Clear Lens Surgery (lensectomy)
about the service
BiVision RLE — a modern alternative to laser vision correction
BiVision RLE — a modern alternative to laser vision correction
BiVision RLE is a high-precision microsurgical procedure in which the eye’s natural crystalline lens is replaced with an intraocular lens (IOL) to restore clear vision at near, intermediate, and distance ranges. The method is selected when laser correction is not recommended or when its predictability is limited (thin/irregular cornea, high dioptres, combined refractive errors).
Who it is suitable for: people aged 45+ with presbyopia; patients with pronounced myopia/hyperopia, astigmatism, early lens changes, or an increased risk of cataract.
Why choose BiVision RLE: key advantages
Refractive surgery in ophthalmology is suitable for both farsightedness and nearsightedness, including astigmatism.
Key indications and symptoms when refractive lens exchange (RLE) may be considered
Key indications and symptoms when refractive lens exchange (RLE) may be considered
RLE is considered when age-related farsightedness is combined with other refractive errors—for example, when different glasses are needed for reading and computer work, and by evening the eyes tire more quickly and focus becomes less stable. Patients often report “hazy” vision in the morning, reduced contrast, glare during night driving, and a feeling that glasses no longer provide the same sharpness. If laser correction was previously not recommended due to corneal parameters, RLE becomes a practical alternative: the method works with the lens and does not alter the cornea. With early lens changes, the intervention may also reduce the likelihood of cataract in the future, and for people with high visual demands it can help achieve a more stable image and contrast.
Why patients choose RLE
Contact us
If you have any questions, call our friendly call center or make an appointment for diagnostics with further consultation.
We work:
Mon–Sat, 9:00 AM – 6:00 PM
Why patients choose RLE
The decision in favour of RLE is most often driven by a combination of medical indications and lifestyle needs:
1. Medical indications
- Corneal laser correction cannot be performed or does not provide the expected predictability.
- A wider correction range is required (high dioptres; combination of myopia/hyperopia with astigmatism).
- There is a risk of cataract or early manifestations—lens replacement addresses the issue proactively.
2. Expectations regarding vision quality
- The goal of seeing without glasses at near, intermediate, and distance ranges (multifocal/trifocal IOLs).
- The need for stable sharpness throughout the day: reading, screens, driving, sports.
3. Safety and predictability
- RLE does not affect the cornea—important with a thin or “problematic” cornea.
- Cataract prevention: after replacing the natural lens, cataract can no longer develop in that lens.
- Personalised IOL selection based on tasks and habits (reading, computer work, night driving).
Who is recommended refractive lensectomy:
BiVision RLE is most often recommended after the age of 45, when typical signs of presbyopia appear—blurred vision while reading, the need to hold text farther away, and rapid visual fatigue. Implantation of a multifocal lens restores comfort and helps reduce the need to constantly switch between different glasses.
At our centre in Vilnius, refractive lens exchange procedures are performed by surgeons with experience of at least 50,000 successful operations.
We use only premium intraocular lenses.
„Rayner GALAXY“
the world's #1 lens for cataract treatment
Stages
01Appointment booking and preparation for diagnostics
You can book by phone or online—it takes only a few minutes.
Special preparation is usually not required. If you wear soft contact lenses, remove them the evening before (preferably 12 hours prior to the visit). Bring your current glasses/prescription and results of previous examinations so we can assess dynamics.
We recommend planning your visit without self-driving immediately afterwards: during the examination the pupils may be dilated, and near vision may temporarily worsen.
02Computerised vision diagnostics
Duration: approximately 2–2.5 hours.
We perform a complete set of measurements required for refractive lens exchange (RLE): autorefractometry and visual acuity assessment, biometry and IOL power calculation, corneal keratotopography/tomography, tonometry, and—if needed—OCT of the macula and optic nerve, as well as tear film evaluation.
To ensure accuracy, pupil-dilating drops may be used—near vision can remain blurred for several hours after the examination.
