What is Refractive Lens Exchange (RLE) Surgery?

RLE (Refractive Lens Exchange) is the only procedure that can correct both near and distance vision in both eyes permanently if you are older than 40. Everyone needs glasses for reading sometime after 40. This happens even if you had perfect vision all your life or if you had LASIK. This condition is known as presbyopia. RLE is currently the only solution to this problem. Reducing or eliminating the dependence on glasses or contact lenses is one of the main reasons why people opt for Refractive Lens Exchange (RLE) surgery. Age-related presbyopia often has us juggling two pairs of glasses. One for close or computer and one for distance vision.

Shopping, visiting a book shop or cooking while watching TV can turn into a “glasses-swapping” exercise. An annoying and impractical activity to say the least. Refractive Lens Exchange surgery is a vision correction procedure that can solve this problem within 15 minutes and provide you with a lifetime of better vision for both – distance and near vision. The procedure is similar to cataract surgery where a cloudy lens is replaced with an artificial intraocular lens (IOL). Dr. Cohen has more than 20 years of experience both in RLE and in cataract surgery. In his offices in New York and New Jersey, he has performed over 75,000 surgeries including more than 1000 physicians.

Dr. Ilan Cohen Has Performed Over 80,000 Vision Correction Procedures.

Dr. Cohen is a fellowship-trained cornea specialist and has devoted his career to fine-tuning and perfecting surgical techniques that can change your vision and your life. This is perhaps the reason that more than 1,000 physicians have chosen him for the correction of their own vision.

older woman touching her cheekbone

Weighing the Advantages & Risks of RLE. The Importance of a Thorough Screening Exam

  1. Only Refractive Lens Exchange surgery can correct presbyopia (reading difficulty over the age of 40) along with nearsightedness, farsightedness and astigmatism resulting in improved vision with better distance AND near vision. This could mean that you no longer need to rely on glasses or contact lenses.​
  2. As opposed to LASIK which removes tissue from the cornea, RLE does not weaken or interfere with the cornea.
  3. The corrective results for RLE are permanent.​
  4. Cataracts cannot happen after RLE. Everyone eventually gets cataracts if you live long enough. RLE solves this problem permanently.​
  5. Although cost should not be the deciding factor, RLE is often more cost-effective than LASIK in the long term.
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Refractive Lens Exchange Results are Permanent!

Risks of RLE Surgery

The risks of RLE are very similar to the risks of cataract surgery. They include infection, the need for a second surgery, inflammation, and more. It is important to note that the RLE does not have the corneal risks associated with LASIK.

Our internal studies of the complication rates with cataract surgery show that Dr. Cohen’s complication rates are 10 times lower than the national average. Perhaps this is the reason that more than a thousand doctors and eyecare providers have trusted their eyes to him.

The Crucial Role of a Thorough Screening Exam

During our comprehensive screening exam, we address all the above risk factors. As opposed to most LASIK centers which often do a limited number of procedures, we take a more comprehensive approach that considers the patient’s well-being first. Dr. Cohen is experienced in all possible vision correction modalities and tools and hence is in a better position to offer you what’s right for you. The question we want to answer during the screening exam is “what is the optimal procedure that will provide you with the sharpest vision for the long term in the safest manner?”

When We Screen Our Patients, We Compare LASIK to RLE and Consider the Following Factors:

  • LASIK is often considered for younger patients who have mild to moderate refractive errors, while RLE can be a better option for patients with more severe vision problems or people over the age of 40.
  • LASIK and RLE are both surgical procedures which are carried out to correct nearsightedness, farsightedness, and astigmatism
  • Both procedures, although different, are safe and effective.
  • RLE is a procedure in which an artificial lens implant is placed in the eye to replace the natural lens.
  • In terms of recovery, both procedures on average require a few days of recovery time.
  • The choice of surgery ultimately depends on the patient’s individual needs and screening results.
  • LASIK is a laser-based procedure that reshapes the cornea to improve vision.
  • Again, optimal results and our patient’s well-being guide our decision-making process.
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Meet Our Doctors

Dr. Ilan Cohen

President and Medical Director

Dr. Cohen

Dr. Nancy Argano

Clinic Leader, Old Bridge

Dr. Argano

Dr. Nathalie Chen

Dry Eye Clinic Leader, Old Bridge

Dr. Chen

Dr. Krishna Morar

Clinic Leader, Ridgewood

Dr. Morar

Dr. Brian Krawitz

Glaucoma Specialist

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What Happens During RLE Surgery?

