Woman after her yoga class post-LAL surgery

Light Adjustable Lens (LAL)

The Light Adjustable Lens (LAL) by RxSight® is a revolutionary intraocular lens (IOL) that allows for personalized vision correction following cataract surgery. Unlike traditional IOLs, the LAL can be adjusted after the procedure, enabling patients to fine-tune their vision to suit their specific needs. Patients who receive LALs are twice as likely to achieve 20/20 distance vision compared to those with standard Trusetd Source Checkbox Trusted Source Summary of Safety and Effectiveness (SSED) of Light Adjustable Lens and Light Delivery Device system FDA Go to Source IOLs , making it a compelling option for those in Cincinnati and surrounding areas seeking optimal clarity and focus after cataract removal.

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What is the Light Adjustable Lens?

The Light Adjustable Lens (LAL) is an advanced and fully customizable intraocular lens implanted during cataract surgery. If necessary, the lens shape can be altered to fine-tune vision to the patient’s exact specifications using specialized ultraviolet (UV) light treatments after the surgery. This feature makes the LAL a breakthrough for those seeking exceptional, personalized results following cataract surgery.

Graphic showing how LAL works

Candidates for the LAL Procedure

Good candidates for LAL are typically individuals undergoing cataract surgery who want to minimize their dependence on glasses or contact lenses afterward. Unlike traditional refractive surgery options, the procedure replaces the natural lens during cataract surgery, offering a customized solution that can be adjusted after surgery. Candidates may also have refractive errors such as nearsightedness, farsightedness, or moderate astigmatism. Patients should also have good overall eye health and be free from eye conditions like glaucoma or diabetic retinopathy. The LAL is not recommended for individuals taking medications that heighten sensitivity to ultraviolet (UV) light or those on drugs known to harm the retina.

Advantages of the Light Adjustable Lens

The Light Adjustable Lens (LAL) provides several key benefits for individuals undergoing cataract surgery or refractive lens replacement, such as:

  • Post-surgery customization: As the only intraocular lens that can be modified after surgery, the LAL allows patients to experience their vision before committing to a final correction. Adjustments can be made to enhance vision at varying distances—near, intermediate, or far.
  • Less reliance on eyewear: Many individuals notice a significant decrease in their need for glasses or contact lenses following LAL implantation, offering superior results compared to standard Trusetd Source Checkbox Trusted Source RxLAL: Say Goodbye to Postop Surprise? Review of Ophthalmology Go to Source intraocular lenses.
  • Enhanced precision: With the ability to adjust vision correction after surgery, the LAL ensures more accurate visual outcomes, leading to clearer sight at different distances.
  • Convenient adjustments: The post-operative light treatments are quick, painless, and performed in the office, eliminating the need for further surgery.
  • Ideal for past LASIK patients: For those who have previously had LASIK or other refractive surgeries, the LAL is a Trusetd Source Checkbox Trusted Source Case Study: The LAL in a Postrefractive Patient Cezon J Go to Source highly effective solution.
graphic depicting the LAL
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The Light Adjustable Lens Procedure

The Light Adjustable Lens (LAL) is inserted during cataract surgery or refractive lens replacement, making for a fast and simple procedure. Before the procedure begins, your ophthalmologist will apply anesthetic eye drops to numb your eye. During the procedure, a tiny incision is made in the cornea, and the LAL is positioned in place of the Trusetd Source Checkbox Trusted Source Adjustable IOL Could Help Some Ditch Their Glasses After Cataract Surgery American Academy of Ophthalmology Go to Source cloudy natural lens . A few weeks after your surgery, you’ll undergo a series of treatments with a UV light delivery device (LDD) to adjust and fine-tune your lenses for your desired vision. Each treatment takes a few minutes and is spaced out over several weeks to allow for optimal healing and adjustment.

Pricing and Payment Options for LAL

The price of an LAL procedure can differ depending on your customized treatment plan. For many, choosing LALs can result in significant long-term savings when compared to the recurring expenses of eyeglasses and contact lenses. Be sure to inquire about available financing solutions and flexible payment plans to help cover the cost of your LAL treatment.

Happy senior woman after LAL surgery

Results & Recovery After the LAL Procedure

Patients typically experience clear vision soon after surgery, and the light adjustments allow further improvements during follow-up appointments. This opportunity for optimization and personalization after surgery makes LAL appealing to those seeking the best visual outcomes. After your final adjustment, special UV-protective glasses will be provided to protect your eyes throughout recovery.

Frequently Asked Questions About the Light Adjustable Lens

What is cataract surgery?

Cataract surgery is a common ophthalmology procedure performed in a doctor’s office to treat blurry vision caused by clouded lenses. During the surgery, the cloudy natural lens is removed and replaced with a clear artificial lens, restoring sharp vision and improving quality of life. The procedure is typically quick, with minimal recovery time.

Can my vision still be adjusted after cataract surgery?

Yes, the LAL can be fine-tuned after surgery using UV light treatments to achieve your desired visual clarity.

How many UV light treatments will I need?

Most patients require two to four treatments, spaced about a week apart, to achieve the best results.

Is the LAL safe?

Yes, LAL is FDA-approved and has been shown to be safe and effective through clinical studies. It is one of the most advanced options available for cataract patients today.

Will the LAL eliminate the need for glasses?

Many patients experience reduced dependence on glasses, though some may still require reading glasses for close-up tasks.

Is the LAL covered by insurance?

Most insurance plans cover the cataract surgery, but the LAL may require an additional fee. Our office provides financing options and convenient payment plans to make this advanced technology accessible.

Schedule an Appointment

To learn more about the Light Adjustable Lens and whether it’s the right choice for your cataract surgery, please contact us to schedule an appointment with the eye care specialists at Cincinnati Eye Institute.

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Cataract Surgery Reviews for Cincinnati Eye Institute

Dr Michael Snyder is a gifted surgeon and when the Cincy Eye institute say they have world class doctors, you can rest assured that they do. My confidence in him and the Eye Institute is 100%. I have had cataract surgery in one eye in the past and was amazed with the results so I’m excited to have Dr Snyder take care of my other eye. Feeling blessed to have such gifted doctors so close to home. Oh, and ask the doc to tell you his fishing joke!
Don B.
I had a very nice experience right from consulting, to surgery to post- op follow up with Dr. Sivaraman for my cataract surgery. Dr Sivaraman makes you feel very comfortable & at ease. She patiently answers all your questions. I would highly recommend Dr Sivaraman to my friends & family. The set up at CEI is also excellent.
Chandra P.

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1 FDA. Summary of Safety and Effectiveness (SSED) of Light Adjustable Lens and Light Delivery Device system. https://www.accessdata.fda.gov/cdrh_docs/pdf16/P160055B.pdf. Accessed September 13, 2024.
2 Review of Ophthalmology. RxLAL: Say Goodbye to Postop Surprise? https://www.reviewofophthalmology.com/CMSDocuments/2018/01/rp0118i.pdf. Accessed September 13, 2024
3 Cezon J. Case Study: The LAL in a Postrefractive Patient. Cataract and Refractive Surgery Today. Nov/Dec 2011:33. Available: https://crstodayeurope.com/articles/2011-novdec/case-studythe-lal-in-a-postrefractive-surgery-patient/. Accessed October 3, 2024.
4 American Academy of Ophthalmology. Adjustable IOL Could Help Some Ditch Their Glasses After Cataract Surgery. https://www.aao.org/eye-health/news/new-iol-adjustable-after-cataract-surgery. Accessed September 13, 2024, 2020.

The doctors at Cincinnati Eye Institute have either authored or reviewed the content on this site.