RxSight Light Adjustable Lens (LAL) in Kansas City

RxSight Light Adjustable Lens (LAL) in Kansas City

As leading cataract surgeons in the Midwest and one of the largest eye care practices in the United States, the eyecare experts at Discover Vision Centers offer the most advanced and revolutionary new intraocular lens technology in the form of Light Adjustable IOL Lens™ from RxSight®. This cataract removal and refractive lens replacement treatment allows for your vision to be custom-adjusted after intraocular lens implantation for exquisitely precise results that are tailored specifically to your unique needs.


What Is a Light Adjustable Lens™?

Approved by the U.S. Food and Drug Administration (FDA) in 2017, the RxSight light adjustable intraocular lens is the most technologically advanced intraocular lens (IOL) in the United States, offering a glare-free, shine-free, and halo-free solution to cataracts, nearsightedness, farsightedness, and even astigmatism correction. With the light adjustable lens (LAL) the final result can be customized to the patient’s exact desires after the implant is already in the eye. This is done with a Light Delivery Device system which uses ultraviolet light to reshape the lens to perfect its focusing power. Twice as many eyes achieve 20/20 unaided vision with the Light Adjustable Lens than with standard cataract surgery. A key feature of LAL is Extended Depth Focus technology, which allows for optimal vision at all distances.

How Does the Light Adjustable Lens Work?

As the most technologically advanced adjustable IOL option, the RxSight light adjustable lens implant is an innovative technology implant and allows our surgeons to adjust your vision and fine-tune your results after cataract surgery. The LAL implant is made of a special photosensitive material. This means that the polymers within the artificial intraocular lens can move or change position within the lens when the implant experiences UV exposure for the Light Delivery Device, LDD. When the polymers change position in the lens the light bending power of the implant alters the refractive error of the eye to better focus light on the retina.

Light Treatment Schedule

Once your eye has fully recovered, UV light sessions will take place in your physician’s clinic. Based on your vision goals, you might undergo 3–5 UV sessions, which includes two stabilizing treatments to ensure no further modifications.

RxSight LAL Surgery Uses and Applications

The RxSight light adjustable lens is a cutting-edge vision correction procedure allowing for precise, customizable results for your unique lifestyle and vision needs. There are two components to the process. The light adjustable lens that consists of a special photosensitive material. When it is exposed to ultraviolet light from the light delivery device it changes shape to focus light on the retina. The treatment sessions last from 30-120 seconds.

Cataracts (Clouded Lens)

Cataracts, a common condition associated with aging, lead to the clouding of the eye’s natural lens. This cloudiness can severely impact daily activities such as reading and driving. LAL surgery for cataracts not only replaces the clouded lens but also offers a unique opportunity to address other refractive issues. By choosing light adjustable lens surgery, patients benefit from a tailored approach to vision correction, enhancing clarity and quality of life.

Myopia (Nearsightedness)

For individuals struggling with nearsightedness, LIGHT ADJUSTABLE LENS surgery for myopia provides a highly effective solution. The light adjustment process in this surgery allows for precise correction, ensuring exceptional distant vision. This personalized approach caters to each patient’s specific degree of myopia, offering a significant improvement in their ability to see distant objects clearly.

Hyperopia (Farsightedness)

LAL surgery for hyperopia addresses the challenges of farsightedness. The adjustable nature of the LAL allows eye doctors to fine-tune the lens according to each patient’s lifestyle needs and specific visual requirements. This customizability ensures that patients with hyperopia can enjoy clear vision at all distances, significantly enhancing their daily experiences.

Astigmatism (Pre-existing)

LIGHT ADJUSTABLE LENS surgery for astigmatism is particularly effective in correcting this condition. Light Adjustable Lens technology can significantly reduce or even eliminate corneal astigmatism (of at least 0.75 diopters), thereby improving vision at all distances. This surgery offers a precise, tailored approach to rectify the irregular curvature of the eye that characterizes astigmatism.


Presbyopia, an age-related condition that usually begins around the age of 40, hinders the ability to focus on close objects. LAL procedure for presbyopia provides a modern solution to this challenge. By adjusting the lens to cater to the changing vision needs of aging eyes, this surgery offers a renewed ability to focus on near tasks, like reading or viewing small print, without compromising distance vision.

Schedule an RxSight LAL Consultation, Virtual or In-Person

The Light Adjustable Lens (LAL) is an investment in your vision and your future. Choosing the Light Adjustable Lens means that you will have the opportunity to fully customize your vision after surgery. Schedule a consultation, virtual or in-person, with our team to determine if you are a candidate for the RxSight LAL.