RLE is a surgical procedure that replaces the eye’s natural lens with an artificial intraocular lens (IOL).

  1. The patient will receive local anesthesia that numbs the eye so that the patient won’t feel any pain or discomfort.
  2. The surgeon will make a tiny incision in the cornea and remove the natural lens to replace it with an artificial lens.
  3. This procedure takes about 10 minutes and is followed by a recovery period during which the patient has to follow instructions that aid the healing process and prevent post-surgical issues.
  4. The artificial lens corrects the vision problems so that the patient will no longer depend on glasses or contact lenses.

What are the Differences Between Cataract and RLE Surgery?

Refractive Lens Exchange surgery is very similar to cataract surgery. During the procedure, the eye’s natural lens is removed and exchanged with a lens implant. Whereas in cataract surgery, we remove the lens because it is cloudy, in RLE, we remove the lens to fix the vision and eliminate the need for distance and near glasses.

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How is Refractive Lens Exchange Different from LASIK?

RLE and LASIK are both vision correction surgeries. LASIK, however, has some limitations that can be addressed better with Refractive Lens Exchange.

One limitation is that LASIK can provide only distance vision for people older than 45 and who are losing their near vision.

Refractive Lens Exchange, however, can correct both – near and far vision. And the results are permanent because the natural lens is removed, whereas with LASIK the risk of developing cataracts remains.

LASIK is a laser-based procedure that reshapes the cornea and thus improves vision. However, this is not the right solution for everyone. People with very high prescriptions are NOT candidates for LASIK but qualify for RLE.

RLE is a procedure in which a permanent lens implant is placed in the eye to replace the natural lens.

Both procedures are safe and effective and the choice of surgery ultimately depends on the patient’s individual needs and preferences.

After LASIK the vision can still change. And most patients that had LASIK will eventually need reading glasses. Also, they will certainly need cataract surgery at some point in the future. With RLE, there will never be a need for cataract surgery and the vision is expected to remain stable for the long term.

LASIK is often preferred for patients who are younger and have mild to moderate refractive errors, while RLE is a better option for those with more severe vision problems or people over the age of 40.

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Testimonials

Took my 8yr old here for the first time because of her pediatrician recommendation. As soon as I walked in the office front desk was very welcoming. The gentleman who helped me ...

Took my 8yr old here for the first time because of her pediatrician recommendation. As soon as I walked in the office front desk was very welcoming. The gentleman who helped me was very polite and friendly.

Yaritza O.

Had such a great experience at Cohen Eye Institute! The whole process was super smooth—from booking my appointment to the actual LASIK procedure. The staff was so friendly...

Had such a great experience at Cohen Eye Institute! The whole process was super smooth—from booking my appointment to the actual LASIK procedure. The staff was so friendly, patient (especially with how nervous I was) and made me feel comfortable the entire time.

Dr. Cohen took the time to explain everything about LASIK, answered all my questions, and made me feel completely at ease. You can tell he genuinely cares about his patients and their results.

If you’re thinking about getting LASIK, I highly recommend this place. Professional, efficient, and overall just a great experience!

Debby R.

I had an amazing experience at Cohen Eye institute! From start to finish they went above and beyond to ensure everything was ok The clinic itself is super clean and neat with st...

