Is Refractive Lens Exchange Safe for Severe Myopia?

If you have severe myopia (-15 in both eyes) and your doctor has recommended refractive lens exchange (RLE), you may be concerned about the safety of the procedure. Let's explore what you need to know about RLE.

Understanding RLE and Its Safety

Refractive lens exchange (RLE) is a procedure that may be recommended for individuals with severe myopia where LASIK or similar procedures may not be a viable option. With myopia reaching -15 diopters, you're indeed in a high myopic range, where RLE can offer significant benefits.

While there are risks associated with any surgical procedure, Refractive Lens Exchange is generally considered one of the safest procedures for correcting refractive errors. Before undergoing the procedure, it's crucial to understand the potential risks and the steps involved.

Preparing for and Recovering from RLE

It's important to follow your surgeon's instructions closely. Here are some key points to keep in mind:

Post-Operative Care: After the first eye surgery, ensure you fully recover before proceeding with the second eye. This may mean not driving for a period, typically around three months, until healing is complete. Regular Check-ups: Even after the surgery, you should continue to monitor your eyes' health to ensure there are no complications, especially given the peripheral retina remains weak. Follow-up Appointments: Attend all scheduled follow-up visits to monitor your recovery and address any concerns promptly.

Comparison with Other Myopia Correction Options

Refractive lens exchange (RLE) is sometimes preferred over Intracorneal Ring Segments (ICL) or phakic lenses for severe myopia, due to its simplicity and cost-effectiveness. However, the choice ultimately depends on your specific needs and the advice of your ophthalmologist.

What Happens During the Procedure?

The procedure itself is quite similar to a cataract surgery. In essence, the natural lens is removed, and a new implant lens is placed. This process has been refined over many decades, with current techniques minimizing risks to well under 0.5%.

Here are the key steps involved:

Initial Consultation: Discuss your options, expectations, and any concerns with your surgeon. Surgical Procedure: The natural lens is safely removed, and a new lens is inserted into its place. Recovery Period: Recovering from the surgery involves taking medications, avoiding certain activities, and attending follow-up appointments.

Conclusion

With a prescription as extreme as -15, the potential benefits of RLE are significant. While there is always a risk involved with surgery, the procedure is considered one of the safest ways to correct severe myopia.

Before making a decision, consult with a qualified ophthalmologist and understand the full procedure, including potential risks and recovery process. If you're about to go to the clinic for your procedure, remember to follow your surgeon's instructions meticulously to ensure the best possible outcome.