Benefits of Light Adjustable Intraocular Lens

The most apparent benefit of LAL is its precise and accurate surgical vision correction. The unique feature of the RxSight Light Adjustable lens is that it can be adjusted after it is implanted in the patient’s eye. In effect, the adjustment of the IOL is tailored and customized specifically for the individual eyes of each patient. When this is done for both eyes the patient should be able to see clearly up close and at distance.

LAL Benefits Include

  • No halos
  • No glare
  • Painless, nonsurgical adjustments
  • Fine-tune near vision but maintain distance vision with both eyes open
  • Twice as likely to reach 20/20 vision 6-months post-operation than with a standard IOL
Benefits of Light Adjustable Intraocular Lens

Disadvantages of LAL

While Light Adjustable Lens (LAL) surgery promises tailored vision correction, it isn’t without its downsides. A prominent concern is the multiple post-operative visits entailing specialized light treatment. Though these sessions are brief, their cumulative time commitment, combined with dilation and refraction processes, can be considerable. Additionally, LAL is classified as a premium IOL, which means it generally costs more than traditional intraocular lens implants. This additional expense isn’t typically covered by health insurance, placing the financial burden squarely on the patient.

Drawbacks of LAL Surgery Include

  • Higher Costs: LALs are considered premium IOLs and they are more expensive than conventional IOLs. The LAL itself is not is not covered by health insurance but the actual cataract extraction is covered by health insurance.
  • Multiple Post-Op Visits: Extra visits and time are required to complete the LAL process so a patient must make time for this to occur. In effect the best results require some extra time for the patient and work for the surgical team.  
  • Pupil Dilation Challenges: Proper light adjustments need adequate pupil dilation, which may not be possible for some patients.
  • Variable Corneal Astigmatism: For some patients astigmatism may develop over decades and vision quality and quantity may be affected with LAL or standard intraocular lens implants.  
  • Limitations with Irregular Corneas: LAL may not correct all aberrations in severely irregular corneas.
  • Cannot Compensate for Other Eye Issues: Conditions like glaucoma or macular degeneration aren’t addressed by LAL surgery or standard cataract surgery.

About The Light Adjustable Lens Surgery

Step 1. Preparing for Surgery. You will first meet with one of our experienced surgeons and care team to discuss your desired outcome for your vision and determine the best treatment for you and your lifestyle.

Step 2. LAL Surgery. LAL surgery is effectively the same as any other cataract surgery using an intraocular lens implant.

Step 3. Recovery. After surgery, you will need to take special precautions until your light adjusting lens prescription is “locked in” at your last post-operative adjustment appointment. Your doctor will provide you with special UV protective glasses to wear whenever you’re outside. Consult your doctor for any additional post-op instructions.

Get Crystal Clear Vision Tailored to Your Unique Needs


LAL Surgery Recovery & Results

After surgery, you will need to take special precautions until your LAL prescription is “locked in” at your last post-operative adjustment appointment. Your doctor will provide you with special UV protective glasses to wear whenever you’re outside to avoid direct sunlight. You also will be asked to apply topical drops for the first month after surgery. You should be able to return to work on the first postoperative day with light activity. You should be able to resume regular physical exercise one week after surgery. Consult your doctor for any additional post-op instructions.

Why Should I Consider Light Adjustable Lens™ Over a Traditional IOL?

Standard cataract surgery in a fair percentage of patients does not afford 20/20 unaided distance vision. With the Light Adjustable Lens eye surgery over 95% of eyes can achieve 20/20 unaided vision. If this is achieved most patients will be relatively if not completely free of glasses.

Will I Need Sunglasses After LAL?

After receiving Light Adjustable Lenses (LAL), it’s recommended to wear sunglasses with UV protection during the adjustment period to prevent unintended changes in lens power. Even post-adjustment, sunglasses can offer protection against UV radiation and enhance visual comfort outdoors.

Why Should I Consider Light Adjustable Lens™ Over a Traditional IOL?

Who Is a Candidate for Light Adjustable Lenses?

The Light Adjustable Lens is approved for use during cataract surgery. Discover Vision Centers has been involved with the LAL technology and its FDA approval process since 2008. The light-adjustable intraocular lenses can also be used for refractive lens replacement procedures.

Potential candidates for vision correction with Light Adjustable Lenses include:

  • Patients with or without astigmatism;
  • Patients whose pupils dilate sufficiently;
  • Do not use medications that increase sensitivity to UV light (if these are temporarily stopped patients can have LAL implants);
  • Do not use medications that are known to cause retina damage;
  • Patients who do not have a history of herpes eye infections.

The best way to determine whether the light-adjustable IOL is right for you is to discuss your unique lifestyle, refractive errors, and postoperative goals with an eye doctor you trust.