I had an amazing experience at Cohen Eye institute! From start to finish they went above and beyond to ensure everything was ok The clinic itself is super clean and neat with state of the art equipments. Their attention to detail and professionalism made the entire process seamless . I want to thank the staff but foremost Kenia she’s at front desk she went above and beyond making it very clear and simple experience I would highly recommend this clinic to anyone for there Eye needs ill definitely will go there again.

Elvis S.

It’s been always great experience from last two years. Doctors and other staffs have been amazing. Ms Sarany and Ms Karlee are outstanding with their customer service. I w...

It’s been always great experience from last two years. Doctors and other staffs have been amazing. Ms Sarany and Ms Karlee are outstanding with their customer service. I will definitely recommend

Razib E.

First time patient and the doctor that took care of me was Karlee she did such an amazing job so knowledgeable feel very comfortable. Now this my new home The past experience th...

First time patient and the doctor that took care of me was Karlee she did such an amazing job so knowledgeable feel very comfortable. Now this my new home The past experience that I had in other locations has just been horrible thank you guys for making me feel comfortable. The place is so impeccable clean.

Oscar O.

Everything was great from beginning to end. All the staff were friendly and professional. I’ve been with them for many years and it’s been amazing since my 1st visit...

Everything was great from beginning to end. All the staff were friendly and professional. I’ve been with them for many years and it’s been amazing since my 1st visit.

David C.

I’m a first time patient i came 6mins late my schedule but the staff assist me right away. They are very friendly and they work fast i was in and out the building.Dr. Kris...

I’m a first time patient i came 6mins late my schedule but the staff assist me right away. They are very friendly and they work fast i was in and out the building.Dr. Krishna Morar explained to me clearly whats going on with my eyes so clearly understand what I need to do with his advice. God blessed every one

Bhel G.

From the moment I walked in, I was warmly greeted by Kenia, whose bubbly personality and efficiency truly made my day. Her knowledge and fast service stood out, making the entir...

From the moment I walked in, I was warmly greeted by Kenia, whose bubbly personality and efficiency truly made my day. Her knowledge and fast service stood out, making the entire experience smooth and enjoyable. The office was spotless and well-organized, creating a welcoming atmosphere. I’ll definitely be returning!

Manuel S.

My experience was all together great regarding the medical part, where I think there’s room for improvement is the wait time and the efficiency of the front desk staff. Bu...

My experience was all together great regarding the medical part, where I think there’s room for improvement is the wait time and the efficiency of the front desk staff. But they’re all professional and friendly and my eyes are better now, that’s what matters!

Adriana N.

Professional and courteous staff. Well organized and comfortable facility. They answered all my questions and were very friendly when I asked to have my prescription sent to a d...

Professional and courteous staff. Well organized and comfortable facility. They answered all my questions and were very friendly when I asked to have my prescription sent to a different farmacy. This was my first visit and will see the surgeon in 2 weeks.

Joe C.

I recently had the pleasure of being treated at the Cohen Eye Institute, and I couldn't be more impressed. From the moment I walked in, the staff were warm, welcoming, and incre...

I recently had the pleasure of being treated at the Cohen Eye Institute, and I couldn't be more impressed. From the moment I walked in, the staff were warm, welcoming, and incredibly professional. The doctors and medical team were knowledgeable, compassionate, and took the time to answer all my questions.

The facility itself is state-of-the-art, with modern equipment and a clean, comfortable environment. The entire experience, from initial consultation to post-op care, was seamless and stress-free.

I highly recommend the Cohen Eye Institute to anyone seeking top-notch eye care. Their expertise, combined with their caring approach, makes them stand out in the field. I'm so grateful for the care I received and would trust them with my family's eye health without hesitation.

Lisa F.

I have great faith in Dr. Morar. He answers my questions and explains things so I can understand. Sammy did my initial eye check and was efficient, courteous and kind. It was a ...

I have great faith in Dr. Morar. He answers my questions and explains things so I can understand. Sammy did my initial eye check and was efficient, courteous and kind. It was a great vision checkup.

Marie T.

