In my quest to give away every secret, surgical pearl, and useful bit of knowledge that I have acquired over the past 25 years of doing surgery, I present to you some critical refractive lens exchange (RLE) pearls. RLE refers to performing a lens exchange surgery, removing the human crystalline lens and replacing it with a man-made IOL (intra-ocular lens) implant before a visually significant cataract has developed. The sole purpose of the surgery is to address a refractive issue, which in this case is presbyopia which is the inability to see up close to read that comes with age. This video gives you my best pearls for success in these RLE surgeries, including the two types of patients who are hardest to please.
