Experience Sharp, Effortless Vision—For Life with Refractive Cataract Surgery in Bellevue

Are you struggling with blurry vision, trouble reading, or dependence on glasses? As we age, our eyes naturally lose the ability to focus at different distances, making everyday tasks like reading menus or driving at night frustrating. Refractive lens surgery in Bellevue in the greater Seattle area, offers a permanent vision correction solution by replacing the eye’s natural lens with a customized intraocular lens, reducing presbyopia, nearsightedness, farsightedness, and even astigmatism in one procedure. At Bellevue Precision Vision, we specialize in refractive cataract surgery and refractive lens exchange (RLE), helping patients achieve clear, lasting eyesight without the need for future cataract surgery.

What Is Refractive Lens Surgery?

Refractive lens surgery (also called refractive lens exchange (RLE)) is a vision correction procedure that replaces the eye’s natural lens with an advanced intraocular lens (IOL) to improve vision at all or most distances. This procedure is ideal for individuals with presbyopia (age-related inability to see up close), extreme nearsightedness or farsightedness, or those who are not LASIK candidates for other vision correction procedures. RLE follows the same process as cataract surgery but is performed before a cataract develops, providing clear, long-term vision without the need for future cataract removal.

For patients who already have cataracts, refractive cataract surgery provides the same vision-enhancing benefits while eliminating clouded vision. At Bellevue Precision Vision, we customize every treatment plan using advanced intraocular lenses—including multifocal, extended-depth-of-focus (EDOF), and Light Adjustable Lenses (LAL)—allowing patients to enjoy sharp, seamless vision with reduced dependence on glasses or contacts.

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Premium Cataract Surgery

Premium Cataract Surgery

Achieve clear, sharp vision after cataract surgery—regardless of astigmatism or past LASIK, PRK, or RK—with premium intraocular lenses for precise, customized correction.

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Light Adjustable Lens Surgery

Light Adjustable Lens Surgery

Say goodbye to one-size-fits-all solutions—now, your vision can be customized after surgery for the precise clarity you’ve always wanted.

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The Benefits of Refractive Lens Surgery

  • Restored Sharp Vision at All Distances: Enjoy crisp, seamless vision without relying on glasses for near, intermediate, or far distances.
  • Eliminated Need for Cataract Surgery Later: By replacing the natural lens early, refractive lens surgery prevents future cataract development.
  • Long-Lasting Vision Correction: Unlike laser eye surgery, refractive lens exchange provides permanent results that do not fade over time.
  • Customized Vision with Advanced Lenses: Choose from multifocal, extended-depth-of-focus (EDOF), toric, or Light Adjustable Lenses (LAL) to meet your lifestyle needs.
  • Reduced Dependence on Reading Glasses: Many patients with presbyopia (age-related farsightedness) regain the ability to read and see up close without bifocals.
  • Qualify for Surgery Despite Thin Corneas or High Prescriptions: Unlike LASIK or SMILE, refractive lens surgery is a great option for patients who are not ideal candidates for laser vision correction.

Is Refractive Lens Surgery Right for Me?

If you’re struggling with blurry vision at all distances, difficulty reading, or extreme nearsightedness or farsightedness, refractive lens surgery may be the best option for achieving long-term clarity.

This procedure is commonly chosen by individuals who are not candidates for LASIK or SMILE or who want a permanent solution that eliminates the need for future cataract surgery.

You may be a good candidate for refractive lens exchange (RLE) in Bellevue or Seattle if you:

  • Are over 50 years old and experiencing presbyopia (age-related difficulty with near vision).
  • Have a high prescription that makes LASIK or SMILE less suitable.
  • Want to reduce or eliminate your need for reading glasses or bifocals.
  • Prefer a long-term vision correction option that will prevent cataracts in the future.
  • Have thin corneas or other eye conditions that make laser surgery less ideal.

During your consultation, we’ll evaluate your vision, lifestyle, and goals to determine which advanced intraocular lens (IOL) best fits your needs. With options like multifocal, extended depth of focus (EDOF), and Light Adjustable Lenses (LAL), we can customize your vision for sharp, seamless clarity at every distance.

What to Expect The Refractive Lens Surgery Process

Personalized Consultation

We begin with a thorough eye exam to evaluate your vision, discuss your lifestyle needs, and determine which advanced intraocular lens (IOL) will best suit you. We’ll explain the procedure, answer questions, and ensure you feel confident in your decision.

Pre-Surgery Instructions

  • You may need to stop wearing certain contact lenses before surgery.
  • We’ll provide prescription eye drops to start using before your procedure.
  • Arrange for a ride home, as you won’t be able to drive immediately after surgery.

The Procedure (10-15 minutes per eye)

  • Numbing eye drops are applied, and you may receive a mild sedative to help you relax.
  • A small incision is made in the cornea, and the natural lens is gently removed using a laser and ultrasound (phacoemulsification).
  • Your new lens implant (IOL) is inserted, instantly improving vision.
  • No stitches are needed—the incision self-seals for a smooth recovery.