I have been going to Dr. Morar for years. He is very thorough, caring, compassionate and he always takes his time. He explains everything in detail. My son went with me once and...

I have been going to Dr. Morar for years. He is very thorough, caring, compassionate and he always takes his time. He explains everything in detail. My son went with me once and Dr. Morar answered all of my son’s concerns. I leave there satisfied never second guessing what Dr. Morar has done. You won’t sit around for a long time like most places. I’m always called in around my appointment time.

His staff is very helpful, professional and kind. I’m always greeted with a smile no matter who is taking care of me. The entire office is always clean. I wouldn’t change this practice. I highly recommend Cohen Eye Institute!

Zenda P.

I enjoyed the friendly staff and the courtesy of the tech's it was very clean and up to date. With the equipment. And Dr Mora was quite friendly and knowledgeable I enjoyed my v...

I enjoyed the friendly staff and the courtesy of the tech's it was very clean and up to date. With the equipment. And Dr Mora was quite friendly and knowledgeable I enjoyed my visit exceptionally

Marc P.

The facility is equipped with the most advanced technology, ensuring top-notch care for every patient. The staff is exceptionally friendly, professional, and attentive, making e...

The facility is equipped with the most advanced technology, ensuring top-notch care for every patient. The staff is exceptionally friendly, professional, and attentive, making every visit a pleasant experience. The doctors are incredibly knowledgeable and take the time to answer all questions with patience and clarity. I always feel heard and cared for here. Thank you for providing such outstanding service!

Mehdi T.

Great place. Everyone friendly, competent and respectful. Doctor was excellent. Very modern and clean office. Very little wait time

Great place. Everyone friendly, competent and respectful. Doctor was excellent. Very modern and clean office. Very little wait time

M. W.

Everyone was attentive, friendly and respectful. The place is clean and Dr Morar is amazing, he addresses any concerns thoroughly and makes sure he provides an excellent custome...

Everyone was attentive, friendly and respectful. The place is clean and Dr Morar is amazing, he addresses any concerns thoroughly and makes sure he provides an excellent customer service.

Hazel N.

I was just seen 2 weeks ago and I will continue to come here! The staff is always so helpful and the doctors have very good bedside matter along with being very informative. He ...

I was just seen 2 weeks ago and I will continue to come here! The staff is always so helpful and the doctors have very good bedside matter along with being very informative. He took the time to answers my questions and I did not feel rushed in anyway. I have seen two different doctors here and I would recommend any of the doctors here.

Jill N.

Clean office friendly staff excellent doctor interactions. Listened to questions n not pushy. Good experience.

Clean office friendly staff excellent doctor interactions. Listened to questions n not pushy. Good experience.

Angela P.

Dr. Morar has been doing an excellent job on diagnosing my eye issues for 7yrs now. He has always been very cordial, professional and compassionate. Thanks Doc

Dr. Morar has been doing an excellent job on diagnosing my eye issues for 7yrs now. He has always been very cordial, professional and compassionate. Thanks Doc

Daryl W.

Dr. Morar is a great and smart doctor. All my relatives using him as their eye doctor. He is very caring and always spends time with you, listens to you and gives you good advis...

Dr. Morar is a great and smart doctor. All my relatives using him as their eye doctor. He is very caring and always spends time with you, listens to you and gives you good advises. The practice is very clean, all the staff are super friendly. If you have an emergency, they will help you even without appointments.

Ivanka G.

Facility is clean and the marjority of the front desk is pleasant. The doctor was amazing, kind and caring. My mother is very satisfied with the service.

Facility is clean and the marjority of the front desk is pleasant. The doctor was amazing, kind and caring. My mother is very satisfied with the service.

Maria C.

Very professional and courteous staff. Little to no waiting time on the day of your appointment. No matter what questions you ask they are always willing to take the time to exp...

Very professional and courteous staff. Little to no waiting time on the day of your appointment. No matter what questions you ask they are always willing to take the time to explain things to you and where necessary use visual aides in their explanations. Great service all around.

