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Lens Replacement Surgery in Birmingham


Are you experiencing the effects of ageing on your vision? Lens replacement Surgery, or refractive lens exchange, could help to turn back the years. Lens replacements are usually the best for you if you are aged over 50. If you are younger then laser eye surgery or phakic lens implants are often a better option.

As we age the lens inside our eyes changes. Our vision is fairly stable and clear for many years, usually until our 40s, when reading in poor light may become difficult and later on, we may even struggle in good light. Then our distance vision becomes blurred and driving at night is more difficult. We need glasses for reading and doing anything nearby; eventually, we may need glasses for driving and distance vision for the first time. Or if we're short-sighted, we start taking our glasses off to read.

This progressive deterioration is called Dysfunctional Lens Syndrome, or DLS. The lens in our eyes becomes less flexible and adaptable, and less clear. Ask us to show you your lens clarity on your Pentacam scan.

There is a procedure that can challenge this process and reduce the impact of ageing on your vision. It’s called lens replacement Surgery, or refractive lens exchange, and we offer the treatment here at Laser Eye Surgery Birmingham.


We will carry out an advanced analysis of your eyes. This is a detailed, state-of-the-art eye examination using a number of advanced technologies to measure and assess the health of your eyes at your consultation and to assess their future health. We will review your test results, assess your eye health, decide if you are suitable for treatment and discuss the best options with you. Suitability for lens replacement Surgery is important – the stronger the candidate, the more likely we are to see a good result.

The advanced eye analysis technology includes the following scans (others are available if needed):

The 3D Maestro OCT (Optical Coherence Tomography)

The state-of-the-art Maestro OCT takes 50,000 high definition scans per second with the latest Fourier domain technology, to produce 3D images of your retina and other eye structures. This data is then analysed to assess the health of your eye.

Lenstar biometer

The advanced technology Lenstar LS900 measures your corneal, lens and retinal thickness and takes other important measurements of each eye to an accuracy of as little as 2/1000 of a millimetre. These precise measurements are used in the latest formulae to calculate the lens power for each of your eyes. One complete scan of your eye takes 15 seconds.

Orbscan topography scanner

The Orbscan topography system scans your cornea (the surface window of the eye) and captures nearly 10,000 data points within a few seconds. A map-like display of your cornea is created, which is similar to a topographical map of a hill and shows the surface power, thickness, front and back shape of the cornea.


This device is similar to the Orbscan and confirms the Orbscan measurements. It can also display the dysfunctional changes in your natural lens so that you can see them for yourself.

Mark will examine your eyes and then discuss the best treatment option for you based on the examination, the scans, your lifestyle and your visual needs. An IOL (lens) is then chosen personally for you, suited to what you need from your vision. Some new lenses provide focus for near, intermediate and far objects, and also correct astigmatism. After lens replacement surgery you cannot develop a cataract.

Advanced Eye Analysis takes about 90 minutes and is not painful, and you will have a thorough eye examination. 


The good news is that refractive lens exchange can treat your dysfunctional lens. Other treatments such as laser eye surgery can reduce the effects of DLS, however the only permanent solution is to replace your own lens with an advanced optic lens. This restores different focal points of the eye and improves the light transmission of the lens. Your own lens is softened and gently removed with an ultrasound instrument. The procedure is painless and takes about 10 minutes. 

The latest intraocular lenses such as the FinevisionSBL3Zeiss AT LisaSymfonytoric and other lenses have transformed hundreds of thousands of people's lives and they can now drive and read without glasses. The results may not be perfect, but the right lens in the right patient gives excellent results and can give you the vision you want for the way you live.

Many of our patients here at Laser Eye Surgery Birmingham are now enjoying the benefits of lens replacement surgery, so why not find out if this treatment could give you a new outlook on the world?



Age for lens replacement surgery?

Lens replacement surgery is ideal for people over the age of 50, when we start to need a help with our reading vision (presbyopia). However it can also be a very good vision correction solution for younger people too. We'll do a comprehensive eye examination with high tech scanners and Mark will talk through a personal, customised treatment plan for you during which he'll tell you if lens exchange surgery is the best option for you.

Am I suitable for lens replacement surgery?

If you're over 50 years old then you're probably suitable for one fo the new high tech lens implants available which can give you very good distance and near vision without glasses. However this treatment isn't suitable fo some people. And some younger people may also be suitable for this teratment. So come and see us. We'll talk about your vision needs, examine your eyes and we'll do high tech scans. Then with all this information we'll talk about what's your best vision correction solution.

Can I exercise after lens replacement surgery?

You will be able to do brisk walking and some stretching for the first week after lens replacement surgery. After a week you can run and do light gym workouts. And we recommend at least a month off water, contact and ball sports. Speak to us about your hobbies and Interests and we'll make a personal recommendation about how to continue with them after your treatment.

Can I fly after lens replacement surgery?

The dry cabin air may dry out your eyes after treatment so you may need extra eye drops to lubricate your eyes in the aircraft. And we don't recommend flying for at least 2 weeks after your teratment because you will be away from our care. But being at altitude is not a problem after lens exchange surgery.

Can I have lens replacement surgery after Lasik?

Yes, you can and there are great new lenses available which can correct distance and near vision after LASIK. But please tell us if you've had LASIK or another type of eye surgery because modern laser eye surgery techniques are so good that sometimes it's difficult to see if you have had it and your lens calculations have to be adjusted.

Can intraocular lens replacement surgery be reversed?

The new intraocular lenses can be removed and replaced with a different lens. But your old lens can't be put back into your eye after it has been removed.

Can you drive after lens replacement surgery?

Yes, you can, but we don't recommend immediately. At your follow up appointment afterward your lens rpelacement surgery we'll let you know if you're safe to drive.

Aftercare for lens replacement surgery?

Please don't rub or touch your eyes and wash your hands before you use the eyedrops you're given. Use the eye drops as prescribed and wear your eye shield when sleeping. Your eye shouldn't be painful and your vision should be reasonably good afterwards and improve quickly. You can watch TV, work at a computer and use your phone in moderation afterwards. You'll be given detailed written eye care instructions after your lens replacement surgery. And if you're concerned you should call us.

Cost of lens replacement surgery?

The cost of the surgery depends on the health of your eye and the lens that you need. So we'll examine and scan your eye then tell you the price. It's usually more expensive than laser eye surgery and it is a better long term solution for vision correction. So come to a complimentary consultation, examination and high tech scans and we'll be able to tell you the price. Finance options are available.

What to do before your refractive lens exchange appointment

Please don't wear your soft contact lenses for 3 daysand your hard contact lenses for 3 weeks before your appointment. Measurements of the surface of your eye can be affected by contact lenses and we want the most accurate tests of your eyes as possible.

What information should you bring to your appointment?

Please bring your glasses, a paper record of the prescription from your optometrist, your contact lens prescription or the package, and records of eye conditions or treatments you have had will also be helpful. If you have vision correction treatment before, please bring as much information about your eyes and glasses before your treatment as possible. And please bring a list of any medications and the dosage you are taking.

How should I travel to the appointment?

You will probably be given eye drops which slightly blur your vision during the consultation so please arrange a lift home to catch public transport. Free, off road parking is available on the forecourt of the Optegra Birmingham Hospital and paid parking is available across the road from Space Healthcare.

What happens on the day of my lens exchange appointment?

Your vision and eyes will be checked by advanced eye scanners, healthcare assistants and the surgeon. You'll be given eye drops wich slightly blur your vision. Then you'll discuss whether you're suitable and your options.