Refractive Lens Exchange Candidate Selection

Abstract

Refractive lens exchange (RLE) is a popular procedure in presbyopic patients who desire the full range of vision. Advances in IOL designs can allow patients to achieve distance, intermediate, and near vision without the need for glasses. Seeing a smart phone or computer without correction is a significant lifestyle benefit. Patient satisfaction has been very high with both multifocal and extended depth of focus implants. Candidates for RLE may have any refractive error and are usually presbyopic and desire the full range of vision. Presbyopic low hyperopes are very motivated, as they never wore distance glasses when they were younger, started with readers in their early 40s, and now need glasses for both distance and near activities. Most hyperopic, myopic, and astigmatic refractive errors can be treated with a RLE. Patients should have a normal cornea, macula, optic nerve, and peripheral retina. Diagnostic testing should demonstrate a normal corneal topography without evidence of irregular astigmatism. CE Notification: This article is available as a COPE accredited CE course. You may take this course for 1-hour credit. Read the article and take the qualifying test to earn your credit. Click here to Enroll (https://www.crojournal.com/refractive-lens-exchange-candidate-selection)