Ron F.

Great experience, excellent customer service. Gentlemen at desk was very knowledgeable, pleasant, compassionate. Rest of staff excellent service. Thank you all God Bless all of ...

Great experience, excellent customer service. Gentlemen at desk was very knowledgeable, pleasant, compassionate. Rest of staff excellent service. Thank you all God Bless all of you!

Lily

Cohen Eye Institute is one the best in New York City. Extremely professional and well educated people. They take good care of their patients immediately and lead you to the righ...

Cohen Eye Institute is one the best in New York City. Extremely professional and well educated people. They take good care of their patients immediately and lead you to the right track of your treatment.

Wisdom E.

Loved my doctor. As a new patient they were able to accomidated me for same day emergency appointment. I never had an issue with scheduling. The doctor was very caring for my ey...

Loved my doctor. As a new patient they were able to accomidated me for same day emergency appointment. I never had an issue with scheduling. The doctor was very caring for my eye and gave recommendations. Very professional, nice and knowledgeable.

Damaris P.

My experience in this facility is one of gratitude. I appreciate their professionalism and level of care they demonstrated throughout my visit .I thank the whole staff for their...

My experience in this facility is one of gratitude. I appreciate their professionalism and level of care they demonstrated throughout my visit .I thank the whole staff for their efficiency and their prompt services.

Tiffany

I didn't wait to much for them to call me inside,the staff are very nice and the Dr is polite & gentle. The place is affordable,nice & clean.

I didn't wait to much for them to call me inside,the staff are very nice and the Dr is polite & gentle. The place is affordable,nice & clean.

Blanca I.

Everyone was very professional, patient, and friendly . The Institute is very clean, the examination was thorough and the doctor made me feel confident and secure that he would ...

Everyone was very professional, patient, and friendly . The Institute is very clean, the examination was thorough and the doctor made me feel confident and secure that he would take care of my vision problems.

Larry A.

From entering into the office through completing my appointment, the staff and doctor were prompt, courtesy & professional, which is much appreciated.

From entering into the office through completing my appointment, the staff and doctor were prompt, courtesy & professional, which is much appreciated.

Alfred S.

Life-Changing Experience!I recently had LASIK surgery with Dr.Cohen and his team, and I honestly can’t believe I waited this long to do it. From start to finish, the...

Life-Changing Experience!I recently had LASIK surgery with Dr.Cohen and his team, and I honestly can’t believe I waited this long to do it. From start to finish, the entire process was smooth, professional, and surprisingly quick. The consultation was thorough—they explained everything in detail and answered all of my questions, which really helped ease any nerves I had.The actual procedure took less than 15 minutes, and I was seeing better almost immediately. By the next day, my vision was crystal clear—no glasses, no contacts, just perfect vision. It’s still wild to wake up and see without fumbling for glasses.The staff was incredibly kind and knowledgeable, and they made sure I was comfortable every step of the way. Recovery was easy, just a few days of taking it easy and using eye drops.Getting LASIK was one of the best decisions I’ve ever made. If you’re on the fence—go for it. It’s truly life-changing!

Anonymous
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For How Long Will an RLE Vision Correction Last?

Once the natural lens in your eyes is replaced, there is no limit to the age of the implant. It will most probably outlast a human life. There is no reason for the near vision to deteriorate. However, there are other diseases such as macular degeneration and glaucoma that could still develop and affect the eye. They will not, however, selectively affect the near vision.

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Together, We Decide Which Solution is Best for You

If you are considering eye surgery to improve your vision, then contact our practice for more information and book a screening where we thoroughly examine your eyes and explore your vision goals. And no matter which procedure you choose for more than 20 years, patients have entrusted their eyes to Dr. Cohen for RLE and other procedures.

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Refractive Surgery Quiz

At Cohen eye Institute we offer a wide menu of Refractive Surgery. From Lasik to EVO- ICL. This quiz will help us help you tailor your vision to your lifestyle needs.

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Enhancing Your Vision

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