03Ophthalmologist consultation
After the examination, the doctor will explain the findings, discuss the prognosis, and select the IOL type according to your lifestyle (mono/EDOF/trifocal; toric for astigmatism).
We will review indications and potential limitations, answer questions, provide a transparent estimate, and outline the preparation plan. If necessary, you will receive a list of standard preoperative tests and recommendations.
Together, we will determine the RLE date and an individual recovery plan.
Take care of your vision health today!
Book an eye examination to learn more about the condition of your visual system!
We work:
Mon–Sat, 9:00 AM – 6:00 PM
Innovative vision restoration: refractive lens exchange (RLE)
Refractive lens exchange (RLE, refractive lensectomy) is a vision correction method in which the natural lens is replaced with an intraocular lens (IOL). RLE can correct myopia, hyperopia, presbyopia, and astigmatism and is a rational alternative when laser correction is contraindicated (thin cornea, scarring, unstable refraction) and when stable clarity without glasses and contact lenses is important.
Why choose BiVision RLE with us
At our clinic in Vilnius, refractive lens exchange combines advanced technology with an experienced team. Following detailed diagnostics, we select an IOL based on real visual tasks: reading, computer work, activity, and night driving. During lens removal, we use a controlled fluid stream instead of ultrasound (BiVision iQ 5 Minutes), which reduces corneal impact and speeds up recovery. We work with original Rayner lenses—from multifocal to toric—and focus on long-term visual comfort. Our surgeons have more than ten years of practice, including training in European centres.
Preparation and recovery
Preparation is straightforward: bring previous medical conclusions, a list of current medications, and follow contact lens recommendations if you use them. On the day of surgery, it is advisable to come with an accompanying person for a comfortable return home. After the procedure, you will use eye drops according to the prescribed regimen, avoid swimming pools and saunas for 2–3 weeks, and temporarily limit intensive physical activity. Resuming driving should be confirmed with the surgeon during a follow-up visit.
Intraocular lenses (IOLs) we use
We work with Rayner and Alcon product lines, selecting the configuration according to your ocular parameters and lifestyle. For maximum independence from glasses, we offer trifocal solutions; if astigmatism correction is required, we use toric models; if the priority is natural visual comfort and extended depth of focus, EDOF IOLs may be suitable. The final choice is based on biometry, the degree of corneal astigmatism, and your everyday tasks.
Pricing and what is included
The cost of RLE in Vilnius primarily depends on the type of intraocular lens and individual clinical features. During the consultation, you will receive a personalised estimate with an explanation of each stage: diagnostics, surgery, and postoperative care. If needed, our administrator will advise on current loyalty programmes and payment options.
doctors
4
specialized doctors
Experts in refractive lensectomy
Our doctors will carefully study the condition of your visual system and determine whether correction is possible in your case.
Experience since 1990
Andrey Radko
Chief physician. Ophthalmologist of the highest category.
Experience since 2017
Povilas Stirbys
Ophthalmologist of the highest category. Doctor expert.
Experience since 2006
Kseniya Kayalova
Ophthalmologist of the highest category. Doctor expert.
Experience since 2017
Maria Zhovtoshtan
Ophthalmologist. Doctor of Philosophy in the speciality of Medicine.
reviews
1M
happy clients
reviews
What our patients say about us
Our eye centre has performed over 1,000,000 successful laser vision correction procedures and provided more than 5,000,000 ophthalmology consultations.
reviews
Laser vision correction
Vsevolodas Zacharovas
I was tired of wearing glasses. At last, I grew up enough for laser vision correction surgery. After the laser eye operation, I feel very well, as if I am living a completely different life. Now my vision is perfect. Many of my friends recommended your eye care center to me. In addition, I read many wonderful reviews from your patients. I am very grateful to doctor A. Radzko and the nurse who was in the operating room during my surgery. She has outstanding personal qualities. She knows how to help people tune in positively, make them feel calm and forget all their fears. She was born to be a nurse! I would recommend everyone who needs laser eye surgery to choose only your eye care center!
