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These are two very different types of technologies and procedures and usually for different indication. IOL surgery stands for intraocular lens surgery and is replacing the natural crystalline lens with a plastic lens. This is usually done for patients with cataracts who cannot see without having their lens removed. More recently, some patients are undergoing what is termed a refractive lens exchange. This means taking out a clear lens and putting in a plastic one for the purpose of correcting refractive error and thus enters the realm of refractive surgery. Refractive surgery, the operation(s) for correcting vision to reduce or eliminate the need for glasses or contacts includes LASIK which is a laser procedure done under a protective flap. This is the most frequently performed refractive procedure accounting for perhaps 85% or more of all refractive procedures. Next in frequency is PRK or a surface laser procedure, and refractive lens exchange is only done on less than 5% of all refractive procedures. Of course when someone needs cataract surgery there is a refractive component because these patients want to be able to see well without glasses, but this is different from a primary refractive procedure.

Refractive lensectomy or refractive lens exchange is typically done on older patients who have or will be getting cataracts shortly, that is typically over the age of 55 or 60 years. Also this can be done for types of corrections that do not do as well with LASIK such as high degrees of corrections, especially farsightedness.

Ultimately, on the same patient one would expect similar results for IOL surgery and LASIK if both were in the range to expect a good result. The technology for both are extremely good and both can result in satisfied patients. The risk profiles are different between the procedures, since the IOL is intraocular, that is within the eye, it comes with some more serious risks for complications.

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15y ago

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