Refractive Lens Options | Eduardo Besser, MD


Dr. Besser recommends refractive lens exchange as a better option for patients over 40 who want freedom from glasses.


For individuals over 40 who want to eliminate their dependence on glasses or contact lenses, LASIK laser vision correction might not be the most effective choice – especially if they are beginning to experience symptoms of presbyopia (difficulty seeing up close). 


These patients will benefit more from a Refractive Lens Exchange procedure to correct their vision problems, such as myopia, hyperopia or astigmatism.  


Refractive lens exchange is an exciting procedure that gives patients freedom from eyeglasses by implanting a new lens that corrects for refractive vision problems. It’s a better option for many patients over 40 who aren’t candidates for LASIK, with added advantages like long lasting vision stability, and zero possibility of cataracts developing with age.


Refractive Lens Exchange is an innovative application of a surgical method with a long, successful track record: cataract surgery. Just like cataract surgery, refractive lens exchange surgery removes the eye’s natural lens through a small incision and replaces it with a new, permanent, clear lens. 


While cataract surgery replaces the old lens because it's cloudy, yellowed or hardened,  RLE eye surgery replaces the old lens to correct its refractive errors - myopia (near-sightedness), hyperopia (far-sightedness), presbyopia (difficulty shifting to close-up vision), and/or astigmatism. 


The new lens implant focuses your eye properly, thereby eliminating the need for glasses.


What Are The Different Refractive Lens Options Implanted?

A key benefit to refractive lens exchange is the wide variety of lenses you can choose to have implanted based on your unique needs, lifestyle, and vision goals. Patients also have the chance to choose whether you want a high-performance implant that can reduce or eliminate the need for glasses.


Most intraocular lenses (IOLs) are made of coated silicone or acrylic, protecting the eyes from harmful ultraviolet lights, one of the key functions of a natural lens. 


The types of IOLs available include:


Monofocal Fixed-focus IOL

A monofocal intraocular lens provides clear vision at distant, intermediate, or near range. However, this lens can only correct vision in one of these ranges at a time. Patients that choose this refractive lens option may correct distance vision but still need reading glasses. 


Multifocal IOL

A multifocal intraocular lens provides clear vision at multiple distances by incorporating different capabilities into various zones of the lens. These refractive lens exchange options are frequently used to replace reading glasses.


Toric IOL

A toric intraocular lens incorporates different vision capabilities in specific zones of the lens. It corrects the different refractive errors associated with astigmatism.


Accommodative IOL

This is a type of monofocal lens that corrects vision at different distances by changing its position or shape inside the eye.


Schedule a consultation and find out if you’re a candidate for Refractive Lens Exchange by contacting our offices today. We’ll also help you learn more about the different refractive lens options and vision correction procedures we provide.



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Eduardo Besser, MD
9808 Venice Boulevard, Suite 400
Culver City, CA 90232
Phone: 310-838-0202
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