After Surgery

  • You’ll rest in the outpatient surgery center our office briefly before going home.
  • Your vision may be slightly blurry at first, but it improves quickly.
  • Most patients return to daily activities within a day or two.
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"One of the best corneal surgeons in the country."

Dr. Rostov is one of the best corneal surgeons in the country and is exceptionally knowledgeable about optical health issues. Dr. Rostov performed two procedures on my eyes, and both were completed correctly and without complications. I have found...

Brian C.

I have had extreme myopia (almost pathological) and astigmatism in both eyes my entire life. Gas-permeable hard contact lenses were the only thing that corrected my vision perfectly, but as I reached middle age, it became increasingly painful to w...

Yvette Y.

I had surgery on both of my eyes, performed by Dr. Rostov. I am so thankful to Dr. Rostov for her kindness, talent, skills, and professionalism. She is top notch to say bluntly. And believe me, I could go on and on about how happy I am with my vis...

Marc M.

Dr. Rostov took time to explain the SMILE procedure in detail and made sure to make me comfortable throughout. She and her team worked so seamlessly and efficiently that I felt like I was in the hands of experts the whole time. Dr. Rostov is highl...

A.W.

Dr. Rostov took time to explain the SMILE procedure in detail and made sure to me comfortable throughout. She and her team worked so seamlessly and efficiently that I felt like I was in hands of experts the whole time. Dr. Rostov is highly talente...

A. W.

Excellent vision recovery after a lifetime of one eye wildly off from the other with astigmatism and farsightedness. add in cataracts, happily by the time i went in for possible lasik surgery a new type of lens to correct multifocal vision plus as...

Anonymous

Dr. Audrey is a world-renowned surgeon, known for her skills and compassion. The Hawaiian Eye Foundation is inspired by her humanitarian efforts and is pleased to work with her to give the gift of sight around the world!

Anonymous

Amazingly knowledgeable as much as caring. Always with a big smile and willing to explain the procedures and alternatives. I had a cornea transplanted by her in 2011 and everything went perfect. I have referred a friend with my same problem and he...

Zelma

Always friendly and answered all questions. Recommended to sister and she had a good experience

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After Your Refractive Lens Surgery

Refractive Lens Exchange (RLE) offers long-term vision correction with minimal downtime. While your vision will be immediately clearer, you may notice mild blurriness or halos in the first few days as your eyes adjust to the new lens.

Healing Timeline & Recovery Expectations

  • First 24 Hours: Expect some mild discomfort, light sensitivity, or a scratchy feeling. Most patients can resume normal activities the next day.
  • First Week: Your vision will continue sharpening daily. Any halos or glare will gradually subside.
  • First Month: Final vision stabilization occurs, and any dryness or night glare continues improving.
  • Long-Term Results: Refractive lens surgery is permanent, eliminating the need for cataract surgery in the future.

Tips for a Smooth Recovery

  • Use prescribed eye drops as directed.
  • Avoid rubbing your eyes or heavy lifting for the first week.
  • Wear sunglasses outdoors to protect your eyes.
  • Follow up with your eye doctor to track your progress.

Once fully healed, you’ll enjoy lasting vision clarity tailored to your lifestyle needs.

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Why Choose Bellevue Precision Vision?

When it comes to refractive lens surgery in Seattle and Bellevue, experience and technology matter. At Bellevue Precision Vision, Dr. Audrey Talley Rostov, MD, brings decades of expertise in refractive surgery, cataract surgery, and refractive lens exchange (RLE). We offer:

  • Advanced intraocular lens (IOL) technology for customized, high-precision results.
  • Specialized refractive cataract surgery for patients with high prescriptions.
  • Minimally invasive procedures with fast recovery and long-lasting clarity.

If you’re considering refractive lens exchange (RLE) in Seattle or Bellevue, schedule a consultation today to explore your best vision correction options.

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FAQ Refractive Lens Surgery

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Is refractive lens surgery the same as cataract surgery?

Yes and no. Refractive lens surgery follows the same process as cataract surgery, but it is performed before a cataract develops, meaning you won’t need cataract surgery later and can enjoy permanent vision correction.

Will I still need glasses after surgery?

With premium intraocular lenses (IOLs), most patients experience clear vision at all distances. However, some may still prefer reading glasses for very fine print.

Is refractive lens surgery a good alternative to LASIK?

Yes. Unlike LASIK, refractive lens exchange (RLE) does not alter the cornea, making it an excellent choice for individuals with high prescriptions, thin corneas, or early cataract development.

Is the procedure painful?

No, the surgery is painless due to numbing eye drops. Some patients feel mild pressure, but discomfort is minimal.

How long does the procedure take?

The surgery takes 10-15 minutes per eye and has minimal downtime. Most patients resume normal activities within a day or two.

How long do the results last?

Refractive lens surgery provides permanent vision correction and prevents cataracts from developing later in life.

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