Refractive Lens Exchange
See Clearly. Feel Confident. Care That Goes the Extra Mile
Refractive Lens Replacement, often called Intraocular Lens (IOL) Replacement, is a highly advanced outpatient eye procedure that involves removing your eye’s natural lens and replacing it with a clear, artificial one. This life-enhancing treatment corrects a range of refractive vision issues—including near-sightedness, farsightedness, presbyopia, and astigmatism—allowing many patients to reduce or completely eliminate their dependence on glasses or contact lenses.
At our clinic, laser eye surgery top-up is included if needed post-procedure, giving you peace of mind that we’ll go the extra mile to ensure the best possible visual outcome.
Who is IOL Replacement Suitable For?
IOL lens replacement surgery can be ideal for individuals who:
- Are experiencing presbyopia (age-related difficulty seeing up close).
- Have been told they’re not suitable for LASIK or PRK.
- Want a long-term alternative to glasses or contact lenses.
Your suitability will depend on several individual factors including your eye health, lifestyle, and general wellbeing. Our expert team will conduct a comprehensive eye assessment to create a personalised treatment plan for you.
Types of Intraocular Lenses (IOLs)
We offer a full range of premium IOLs, carefully selected to suit your lifestyle and visual goals:
- Monofocal IOLs – Clear vision at one distance (typically far, or for blended vision – far and close).
- Multifocal IOLs – Correction for near, intermediate, and distance vision.
- Toric IOLs – Designed for patients with astigmatism, correcting both distance and shape-related refractive errors.
Your consultant surgeon will recommend the most suitable lens type during your free assessment, based on advanced diagnostics and eye measurements.
What to Expect During the Procedure
- Procedure Time: Around 20 minutes per eye, followed by 20 to 30 minutes recovery on-site.
- Anaesthesia: Simple numbing eye drop, no general anaesthetic required.
- Technique: A tiny self-healing incision is made. Your natural lens is gently removed using ultrasound, then replaced with your chosen synthetic IOL.
Post-Operative Recovery and Care
- Return to normal activities: Typically 1–3 days after surgery.
- Vision improvement: Noticeable within 48 hours, with full visual clarity stabilising over 6–8 weeks.
Exceptional aftercare:
- At least 4 follow-up appointments included within the first 6 months.
- Laser vision tune-up included if required for optimal results.
- Dedicated aftercare team always available for your reassurance.
We’re committed to your vision journey—before, during, and long after surgery.
How Long Do Lens Implants Last?
IOL implants are designed to last a lifetime. They do not degrade, and replacement is not typically needed. In some cases, a follow-up laser procedure (like YAG capsulotomy) may be performed months or years later to clear minor cloudiness that can develop behind the implant.
Frequently Asked Questions (FAQs)
Is lens replacement surgery painful?
No, thanks to numbing drops, the procedure is pain-free.
Will I feel the new lens in my eye?
Not at all. The lens is placed inside the eye and is not detectable.
How soon can I return to work?
Most patients are back at work within 3 days, depending on their role.
Can I have this surgery if I’ve had laser eye surgery before?
Yes, prior LASIK or PRK does not prevent you from undergoing lens replacement.
Will I notice immediate improvement in vision?
Most patients see significant improvement within 48 hours, with continued progress over a few weeks.
Is there an age limit for lens replacement?
There’s no upper age limit. It’s especially effective for individuals over 40 or those with developing cataracts.
Can I have lens surgery if I already have cataracts?
Absolutely. Lens replacement surgery is also used to treat cataracts, removing the cloudy lens and restoring sharp vision.
When can I drive again?
Usually within a few days, once your optometrist confirms your vision meets legal driving standards.
Can I watch TV after surgery?
Yes, within a few hours of surgery, although we recommend resting your eyes for the first day.
Is it safe to shower after surgery?
Yes, but avoid getting water or soap in your eyes for at least one week.
Can I resume exercise?
Light activity can resume after a week. Strenuous workouts, swimming, or heavy lifting should be avoided for 4 weeks.
Where We’re Located
Whether you live in the Auckland, Waikato, Bay of Plenty, or Central & Lower North Island, vision advice is never far away.
Hamilton
New Plymouth
Tauranga
Pukekohe
Taupo
Take the Next Step Toward Clear, Lasting Vision
Book your free vision assessment today to find out if IOL replacement surgery is right for you. With industry-leading technology and an aftercare program that truly goes the extra mile, we’re here to help you see life clearly again.
Phone: 0800 733 2020 or book online here
Refractive Lens Exchange: How to Prepare, What to Expect & Recovery Tips
Before Surgery
Practice Using Eye Drops
Eye drops are essential after surgery. If you haven’t used them before, now’s a great time to practise or ask a support person to assist you in the first few days.
