Refractive Lens Exchange (RLE)
Affiliated Health Insurers :
Refractive Lens Exchange (RLE)
Experience Clearer vision with advanced, personalized laser eye surgery tailored to your unique needs.
RLE Brochures :
Download our LASIK brochure to discover how laser vision correction works, who it’s suitable for, and why thousands have trusted Re:Vision for clearer, sharper vision.
Reduce dependence on glasses with RLE Surgery
What is LASIK ?
Refractive Lens Exchange is a procedure virtually identical to cataract surgery (the most common operation in the Western World), only for a slightly different reason. Instead of a cloudy lens in the case of cataracts, this procedure replaces your eye’s clear, natural, but ‘focally challenged’ lens with an artificial intraocular lens (IOL) to reduce your dependence on those annoying glasses.
As your own pre-cataract lens is removed with Refractive Lens Exchange, there will never be the need for cataract surgery in the future. Double win. The Refractive Lens Exchange procedure is most suitable for people who suffer from presbyopia and hyperopia (longsightedness), over the age of 50 years. An added advantage of refractive lens exchange surgery is that you won’t develop a cataract later in life.
RLE surgery is a painless, quick, proven method of enhancing vision and can be completed by our specialist surgeons at Re:Vision Day-Case Theatre in Auckland.
- No needle, no injection, no patch surgery
- Same-day treatment for both eyes
- Safe surgery and fast recovery
What is Glaucoma?
Glaucoma is a disease that damages the nerve at the back of your eye, called the optic nerve. The optic nerve sends the signals to the brain that enables you to see. Glaucoma is associated with increased sensitivity to pressure within the eye. The eye’s aqueous fluid is constantly produced and drained at a balanced rate and forms the intraocular pressure within the eye (IOP). When this drainage is reduced, or if there is too much fluid production, IOP increases and leads to damage of the optic nerve.
Image of the optic nerve showing loss of nerve cells in patients with glaucoma.
Glaucoma typically has no symptoms. Most patients do not experience any issues until they visit their eyecare provider. Untreated glaucoma can cause a gradual loss of vision, usually starting in the periphery which may go unnoticed for long periods of time.
Image showing the effect of loss of sight in patients with glaucoma.
Our Process :
Assessment
Detailed measurements of the eyes are taken for safety and accuracy, and the team will discuss your options. If you wear contact lenses, please leave them out and wear glasses for two full days prior to the day of your assessment.
Meet your surgeon
Usually, at the same visit, you will meet your surgeon who will thoroughly examine the front and back of the eye and discuss your eyesight problems and lens options. Our surgeons have also published widely on the safety of cataract surgery with various lens options.
Procedure
The procedure is comfortable and quick, usually less than 20 minutes for each eye. IV sedation is provided by an anaesthetist for maximal comfort. Both eyes are typically done on the same day.
Check
A follow-up appointment the next day will check how you are feeling and measure how much better your eyesight is. The vision recovers quickly, with the vast majoirty of patients regaining driving standard vision without glasses the next day but most people have 1 or 2 quiet days afterwards.
5 most common reasons patients have LASIK eye surgery :
Improved Vision :
LASIK can significantly improve high definition vision, allowing people to see clearly without relying on glasses or contact lenses. This is a huge benefit for people who’ve been struggling with poor vision for years.
Convenience :
For those always on the go or have an active outdoor lifestyle, a life not limited by glasses or contacts is a huge lift.
Cost Savings :
Over time, the cost of glasses and/or contact lenses, all add up. LASIK is a very cost-effective solution to reduce long-term expenses related to vision correction.
Safety :
With advances in laser technology, the small risks associated with LASIK have become increasingly minimal. Risks are minimised by choosing an experienced specialist laser surgeon who uses the latest laser technology.
Improved Self-Confidence :
For many, wearing glasses or contact lenses can be a source of self-consciousness. LASIK helps to improve self-confidence and allow people to feel more comfortable in their own skin.
Saving money
The hidden costs: what could you save?
What could that money have done?
The $40,000 you'd potentially spend on glasses and contact lenses over the next 30 years could have given you 15 luxurious holidays.
