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United Healthcare Contract Negotiations

Due to a contract dispute between UnitedHealthcare and Ascension Wisconsin, we understand many of our patients have questions and concerns. We want to reassure you and provide clarity regarding your care.

We are still in-network with UnitedHealthcare, and that contract remains in effect until October 1, 2025. Please note that even if you receive a letter from UnitedHealthcare stating otherwise, you are still covered for your appointments with us.

If you have an upcoming appointment, please do not cancel it at this time. We are closely monitoring the negotiations and will provide updates as soon as they become available. Our goal is to ensure you continue to receive the care you need with as little disruption as possible.

For more information, you can visit the official negotiation pages for each organization:

We appreciate your patience and will keep you informed of any changes.

United Healthcare Contract Negotiations Learn More

Clear Lens Extraction

Refractive lens exchange (RLE), also known as clear lens extraction (CLE), is a surgical procedure for vision correction that replaces the natural lens of the eye with an intraocular lens, or IOL. Using the same surgical techniques as cataract surgery, the clear lens of the eye is removed and replaced with an IOL to change the focusing power of the eye.

An alternative to laser vision correction, the RLE procedure avoids the need for a corneal modification that is used during the LASIK procedure, and instead uses the same procedures performed in cataract surgery.

Patients who choose to undergo refractive lens exchange have several options when it comes to the type of IOL that will be implanted into the eye. The RLE procedure uses the same IOLs used in cataract surgery and is able to treat all types of visual disorders, including farsightedness, nearsightedness, presbyopia and astigmatism. Patients are provided with a choice of the most advanced premium IOLs which will allow them to see clearly at all distances.

Candidates For Refractive Lens Exchange

Refractive lens exchange is ideal for patients who:

  • Want to reduce or eliminate their dependence on glasses or contact lenses
  • Are between the ages of 45 and 75 years of age
  • Have myopia (nearsightedness), hyperopia (farsightedness), and/or presbyopia (need for reading glasses) but no significant cataracts
  • Are poor candidates for LASIK or PRK due to extreme glasses prescription or thin cornea
  • Have no health issues that affect the eyes

Benefits Of A Refractive Lens Exchange

A refractive lens exchange is an alternative to those patients with corneas that are too thin for a laser vision correction procedure.

Some of the advantages of RLE include the following:

  • The rapid recovery of vision
  • The cornea remains untouched
  • There is no need for cataract surgery in the future
  • Vision is now stable
  • Correction of presbyopia at the same time

The Refractive Lens Exchange Procedure

The refractive lens exchange procedure is performed on an outpatient basis using the same techniques as those for cataract surgery.

A topical or local anesthesia is applied to the eyes to minimize discomfort during the procedure. Through a tiny incision of 3mm or less, the natural lens of the eye is removed and replaced with an IOL that is inserted through the same opening. Once inserted, the lens is unfolded and moved into its permanent position in the eye. There are no stitches needed as the incision will be able to seal on its own. The refractive lens exchange procedure takes just 20 minutes to perform and offers patients significant and immediate results.

After The Refractive Lens Exchange Procedure

After a refractive lens exchange, patients can return home the same day, and can return to work and other regular activities after a day or two. Many report immediate improvements to their vision, and vision will continue to improve as the brain adapts to the new lens. Once vision has stabilized, it will likely stay the same over time as the lenses correct vision and prevent the patient from developing cataracts in the future. The second eye is usually treated a few weeks after the first procedure.

The extent of the results of the RLE will depend upon the patients eyes, lifestyle and the IOL selected for the procedure. Many patients are able to eliminate their dependence on glasses or contacts after this procedure, while others may still need glasses for driving or reading.

Risks And Complications Of A Refractive Lens Exchange

All surgery carries some degree of risk. These concerns should be discussed, in detail, with the surgeon.

The risks and complications of a refractive lens exchange are the same as those of cataract surgery and may include:

  • Retinal detachment
  • Increased pressure in the eye
  • Infection
  • Bleeding
  • Ptosis (droopy eyelid)
  • Sensitivity to light
  • Dry eyes
  • Glaucoma
  • Distortion in vision