Arrange Transport
You won’t be able to drive yourself home after surgery due to blurry vision.
- Organise a support person to drive you.
- Taxis/Ubers are only suitable if accompanied.
- Have a backup plan just in case.
- Someone staying with you on the night of surgery is recommended.
Wash Your Hair the Night Before
You’ll need to keep your eye dry in the days following surgery.
- Showering is fine, but avoid splashing water near your eyes.
- Don’t rub or touch your eyes.
Take Time to Relax
Feeling a little nervous is completely normal.
- The procedure uses eye drop anaesthesia only with no injections.
- Please let our team know if you feel anxious. We’re here to support you.
What to Wear & Bring
- Wear loose, comfortable clothing.
- Avoid makeup, perfume, and jewellery above the neck.
- Bring sunglasses to protect against light sensitivity afterwards.
Food & Medication
- Eat a light breakfast unless instructed otherwise.
- Continue your usual medications and eye drops.
- Avoid large or heavy meals before your appointment.
On Surgery Day
- Arrive 1 hour early.
- Your eye will be numbed and dilated with drops.
- The procedure takes about 20 minutes per eye.
- Afterward, you’ll rest onsite for about an hour.
- Allow around 2 hours total for one-eye surgery, or 3 hours if both eyes are treated.
- You'll be sent home with your eye drops, post-operative instructions, and a protective shield.
How IOL Replacement Works
- A tiny incision is made in the cornea.
- The natural lens is gently broken up and removed.
- A foldable intraocular lens (IOL) is inserted in its place.
- No stitches are usually required for your eye heals naturally.
After Surgery
Immediately After
- You'll wear an eye shield and rest at home.
- Keep your head elevated and avoid bending over.
- Take it easy. Our eyelids are your eye’s best natural protection.
Eye Drops & Shield
- Use eye drops exactly as prescribed.
- Wear the shield while sleeping for the first few nights.
- Sunglasses help reduce light sensitivity.
Normal Symptoms
- Mild redness
- Gritty or scratchy feeling
- Blurred vision that improves over several days
- Light sensitivity or watery eyes
Activity Guide
Avoid for the First 1–2 Weeks:
- Heavy lifting or strenuous activity
- Gardening, dust exposure, swimming, spas
- Eye makeup
- Driving (until cleared at follow-up)
Safe Activities:
- Reading, TV, and screen time as comfortable
- Resting and protecting your eye
- Sticking to your prescribed drop schedule
Watch for Any Warning Signs
Contact your clinic immediately if you notice:
- Severe pain not relieved with paracetamol
- Sudden loss or significant change in vision
- Increased redness or swelling
- Flashes of light or a sudden increase in floaters
- Nausea or vomiting (possible sign of high eye pressure)
What Goes Into the Cost of Laser Eye Surgery?
For over 35 years, we’ve helped Kiwis enjoy clearer vision through personalised, expert care.
Our clinics are equipped with state-of-the-art ZEISS laser technology which is used worldwide for its precision, safety, and proven results. But behind the scenes is where the real investment lies.
It’s not just about the laser, for when you choose us, you’re choosing more than technology. You’re choosing comprehensive care, including:
- A team of highly experienced surgeons and clinicians with over 100 years of combined expertise.
- Purpose built; multimillion dollar facilities designed for world-class patient care.
- Over $1 million plus in cutting-edge surgical and diagnostic equipment, keeping us at the forefront of innovation.
- A fully accredited, sterile surgical theatre meeting the highest medical standards.
- Single use, medical grade treatment packs for every patient.
- Ongoing compliance with New Zealand’s strict health and safety regulations.
- Purpose-designed infrastructure to support patient comfort, safety, and outstanding outcomes.
We’re proud to offer a service built on decades of experience, advanced technology, and an unwavering commitment to your safety. For many of our patients, the freedom from glasses or contacts is truly life-changing and priceless.
Finance Options
Q Card interest rates apply upon completion of agreed interest free period.
We also have payment options such as VISA, Mastercard, EFT (bank authorisation required over $3000).
*Normal credit and lending criteria and fees, including a $55 establishment fee and $52 annual fee apply. Prevailing interest rate(currently 25.99% p.a.) applies to any outstanding balance on the expiry of the interest free period.
Credit is provided by Latitude Financial Services Limited.
* Please Note: The directors and shareholders do not have a vested material or financial interest in any of the financial institutions listed above.
Interest-Free Payments
Improve your vision today
We offer a range of affordable finance options to suit all needs. From Gem Visa to Q Mastercard, interest-free packages and long-term financing are available for 6 to 12 months.
Gem Visa Pre-Approval
Lending criteria, fees, and T&Cs apply. See www.gemfinance.co.nz
Q Mastercard Pre-Approval
Lending criteria, fees, and T&Cs apply. See www.qmastercard.co.nz
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