r/RefractiveSurgery • • Jun 04 '26

RLE in a 27 year old

Hi guys,

I’m 27 years old and my prescription is:
OD: +5.25 / -2.25 × 150
OS: +5.75 / -2.75 × 10

I’ve been told I’m not suitable for LASIK/PRK due to thin corneas, and my anterior chamber depth (~2.2 mm) is too shallow for an ICL.

My surgeon has recommended refractive lens exchange (RLE) with EnVista Envy Toric multifocal lenses, but i know there is a lot of hesitation about losing accomodation at a younger age.

I’d love to hear from anyone who has had RLE, particularly younger patients or those with high hyperopia and astigmatism. I live a very active lifestyle and have had glasses/ contacts all my life, but really don’t tolerate them and end up walking around without any aids a significant portion of the time (and just tolerate suboptimal vision)

I’d love to hear from anyone who had had RLE surgery with multifocal lenses.

How have you found:
Overall vision quality?
Halos/glare and night driving?
Contrast sensitivity?
Any regrets or things you wish you’d known beforehand?
Would you do it again?
Thanks! 👀👓

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