Est - 15 Holidays
Average holiday cost: $2600
Calculation: 40,000 / $2600 = 15
Saving time
The hidden cost of wearing glasses or contact lenses.
Did you know?
The time you'd spend handling glasses and contact lenses over the next 30 years is enough to have could have taken you around our planet over 30 times!
Est- 526 hours
Cleaning: 3 minutes/day
Finding misplaced glasses: 2 minutes/day
Repair, shopping: 2 hours/year
Total: 526 hours (over 30 years)
Est- 526 hours
Inserting and Removing: 3 minutes/day
Cleaning: 2 minutes/day
Renewing & Check-ups: 2 hours/year
Total: 1,012 hours (over 30 years)
Saving planet
Reducing our carbon footprint
The environmental perspective
Over 30 years, using glasses and contact lenses contributes to 876lb of CO2 emissions. Opt for vision correction and take a stand for our planet!
Est- 876.6 CO2 emissions
Combined plastic waste:
0.525 kg (glasses)+65.7 kg (contact lenses)=66.225 kilograms over three decades.
Total: 66.225 kilograms of plastic×6=397.35 kilograms = 876Lb of CO2 emissions(over 30 years)
Benefits for RLE:
Safe
We use the newest lens removal technology available in New Zealand to provide unequaled safety, care, and quality of vision. Our surgeons have also published widely on the outcomes and safety of RLE surgery.
Short Surgery Time
It only takes 10-15 minutes to perform the surgery.
Simple Surgery
The surgery is performed with drops to number the eye without the need for an injection or stitches.
Good Visual Results
Most patients achieve better than driving standard vision the next day and many achieve freedom from their glasses.
Fast Recovery
Ther surgery is very comfortable and the recovery is quick, with many able to return to work within 1-2 days.
No more Cataracts
After RLE surgery, you can not develop cataracts.
Personalised Surgical Care
Some patients are not suitable for drops or laser therapy and require either cataract surgery, minimally invasive glaucoma surgery or complex glaucoma surgery.
Minimally invasive Glaucoma surgery (MIGS) marks a milestone in the advancement of glaucoma patient care. MIGS are a form of glaucoma surgery which is associated with minimal incisions, and are generally associated with lower risks in restoring normal eye pressure.
Prior to MIGS, treatment options were limited to medications, laser and major glaucoma tube and filtration surgery. Now, with MIGS, our team at Re:Vision have more treatment options which benefits a patient with faster recovery , less surgical risks and less dependence on medications following surgery.
Our surgeon is a leader in MIGS surgery in NZ, with a wealth of experience with iStent -W, Kahook Dual Blade, Hydrus, XEN, Preserflo, micropulse and cyclodiode laser.
MIGS management include:
1) Various treatment options and benefits which are patient centric and individualised
2) Evidence based therapy and
3) Promising outcomes for glaucoma patients.
MIGS can be performed as a standalone procedure or in conjunction with cataract surgery. There are different surgical approaches under the MIGS umbrella, but they generally are designed to allow more fluid to drain out of the eye and hence, reduce intraocular pressure.
a) iStent
The iStent is the smallest medical device ever implanted into humans. The iStent decreases eye pressure by creating a pathway into the eye’s drainage system. The iStent was the first trabecular micro-bypass device approved by the FDA and is the most thoroughly-studied glaucoma device on the market.
Click here to watch video on iStent
b) Kahook Dual Blade
The Kahook Dual Blade goniotomy procedure involves removing a section of the trabecular meshwork (the part which is associated with the greatest resistance in fluid outlflow) and hence increasing drainage out of the eye.
Click here for information on KDB
c) Micropulse Laser Treatment
This procedure decreases the amount of fluid produced by the eye and increases fluid outflow. A probe is placed on the surface of the eye and the surgeon applies laser energy to part of the eye which controls the production of fluid in the eye.
d) Preserflo Stent
The Preserflo drainage shunt is type of microshunt implant used to reduced intraocular pressure by creating a controlled pathway for the drainage of fluid out of the eye. It is made from a specialised biocompatible material called SIBS, which is known for its stability, flexibility and compatibility with the human body, hence minimising tissue inflammation.