Schedule an RxSight LAL Consultation in Kansas City


Why Choose Us for LAL Surgery in Kansas City?

The refractive surgeons at Discover Vision Centers are the leading experts in light adjustable lens surgery in Kansas City and the Midwest. Dr. John Doane and his FDA study team are the longest-tenured LAL FDA trials team in the US. They have worked diligently since 2008 to bring the LAL to patients in the US. Discover Vision Centers was one of the first three centers in the US to offer this ground-breaking technology after FDA approval.

Our team of experienced eye care providers will ensure that you have the highest quality of care, from your initial cataract surgery consultation to your final postoperative adjustment appointment. Discover Vision Centers offers industry-leading rates of patient satisfaction, and we look forward to working with you to customize your LAL experience to your unique needs & lifestyle.

John Doane, MD

Dr. John F. Doane

Dr. Doane has been involved with the LAL technology since 2008 as an FDA investigator and he continues to work with RxSight in ongoing projects. Dr. Doane believes that the most advanced lens option patients can experience is the Light Adjustable Lens which affords unique customized treatment to each patient.

Light Adjustable Lens Patient Reviews

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Dr. Sayed was my retina specialist in preparation for my cataract LAL surgery. Thanks Dr. John Doane and all your excellent Discover Staff!! Thank you for the nice follow up note! I have gratitude and respect for your team and the great results I am enjoying just 2 days following my first adjustment. The results of your collective great work! Amazing! Perfect vision from right distance eye. Three weeks later and still tuning the left near-sighted eye with exceeding good results. This is the second miracle surgery you have given me. The first was my LASIK back in 1996.
Ron B.

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My research revealed that Dr. Doane is the top Ophthalmologist in the region, with high quality staff who compassionately and competently work together for the best outcome. Dr. Doane is licensed to perform the newest and most advanced technology in refractive surgery! I am so happy with the excellent results of my LAL – Light Adjustable Lens Cataract surgery and follow-up care. Appointments are thorough, so expect to spend the appropriate time needed for Discover Vision to provide the best exams and personalized eye care education for each patient’s needs. Some family members also had SMILE surgery with excellent results!
Rebecca E.

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Dr. Doane and his staff have been exactly what I have needed to address my complicated cataract/lens replacement surgery. He was able to offer a solution of an LAL lens replacement to accommodate my eye’s intolerance of a lens that was causing halos, rings and glare. I am grateful to him. The fact that he conducted a clinical trial on the LAL lens, recently FDA approved, gave me the confidence to move forward on this choice. Because I am not from the Kansas City area, he made sure my surgeries were scheduled to offer me the best available opportunities for actual surgeries and follow up appointments. I am grateful to him because of his expertise and willingness to address my issues in a respectful, competent manner, I have only the highest respect for him and his staff!
Dr. Kathy LeMon

How Much Does Light Adjustable Lens Cost?

The cost of light adjustable lenses varies by region, provider, and additional surgical fees. Generally, they are more expensive than standard intraocular lenses. But Discover Vision offers a variety of payment options for our accurate surgical vision correction. FSA and HSA accounts are a great option to pay for your procedure tax-free. Financing is also available based on approved credit through CareCredit. If approved, financing options are available at 0% interest for up to 24 months, or for extended payment plans up to 60 months.

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Contact Us for RxSight Light Adjustable Lens in Kansas City Today


How many light treatments do I need?

Most patients need between 3-4 light treatments to reach the desired postoperative prescription. We will work with you to determine how many light treatments are necessary to reach your desired vision goals.

What makes the Light Adjustable Lens different from other IOLs?

While other intraocular lenses change very little in prescription after surgery day, the Light Adjustable Lens is designed to be fine-tuned at a series of adjustment appointments post-operation. This allows for truly personalized results and optimal vision, both near and at a distance.

Why do I need to wear special UV protective glasses?

The special UV protective glasses shield your eyes from UV rays that can alter the prescription of your light adjustable lenses before it is actually “locked in.” It is important that you continue to wear your UV protective eyewear whenever you’re outside, from immediately following surgery until your final prescription adjustment appointment, unless otherwise advised by your cataract surgeon.

What can happen if you don’t wear protective glasses or eyewear after light adjustable lens implantation?

If you don’t wear protective eyewear when outside, immediately following refractive surgery until your final light treatment, the prescription of your light adjustable lenses may be altered due to UV light from the sun. This could affect the fine-tuning of your prescription and negatively impact your LAL results.

Does the light adjustable lens correct astigmatism?

The light adjustable lens can correct astigmatism, offering precise vision enhancements post-cataract surgery.

How long does light adjustable lens last?

Light adjustable lenses are permanent implants, designed to last a lifetime after their adjustments are finalized.

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