Lens Replacement Surgery2026-01-07T04:40:28+13:00

A long-term option for reading glasses dependence in Melbourne

This procedure uses advanced lens technology designed to support clearer vision at multiple distances

A long-term option for reading glasses dependence in Melbourne

This procedure uses advanced lens technology designed to support clearer vision at multiple distances

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With lens replacement surgery, some people reduce their dependence on reading glasses

Learn how this well-established eye procedure works, who it may suit, and what to expect before and after treatment

What is lens replacement surgery?

Lens replacement surgery, also known as refractive lens exchange (RLE) is a vision correction option for people over 45 who are experiencing age-related changes in near vision, such as the need for reading glasses (presbyopia).

During RLE, the eye’s natural lens is removed and replaced with an artificial intraocular lens (IOL). This procedure is very similar to cataract surgery, a common operation worldwide. In RLE, the natural lens is usually clear, and the goal is to reduce dependence on glasses or contact lenses for distance and near vision.

A range of intraocular lenses (IOLs) is available to match different vision needs. Your eye health and individual measurements will guide which IOL is most appropriate. Depending on the chosen lens, RLE can support vision for distance, near, or both (with a multifocal IOL). Most people find their reliance on glasses is significantly reduced after RLE, but the outcome varies based on each person’s eyes and lens selection.

Refractive lens exchange (RLE) is a procedure used to correct common vision conditions, including short-sightedness (myopia), long-sightedness (hyperopia), and astigmatism. It is often recommended for people over 45 who rely on bifocal or multifocal glasses, especially if they have a high prescription or are not suitable for laser eye surgery.

The surgery is performed by Dr Justin Sherwin at a day procedure centre. Before surgery, you’ll meet with an anaesthetist who will administer a light sedative to help you feel relaxed and at ease. Anaesthetic eye drops are used to numb the eye.

Dr Sherwin creates a small opening in the eye, less than 3 mm in size, to access the natural lens. Using a process called phacoemulsification, an ultrasound probe gently breaks up and removes the lens. A flexible intraocular lens (IOL) is then inserted through the same opening, unfolding into place. This new lens is designed to stay in your eye permanently.

The procedure typically takes less than 30 minutes. However, you’ll remain at the day surgery centre for around 2 hours to recover. You’ll need someone to drive you home and stay with you for the rest of the day.

In most cases, each eye is treated at least one week apart.

Like all surgical procedures, RLE carries some risks, although complications are uncommon.

These may include inflammation, infection, or visual disturbances.

All potential risks and your individual suitability will be discussed during your consultation with your ophthalmologist, so you can make an informed decision.

You’ll need to arrange for someone to take you home and stay with you after your surgery.

Plan to rest and avoid strenuous activity for at least 48 hours.

Your vision may be slightly blurry immediately after the procedure as the anaesthetic and dilation drops wear off.

Most people notice clearer vision by the next day, although some fluctuation is normal in the early healing period. It can take a few weeks for your vision to fully stabilise.

It’s also common to experience mild discomfort or a gritty sensation for a few days following the procedure.

Dr Justin Sherwin will provide anti-inflammatory eye drops to support healing and reduce inflammation, which you’ll use for several weeks after surgery.

Does lens replacement surgery hurt?

RLE surgery is not considered painful. Anaesthetic eye drops are used to numb the eye before the procedure begins. You may feel some pressure or mild sensation, but the goal is to keep you comfortable throughout. Most people describe the experience as quick and straightforward.

How long until I notice an improvement in my vision?

While vision may be blurry immediately after surgery, many people notice an improvement the next day. However, it’s normal for vision to fluctuate slightly as your eyes adjust and heal in the weeks following your RLE procedure. Your expected recovery timeline will be discussed during your consultation.

When can I resume normal activities?

Most people return to normal daily tasks, such as work or driving within a few days after the second eye has been treated. The eyes are usually treated one week apart. While recovery is generally quick, you’ll be given personalised advice based on your procedure and visual goals.

Read with ease again in 3 simple steps

Reading glasses treatments can feel confusing. We make the journey clear and simple from the start.

Step 1: GET IN TOUCH

Not everyone is suitable for reading glasses treatment. Your first step is to book a free assessment so we can check your eye health, understand your daily challenges, and explain which options may help you reduce your dependence on readers.

Step 2: WE’LL MEET

At your assessment, we take detailed scans and talk through how reading glasses affect your work, home life, and comfort. You’ll leave with a clear, honest recommendation for the safest and most suitable treatment based on your eyes and lifestyle.

Step 3: ENJOY WITH LESS HASSLE

After treatment, many people describe life feeling easier – reading menus, using a phone, and focusing on small print with far less disruption. The goal is simple: more comfort, less strain, and more freedom in your day.

Imagine life without the hassle of reading glasses

Imagine life without the hassle of reading glasses

A free vision correction assessment can show if treatment could help you enjoy clearer sight for everyday life

Get your questions answered about laser eye surgery in Melbourne

Explore expert insights and quick guides to help you understand treatment options, benefits, and what to expect right here in Melbourne

AUSCRS 2016: 20/20 conference – 20 years of innovation, 20 years of success!

Categories: News|

20 years ago, my friend, Graham Barrett, and I founded the Australian Society of Cataract and Refractive Surgeons (AUSCRS) Association. We formed AUSCRS to provide ophthalmologists with the first organised forum of its kind in Australia. 20 meetings later and AUSCRS has become the go-to place and the peak body for cataract and refractive surgery education.

Read More

Struggling with your reading glasses?

Struggling with your reading glasses?

Find out in just 2 minutes if vision correction surgery could be an option for you

Hi, I’m Dr Rick Wolfe.

I’ve been performing laser vision correction and cataract surgery in Melbourne since 1991, with more than 30,000 procedures completed.

As a Fellow of RANZCO, I’ve dedicated my career to advancing eye surgery techniques in Australia and internationally.

I regularly share my knowledge at global conferences and founded the World College of Refractive Surgery and Visual Sciences to support excellence in our field.

My goal is simple: to provide safe, precise, and personalised care that helps people enjoy clearer vision.

Every patient is unique, and I take pride in tailoring treatment to individual needs.

Dr Rick Wolfe

Owner, Founder and Surgeon at Vista Eyes Laser Eye Clinic
Ophthalmologist and Laser Eye Surgeon, MB BS, FRANZCO, FWCRS

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