Laser vision correction
Jurgita Märkene
Laser correction was a great decision to make life easier. I have had poor eyesight since childhood. Now all that remains is to enjoy it every day. Another big advantage is that when my eyes get tired, I no longer have headaches. I can’t say exactly why I chose your clinic — probably my inner voice told me that you were the ones who should perform the surgery. I was very satisfied. This is a professional clinic, and I recommend everyone to undergo surgery here.
Laser vision correction
Taleiko Aleksejus Kirillovičius
I express my deep gratitude to the entire staff of the New Vision medical center for filling my world with new colors. Now I truly have a ‘New Vision’!
Laser vision correction
Pilipcevič Irina Anatolevna
I was very satisfied with everything. Everything was done at a high level. The examination was high-quality, fast, and professional. Many thanks to all the doctors, and especially to V. A. Murashko, for my ‘new view’ of the world.
Frequently asked questions about refractive lens exchange (lensectomy)
Refractive eye surgery is a branch of ophthalmology that corrects vision using surgical methods. Refractive lens exchange (RLE) is a micro-invasive procedure in which the natural lens is replaced with an intraocular lens (IOL). This procedure can correct presbyopia, myopia, hyperopia, and astigmatism and may be an alternative to laser methods. Diagnostics and a doctor’s consultation are mandatory before surgery.
RLE for hyperopia and myopia is relevant when laser correction is limited (thin or irregular cornea, high dioptres). RLE is also effective for presbyopia (age-related farsightedness) and helps reduce the need to switch between different glasses. The decision is made individually after a full examination and an ophthalmologist’s consultation.
The cost of lens replacement depends on the type of IOL (monofocal, trifocal, EDOF, toric), any additional procedures, and clinical factors. Common searches include: “lensectomy price”, “lens replacement Vilnius price”, “refractive lens exchange cost”. The final cost is determined after diagnostics and consultation; special offers may apply at times. Prices can be clarified during a visit or by contacting the clinic.
Laser correction changes the corneal profile, whereas RLE works with the lens. Therefore, RLE is considered in age-related farsightedness and combined refractive errors in mature patients or in cases of high dioptres. For some patients, laser provides a better prognosis; for others, lens implantation is more appropriate. During consultation, the doctor will explain benefits, potential side effects, and contraindications.
Yes. For the correction of farsightedness (including presbyopia) and nearsightedness, RLE can be an optimal solution when laser correction is not recommended. Common searches include: “farsightedness surgery cost”, “laser vision correction cost”, “myopia surgery cost”. The exact cost is confirmed after diagnostics; promotions may be available.
Choose a clinic with experience in refractive surgery, modern diagnostic equipment, transparent pricing, and clear postoperative follow-up. Review patient feedback and real clinical examples. During consultation, ask about IOL selection based on lifestyle, follow-up visit schedule, and restrictions. Also clarify how communication with the doctor is organised after surgery.
As with any procedure, lens replacement has contraindications (active inflammation, uncontrolled intraocular pressure) and possible side effects (temporary dryness, glare/haloes, light sensitivity). Most effects are short-term and managed with appropriate recommendations. In the presence of comorbid conditions, the treatment approach is individual. The decision to proceed is made only after a full examination.
First, you book a consultation and diagnostics (biometry, topography, retinal examination). The doctor then selects a suitable IOL and discusses costs and timing. On the day of surgery, the IOL is implanted; most patients return to routine activities with follow-up visits according to schedule. Regarding “free”: promotional offers may occasionally be available, but the initial consultation is typically paid. An administrator will help you choose a convenient time and specialist.
appointment booking
Convenient booking and transparent consultation cost
We have made the process of contacting the clinic as simple as possible. You only need to book an appointment with an ophthalmologist in Vilnius online or by phone.
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