Refractive Surgery

Refractive surgery first became popular with radial keratotomy (RK). Later, laser in-situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) became common and popular. The latest generation of cornea-shaping surgery is called Small Incision Lenticule Extraction (SMILE) or Kerato-Refractive Lenticule Extraction (KLEx). RK, LASIK, PRK, SMILE, and KLEx are all focused on changing the shape of the cornea to improve vision.

However, refractive error can also be corrected by changing the power of the lens inside the eye. This is the latest and most advanced way to correct refractive error as our lens and implantable technology has improved. It can be done with Refractive Lens Exchange (RLE), also known as Clear Lens Extraction (CLE), which is essentially cataract surgery but with a clear lens. Another version of this latest generation of refractive surgery places an implant on top of the natural lens — the implantable collamer lens (ICL).

Which one is right for you depends on your age, the health of your eyes, your refractive error, and your lifestyle. The best way to determine which procedure is best for you is to have a comprehensive eye exam with one of our providers. They will discuss the options best suited for you.

A general rule of thumb: if you are about 45 years or older, the likely best fit for you is a Refractive Lens Exchange (RLE) or Clear Lens Extraction (CLE).