Replacing the Natural Lens to Correct a Range of Vision.

Refractive Lens Exchange (RLE), replaces the eye’s natural lens with an artificial lens to correct a full range of vision—nearsightedness, farsightedness, astigmatism, and presbyopia. It’s a strong option for patients over 40 or those who aren’t candidates for laser vision correction and want to reduce or eliminate their dependence on glasses or contacts.

As we age, the natural lens gradually loses its ability to focus up close (presbyopia) and can become cloudy (cataracts), leading to a steady decline in vision. RLE addresses these changes by replacing the aging lens before vision worsens.

With advanced technology and a proven safety profile, many patients are choosing RLE earlier to maintain clear, stable vision. The procedure improves both near and distance vision, prevents future cataracts, and provides a long-term solution that does not age.

How RLE Addresses Presbyopia

Standard vs. Advanced Lens Implants

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Standard Lens Implants

These have a single focal point. They optimize vision for one distance, such as looking at distance objects.

These implants offer excellent vision but usually require glasses for many daily activities, such as driving, computer work, reading and near vision tasks. Standard lenses do not correct astigmatism.

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Advanced Lens Implants

Advanced lens implants provide a wider range of clear vision without glasses than standard lenses. They significantly reduce your dependency on glasses for most activities, such as computer work, watching TV, and driving. There are four types of advanced lens implants: the Light Adjustable Lens (LAL), the multifocal lens, the extended range lens and the toric lens. Clear vision for many activities, both up close and far away, can be achieved with these lenses.

Refractive Lens Exchange options include both the Standard Lens Implant and Advanced Lens Implants.

Types of Advanced Lenses

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Light Adjustable Lens

The Light Adjustable Lens is the only lens implant whose power can be adjusted after surgery by shining a precise pattern of ultraviolet light on the lens. Although everyone heals differently after surgery, so many people have vision that is good but not quite perfect with non-adjustable lenses. This is one of the reasons Light Adjustable Lens stand out from other lenses because they can be adjusted to correct any remaining nearsightedness, farsightedness or astigmatism.

Learn More about Light Adjustable Lenses

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Advanced Multifocal Lens

The multifocal lens is similar to bifocal or trifocal glasses and is designed to provide a wide range of vision at different distances. Typically you'll see both far away and up close, often reducing the need for glasses for everyday tasks like driving or reading. While some patients may notice mild visual effects such as halos or glare, most adapt over time. Overall, more than 90% of patients with these lens implants will wear glasses on occasion, making them a convenient option for greater visual independence.

Learn More About Multifocal lenses

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Advanced Extended Range Lens

The extended range lens falls in between the single focus lens and the multifocal lens. The extended range lens offers crisp distance vision day or night without the halos around lights one may have with the multifocal lens. It also offers excellent intermediate vision.

Learn More About Extended Range Lenses

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Advanced Toric Lens

The toric lens implant is designed to correct larger amounts of astigmatism. The other lenses do not provide good vision in patients with high astigmatism. The toric lens offers excellent distance or close vision (but not both) in patients with high astigmatism.

Learn More About Toric Lenses

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Small Aperture Lens

Utilizing advanced technology, the Small Aperture Lens provides clear and focused vision from close proximity to far distances, and everything in between. The IOL has been developed to eliminate unfocused light, which leads to unclear vision, and instead, allows only the focused light to reach the retina. As a result, objects and text appear clearer and more defined.

Learn More About Small Aperture Lenses

LIFE · CLARITY · FOCUS See Everything. For Good.

You've spent years adapting to changing vision. RLE changes that permanently. At MSH Vision, Dr. Shamie and Dr. Hura will walk you through every lens option, and help you choose the solution that fits your life — not just your prescription.

Los Angeles and Pasadena Consultations available.

Schedule My RLE Consultation

Refractive Lens Exchange Testimonials

After wearing glasses for 56 years, the results have been extraordinary.

I am 62 years old. About a month ago I received Refractive Lens Exchange surgery (RLE) from Dr. Shamie. I was not nervous or anxious in the least, especially after reading about...

I am 62 years old. About a month ago I received Refractive Lens Exchange surgery (RLE) from Dr. Shamie. I was not nervous or anxious in the least, especially after reading about her credentials — they are VERY IMPRESSIVE. After wearing glasses for 56 years, my last prescription was R +6.75 and L +7. The results have been extraordinary. I can see clearly at all distances. I am deeply grateful.                                                                                    

—Rachel M.

After wearing glasses for 40 years, I woke up and could see.

I can't say enough about how great my experience has been. From beginning to end, everyone involved has been professional and the level of care I have received can only be descr...