Click here for information on Preserflo
Trabeculectomy surgery has been done for more than 50 years, and involves making a separate channel for fluid to filter out of the eye.
A drainage tube is a device inserted into the eye, which acts as straw where fluid can access to drain out of the eye onto the outer coat of the eye. There are several drainage tubes available in NZ which include Molteno drainage tube, Paul drainage tube and Baerveldt drainage tube.
Generally, these surgeries are done once all others have been exhausted and have failed to stop the progression of glaucoma.
Glaucoma is optic nerve damage due to increased pressure sensitivity within the eye while a cataract is a clouding of your natural lens within your eye.
In some patients, the hardening and change in the shape of the lens with the development of cataract, can potentiate the effects of glaucoma, such as angle closure glaucoma. In this situation, we may suggest having cataract surgery as a way to treat your glaucoma.
Some patients can combine glaucoma and cataract surgery (includes patients with open angle glaucoma). MIGS procedures in particular can be performed through the same incision as cataract surgery, providing an efficient way to address two problems at once.
Our Technology:
Sirius Tomographer
Combines Placido disk topography with Scheimpflug tomography of the front of the eye to allow the surgeon to perform the safest version of laser vision correction customised to your eyes. The device provides highly accurate measurements of corneal thickness, curvature, power as well as pupil size measurements and is commonly used for refractive surgery planning and follow-up.
IOL master 700
The IOLMaster 700 provides highly repeatable and accurate measurements of the eye to allow the surgeon to customise the lens implant in your eye following cataract or RLE surgery. The device provides highly accurate lens thickness, anterior chamber depth, and corneal thickness measurements of the eye. The entire process is completed in about 50 seconds, with a total of 2,000 scans taken per second. During the process, the IOLMaster 700 also performs a 1-mm central retinal scan.
What is Wavefront-guided LASIK ?
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What is Wavefront-Guided LASIK?
Wavefront-Guided LASIK uses advanced scanning technology to map and correct 25 unique higher-order aberrations in your visual system—not just your glasses prescription. It provides a highly customised laser correction, leading to sharper, clearer vision and better outcomes in night vision and contrast sensitivity.
Why Choose Wavefront-Guided LASIK?
Wavefront-Guided LASIK is the safest, most precise laser vision correction method available today. It offers faster recovery, less discomfort, and clearer vision—especially in challenging conditions like night driving. It's also the most flexible option for future enhancements.
How is WG-LASIK Different from SMILE?
SMILE corrects only basic focus errors (like myopia or mild astigmatism) and cannot customise treatment to your unique eye structure. WG-LASIK uses highly detailed scans to treat subtle optical imperfections, resulting in better night vision, more accurate outcomes, and easier enhancement options later.
Is LASIK right for me?
Most people with stable vision, healthy corneas, and realistic expectations are suitable for LASIK. We’ll use 3D eye scans and wavefront diagnostics to determine if LASIK—or another treatment—will give you the best long-term result.
How long does the surgery take?
The procedure itself takes only 10–15 minutes per eye. You’ll be in the clinic for around 1.5–2 hours total, including prep and recovery time. Vision often improves within hours after surgery.
Does LASIK surgery hurt?
No—LASIK is virtually painless. We use anaesthetic drops to numb the eye. You may feel light pressure for a few seconds, but most patients describe the procedure as surprisingly comfortable.
When can I drive or return to work?
Most LASIK patients can drive and return to work within 1–2 days. Vision typically stabilises quickly, especially with wavefront-guided technology. We'll give you clear post-op guidance based on your specific case.
Can you guarantee me perfect vision with LASIK?
While no procedure can guarantee “perfect” vision, WG-LASIK offers the most accurate and predictable outcomes available. Most patients achieve 20/20 or better. If your vision changes in future, enhancement options are available.
Is there an upper age limit for LASIK?
There’s no strict upper age limit, but your suitability depends on your eye health, corneal thickness, and visual goals. Many people in their 40s, 50s, and beyond enjoy excellent outcomes with LASIK or other tailored procedures.
