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    RLE choice factors in benefits, risks, alternatives

    Removal of the crystalline lens was developed as a procedure to treat the media opacity. However, advances in surgical techniques and in pseudophakic IOL technology have increased the functional use of lens-based refractive surgery, said William F. Wiley, MD.

    Speaking at Refractive Surgery 2017, Dr. Wiley addressed the question of when to perform refractive lens exchange (RLE).

    He s he considers the degree of lens pathology, the refractive error, and patient age. Presbyopic patients and patients with lens dysfunction should be considered over younger patients with functional lenses.

    “As lens technology continues to improve, greater weight may be given to refractive error than to age,” said Dr. Wiley, Cleveland Eye Clinic, Brecksville, OH. “In a world of continued technological advancements, we will be seeing more patients having their eyes ‘fixed’ early.”

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