Refractive Lens Replacement

Refractive lens exchange can improve your quality of vision if you are:

  • Missing the freedom of an active lifestyle without glasses

  • Tired of changing between distance and near glasses

  • Fed up with looking for your glasses

  • Struggling with computer or near work

  • Not getting on with your multifocal glasses

  • Not getting on with your multifocal contact lenses

  • Repeatedly changing your spectacles to see well

 

What is refractive lens replacement?

Refractive lens exchange is very similar if not identical to modern cataract surgery. It involves replacing your natural lens with a new artificial intraocular lens that lasts for life. The lens of the eye is found behind the iris, the coloured structure of the eye that gives us our green or brown eyes, and is normally clear and transparent.

 

As we get older the lens loses its natural elasticity and ability to focus, a condition called presbyopia or dysfunctional lens syndrome. 

Refractive lens exchange can correct underlying refractive errors of the eye, such as short-sightedness, long-sightedness and astigmatism, and provides a good opportunity to reduce or eliminate your need for both distance and reading glasses.

What are the benefits of refractive lens replacement?

  • Refractive lens exchange, with the appropriate choice of lenses, can achieve freedom from glasses in 4 out of 5 patients

  • It can improve the quality of your vision, restoring its natural sharpness

  • It allows you to enjoy an active lifestyle more easily

  • It eliminates the risk of infection that is associated with wearing contact lenses 

  • It provides the opportunity to reduce or eliminate your need for both distance and reading glasses. This refractive correction is achieved with the use of a customised lens that can compensate for any astigmatism you may have and also focus your eyes clearly for both distance and near

  • It eliminates the need for cataract surgery in later life   

What are my new lens options?

Monofocal lens

This is the standard lens used for the majority of cataract operations in the UK and is not the first choice for refractive lens exchange. It provides good quality vision but it does not provide clear vision for both distance and near.

 

If a multifocal lens is not indicated or not desirable, monofocal lenses can still be used with the following procedures to achieve both distance and near vision:

  1. Monovision focuses one eye for distance and the other eye for near with the appropriate selection of monofocal lenses. A refractive work-up is carried out to assess your suitability and tolerance of monovision.

  2. PRESBYOND laser blended vision is a laser vision correction procedure that can be carried out after standard lens surgery with a monofocal lens. The principle is similar to monovision (one eye focused for distance, the other for near) but there is a smoother transition between the two eyes. A refractive work-up is carried out to assess your suitability and tolerance for this procedure.     

Extended depth of focus lens

An extended depth of focus lens provides good quality vision, achieving clear vision for both distance and near without glasses. As the visual performance of this lens favours distance and intermediate vision, a weak pair of reading glasses may be needed for reading very small print, especially in dim light.

 

This lens can be combined with astigmatism reduction, allowing us to achieve the best possible vision without glasses. A refractive work-up is carried out to assess your suitability.

Trifocal multifocal lens

A trifocal lens provides overall good quality vision, achieving clear vision for both distance and near without glasses. The visual performance of this lens favours distance and near vision. The vast majority of patients can read very small print, however a weak pair of glasses may be needed for prolonged computer use.

 

This lens can be combined with astigmatism reduction, allowing us to achieve the best possible vision without glasses. A refractive work-up is carried out to assess your suitability.

How to proceed?

  • Call or send us a message requesting an appointment for consultation

  • Select a hospital for consultation: Wessex Nuffield, Guildford Nuffield, Southampton Spire or Southampton General Hospital

  • At your consultation your symptoms and needs will be ascertained, you will have a detailed eye examination and scans, and a surgical plan made to match your eyes and needs. Your pupils will be dilated, so please do not drive to the consultation

  • Select a hospital for surgery: Wessex Nuffield, Southampton Spire or Southampton General Hospital

  • Your surgery will normally take 15-30 minutes; however, expect to be at the hospital for 2-3 hours

  • Select a hospital for your follow-up consultation: Wessex Nuffield, Guildford Nuffield, Southampton Spire or Southampton General Hospital

Book an appointment or a free screening review for Laser Vision Correction.

 

Call 02381 812281

Leave a message

Aris Konstantopoulos MB ChB, MSc, FRCOphth, PhD

Consultant Eye Surgeon

Cataract, cornea and refractive surgery

Consultation clinics:

  • Nuffield Health Wessex Hospital, Eastleigh, SO53 2DW

  • Nuffield Health Guildford Hospital, Guildford, GU2 7RF

  • Southampton Spire Hospital, Southampton, SO16 6UY

  • University Hospital Southampton NHS FT, SO16 6YD

CONTACT DETAILS

Mr Aris Konstantopoulos

Aris Vision Correction

Southampton Spire Hospital

Southampton, SO16 6UY

T: 02381 812281

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