Do I need to leave contact lenses out before surgery?
Yes. Contact lenses can alter the shape of your cornea. We recommend leaving soft lenses out for at least 2–3 days, and rigid lenses out for longer, before your scans and surgery. We'll advise the exact timing during your assessment.
How long will the correction last?
Most patients enjoy stable vision for many years. WG-LASIK permanently reshapes the cornea, but natural age-related changes (like presbyopia) may still occur over time. Enhancement options are available if needed in the future.
The difference between LASIK and SMILE :
Here are reasons our surgeons at Re:Vision see LASIK as a superior procedure to SMILE:
Precision
LASIK is auto-centred; SMILE is manual and and less accurate.
Vision Quality
LASIK offers high-definition vision; SMILE is less crisp.
Recovery Speed
LASIK recovers in days; SMILE takes weeks or longer.
Dryness Outcomes
Both procedures show similar dry eye symptoms by 3 months post-surgery.
Astigmatism Accuracy
LASIK corrects astigmatism more precisely than SMILE, thanks to auto-alignment.
Error Correction
LASIK treats 25 focus errors; SMILE treats only myopia and astigmatism.
Fine-Tuning
LASIK is easy to fine-tune; SMILE is harder and riskier.
Night Vision
LASIK provides better night vision thanks to a wider treatment zone and error correction
Surgeon Involvement
SMILE requires much more surgeon hand-held manipulation than LASIK.
Glaucoma Research at Re:Vision
Dr Perumal values the importance of research initiatives and technology in glaucoma. We may invite you to participate in the Save Sight Registry run by the Save Sight Institute, in collaboration with the University of Sydney and Sydney Eye Hospital to fight glaucoma blindness.
The Save Sight Registries is one of the most advanced ophthalmic registries in the world, and is a unique platform for tracking eye disease, interventions and patient outcomes. Its sophisticated design delivers real-world evidence on the risks and benefits of current and new treatments for ocular conditions. This information helps clinicians provide safe, cost-effective and evidence-based solutions for vision impairment and avoidable blindness.
The Save Sight Registries also promotes international scientific research aimed at developing strategies for reducing the incidence of blindness throughout the world.
How much does RLE surgery cost?
At Re:Vision, all types of laser vision correction (LASIK or PRK) cost :$7,000
RLE surgery is more expensive than laser vision correction but exact costs depend on the type of lens that is most suitable for your prescription and needs.
At Re:Vision, all types of laser vision correction (LASIK or PRK) cost : $7,000
We want to make paying for your treatment as easy as possible so we offer a range of finance options to help you get the outcome you want.
Your eyes are unique and we customise all of our treatments to give you the best vision possible.
You might be surprised to learn how much money you save when compared to a lifetime of buying glasses or contact lenses.
Premium laser eye surgery or lens implant surgery is an investment that you won’t regret.
See how much you can save with laser eye surgery
By the time I turn 45 I will have spent :
on contact lenses/glasses
24 month interest free finance options :
*Offer applies to QCARD & GEM finance. Lending criteria, fees & T&C'S apply.
*New Zealand residents only
References :
- Tavassoli S, Ziaei H, Yadegarfar ME, Evans J, Ziaei M. Trifocal versus extended depth of focus (EDOF) intraocular lenses for cataract extraction, Cochrane Database of Systematic Reviews, 2021
- Evans JR, de Silva SR, Ziaei M, Kirthi V, Leyland MD. Outcomes in randomised controlled trials of multifocal lenses in cataract surgery: the case for development of a core outcome set. Br J Ophthalmol. 2020.
- McGhee CNJ, Dean S, Freundlich SEN, Gokul A, Ziaei M, Patel DV, Niederer RL, Danesh-Meyer HV. Microdroplet and spatter contamination during phacoemulsification cataract surgery in the era of COVID-19. Clin Exp Ophthalmol. 2020
- De Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev. 2016 Dec.
- Gray TB, Keenan JI, Clemett RS, Allardyce RA. Fusidic acid prophylaxis before cataract surgery: patient self-administration. Aust N Z J Ophthalmol. 1993 May;21(2):99-103.
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