Abstract
The advances in small-incision surgery have enabled cataract surgery to be a procedure yielding the best postoperative refractive result. As the incidence of complications in modern cataract surgery has significantly decreased, the use of lens removal as a refractive procedure has emerged. The main elements differentiating refractive lens exchange (RLE) from a standard cataract surgery are the transparency and softness of the crystalline lens and presence of an abnormal ocular anatomy. In patients with high degrees of myopia, hyperopia, and astigmatism, RLE is an appealing alternative to corneal refractive surgery. The intraocular lens (IOL) calculation is demanding, as these eyes might manifest extreme axial length and be unsuitable for conventional formulas. RLE supplemented with multifocal or accommodating IOLs in combination with corneal astigmatic procedures might address all refractive errors, including presbyopia, and reduce the future need for cataract surgery.
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