be eligible for LASIK.

5. Reduces Cataract Risk: Since the natural lens is replaced, RLE may help delay the development of cataracts, which often form as a result of aging.

While RLE is generally considered safe, as with any surgery, there are risks. These include:

1. Infection: As with any surgical procedure, there is a risk of infection, though it is rare with modern techniques.

2. Intraocular Pressure Changes: Some patients may experience increased intraocular pressure, which can lead to complications like glaucoma if not addressed.

3. Intraocular Lens Displacement: Although rare, the IOL could shift out of its proper position, requiring additional surgery.

4. Glare, Halos, and Night Vision Problems: Some people may experience visual disturbances, especially at night, particularly with multifocal or toric IOLs.

5. Residual Refractive Error: In some cases, the desired level of vision correction may not be achieved, leading to the need for a second procedure or additional corrective measures.

6. Cystoid Macular Edema: This is a condition where the central retina swells, causing blurred vision, and can occur after the procedure, although it is typically treatable.

The cost of RLE can vary widely depending on several factors:

• The type of IOL selected (e.g., multifocal IOLs tend to be more expensive than monofocal lenses).
• The surgeon’s experience and the geographic location of the procedure.
• Additional services, such as preoperative consultations and postoperative care. On average, RLE surgery can cost between $3,000 to $5,000 per eye. This cost is often not covered by insurance, as RLE is considered a refractive procedure rather than a medically necessary one, unlike cataract surgery.