I can't say enough about how great my experience has been. From beginning to end, everyone involved has been professional and the level of care I have received can only be described as exceptional. Dr. Hura is not only skilled but a really nice guy. After wearing glasses for 40 years, I woke up and could see. That sentence alone says everything.                                                                                    

—Sal H.

"A first class eye surgeon."    

Dr. Hura is a first class eye surgeon and he genuinely cares about providing the best possible outcome for his patients. He's also kind and reachable at any time during the lase...

Dr. Hura is a first class eye surgeon and he genuinely cares about providing the best possible outcome for his patients. He's also kind and reachable at any time during the laser adjustment period. My lens replacement surgery and laser adjustments far exceeded my expectations. I now have perfect vision and could not be more pleased with my decision.                                                                                  

—Trudi M

"She was confident I would be able to get rid of my glasses — and she was right."

I love the results from my refractive lens exchange. During my initial consultations, Dr. Shamie listened to my concerns carefully and was thoughtful and specific in her recomme...

I love the results from my refractive lens exchange. During my initial consultations, Dr. Shamie listened to my concerns carefully and was thoughtful and specific in her recommendations. After a thorough review of my situation, she was confident I would be able to get rid of my glasses — and she was right. The results have been life-changing.                                                                                    

—Elise W.

Now I enjoy perfect vision.

Dr. Hura is absolutely the best! I had RLE (Refractive Lens Exchange) surgery and now enjoy perfect vision. Dr. Hura and his team were caring, professional, and attentive every ...

Dr. Hura is absolutely the best! I had RLE (Refractive Lens Exchange) surgery and now enjoy perfect vision. Dr. Hura and his team were caring, professional, and attentive every step of the way. I couldn't be happier with the results. I highly recommend Dr. Hura — many thanks to you and your amazing team.                                                                                      

—Deanna J.

My short, medium, and long range vision are all back.

I worked with Dr. Hura and had lens replacement. 7 years ago I started struggling with reading small type. Over the years it got progressively worse. I started becoming dependen...

I worked with Dr. Hura and had lens replacement. 7 years ago I started struggling with reading small type. Over the years it got progressively worse. I started becoming dependent on readers and had to use them all of the time to read anything. Last month I had the procedure and my short, medium, and long range vision are all back. It is remarkable. I am so grateful to Dr. Hura and the entire team.                                                                                      

—Kathryn L.

I've never seen better.    

Dr. Shamie was very patient and answered all of my questions and concerns. I was extremely nervous and she really calmed me down and reassured me the morning of my surgery. The ...

Dr. Shamie was very patient and answered all of my questions and concerns. I was extremely nervous and she really calmed me down and reassured me the morning of my surgery. The procedure was life changing for me. I've never seen better! The nurses and staff at the surgery center were also amazing and very professional.                                                           

—Victoria M.

The transparency and thoroughness is exactly why I trust them.

My son and I made appointments at Maloney-Shamie for LASIK. To our surprise neither one of us were candidates — however, two separate procedures were presented to us. Due ...

My son and I made appointments at Maloney-Shamie for LASIK. To our surprise neither one of us were candidates — however, two separate procedures were presented to us. Due to having Radial Keratotomy in the past, I was offered the Refractive Lens Exchange. The transparency and thoroughness of that consultation is exactly why I trust them completely.                                                                                    

—Craig T.

Results exceeded my expectations.

Results exceeded my expectations. Multi-focal lenses enable me to read at 20/12 and see intermediate and distant vision at 20/20 with both eyes. Entire experience flawless with ...

Results exceeded my expectations. Multi-focal lenses enable me to read at 20/12 and see intermediate and distant vision at 20/20 with both eyes. Entire experience flawless with highly skilled and compassionate Dr. Neda Shamie and office staff.                                                                                     

—Gerry T.  

Easy, painless — a lifetime of 20/20 vision.

Easy, painless lens replacement surgery for a lifetime of 20/20 vision, and great patient care. Highly recommend!                  &...

Easy, painless lens replacement surgery for a lifetime of 20/20 vision, and great patient care. Highly recommend!                                                                                    

—Ted R.

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Ready to See More Clearly at Any Stage of Life?

Searching for your glasses on the nightstand, struggling with contacts during workouts, or noticing your vision becoming cloudy with age - these experiences are common. 

Today’s modern vision corrections procedures - Wavelight Plus LASIK, EVO ICL, Refractive Lens Exchange, and advanced lens laser cataract surgery have allowed tens of millions of people to achieve clearer vision while eliminating or reducing their dependence on glasses and contact lenses. 

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