long and short sight

... can be treated with lens replacement surgery. This is identical to cataract surgery but before the onset of cataracts

it is also called refractive lens exchange or natural lens replacement


why have this done?

people are often familiar with 'laser eye surgery' in order not to wear glasses. the aim of lens replacement surgery is to not wear glasses also, or wear glasses less often


you may find that you depend on glasses more now than you used to

you may be wearing contact lenses then reading glasses on top

you may break of lose your glasses often

you may have several pairs of glasses or find that you keep updating them

some people are happy if they only need reading glasses

some people prefer to read without glasses and only wear driving glasses

and some people just don't want any glasses at all!

can I have laser eye surgery instead?

typically, laser eye surgery or Laser Vision Correction (LVC) is used in younger patients who can still focus their eyes up close and in the distance

there are some LVC options that allow you to see in the distance and up close without glasses; however, if you already wear reading glasses, you may be better suited to lens replacement surgery

many of us get a cataract as we get older, so some patients prefer to 'get ahead'

if you have lens replacement surgery, you cannot develop a cataract later on

If you have LVC, you may well develop a cataract later



a refractive lens exchange assessment consists of

  • asking you questions about you and your health, including details of any medications that you make be taking and allergies
  • a complete examination of your eyes
  • measurements of your eyes. This is different to what your optician does and is essential to plan your surgery.
  • options, including consent for the procedure, type of anaesthetic, information leaflets and health questionnaires

what are premium lenses?

  • typically, these are lens implants which can reduce or minimise your reliance on glasses after surgery

  • they go by various names including toric lenses (to correct astigmatism), multifocal lenses, extended monofocal lenses, extended depth of focus, but to name a few 

click below to find out more


click on the buttons below to download information leaflets on various treatments