Refractive lens exchange for patients from Kraków and Małopolska: qualification, surgery and follow-ups all take place at our clinic at ul. Kluczborska 15/U3 in Kraków. Surgery performed by Dr med. Victor Derhartunian. Price: 11,000 PLN per eye with premium implant – one rate for every lens model, including toric. Qualification examination: 400 PLN.
Refractive lens exchange in Kraków – in brief
- What it is: replacement of the eye’s natural lens with a premium implant – corrects refractive error and presbyopia, and cataract can no longer develop.
- For whom: usually after age 45–50, when presbyopia accompanies the refractive error; for younger patients we recommend laser or ICL lenses.
- Price in Kraków: 11,000 PLN per eye with premium implant (spherical, toric or Customized), qualification examination 400 PLN – the same price as in Warsaw.
- Procedure: qualification approx. 90 minutes, surgery approx. 15 minutes per eye under topical anesthesia, second eye after a few days, follow-ups on site at ul. Kluczborska 15/U3.
- Where and who: SwissLaser Kraków, ul. Kluczborska 15/U3 (Krowodrza, free parking), surgery performed by Dr med. Victor Derhartunian. Book your qualification.
Why after age 45 this is often a better choice than laser
Laser correction reshapes the cornea but does not touch the natural lens – and it is the lens that hardens with age and is responsible for presbyopia. After fifty, laser therefore solves only part of the problem, and cataract develops anyway in a dozen or so years.
- One procedure instead of two stages: we replace the natural lens with a premium implant – we correct refractive error and presbyopia simultaneously.
- Cataract ceases to be an issue: the implanted lens does not cloud. The disease that affects almost everyone after seventy will no longer occur.
- Stable result: the lens does not change with age the way the cornea does after laser correction in patients with progressive presbyopia.
Honestly: this is an intraocular procedure, so we weigh indications more carefully than with laser. In persons under 45 with preserved accommodation we usually advise against RLE and recommend laser correction or phakic ICL lenses.
Do I qualify for lens exchange?
- Green light: age usually above 45–50 years, refractive error with accompanying presbyopia, early changes in the natural lens, healthy retina.
- Yellow light – requires assessment: glaucoma, diabetes, high myopia (risk of retinal detachment requires separate discussion), AMD changes.
- Red light: young age with preserved accommodation, active eye inflammation, unrealistic expectations about vision without glasses in every situation.
How the procedure works in Kraków
- 1. Qualification – in Kraków: approx. 90 minutes (400 PLN); biometry, MS-39 tomography, fundus assessment, lens power calculation and model selection.
- 2. Surgery – approx. 15 minutes per eye: topical anesthesia, outpatient. We remove the natural lens by phacoemulsification and replace it with a premium implant.
- 3. Second eye: at an interval – which is why we charge per eye.
- 4. Follow-ups – in Kraków: first one the next day, subsequent ones according to schedule; 2 follow-ups included in the package.
Trifocal or EDOF – how we select the lens
This is the most important decision of the entire procedure and there is no single best implant. There are two different vision profiles, and the choice depends on how you actually use your vision.
- Trifocal lens – full range of focus: distance, intermediate and reading. The price for this: light effects (halos) may appear around lights at night. This is not a defect of the implant but the physics of light refraction on multifocal rings. They usually diminish during neuroadaptation.
- EDOF lens – extended depth of focus instead of separate focal points. Very good contrast and minimal light effects at night, making it a sensible choice for drivers and people who work extensively at monitors. With fine print, some patients use weak reading glasses.
- Diagnostics and lifestyle determine the choice. A professional driver, photographer and person who reads several hours a day need different implants. MS-39 maps show what the eye’s anatomy permits at all – the conversation about daily life settles the rest.
Which premium lenses we implant in Kraków
We work with the full portfolio of implants from reputable manufacturers and select the model after biometry, never “off the shelf.” All variants – spherical, toric, Customized – cost 11,000 PLN per eye:
- trifocal: Alcon PanOptix Pro, Bausch+Lomb LuxLife – full range: distance, intermediate, reading
- new-generation full-range: Johnson&Johnson TECNIS Odyssey, Bausch+Lomb enVista Envy
- EDOF (extended focal): Johnson&Johnson TECNIS PureSee, Alcon Vivity, Bausch+Lomb LuxSmart – fewer light effects at night
- Customized: Teleon – European premium lenses, also in toric variants
Lens exchange, PresbyMAX or ICL lens – what after age 45
| Refractive lens exchange | PresbyMAX | Phakic ICL lens | |
|---|---|---|---|
| What we change | natural lens replaced with premium implant | laser shapes a multifocal corneal profile | additional lens in front of natural one, without removing tissue |
| Presbyopia | yes – multifocal or EDOF implant | yes – corneal profile | no |
| Future cataracts | excluded – lens already replaced | possible, treated in the standard way | possible, treated in the standard way |
| Reversibility | no | no | yes – lens can be removed |
| Typical age | from 45–50 years | 45–60 years, clear lens | 21–45 years, high refractive error |
| Price in Kraków | 11,000 zł per eye | 15,000 zł for both eyes | 11,000 zł per eye |
We discuss all three pathways during one qualification examination (400 PLN) – see also presbyopia treatment in Kraków.
How much it costs
- 11,000 PLN per eye with premium implant – spherical, toric or Customized. Astigmatism correction at no extra charge.
- Qualification examination: 400 PLN.
- YAG capsulotomy: 600 PLN per eye, should the lens capsule cloud after years.
- Installment payment possible (Santander Consumer Bank).
Healing and neuroadaptation
- First days: vision improves quickly; we protect the eye from rubbing.
- 2 weeks: no intense exertion or sports.
- 4–6 weeks: complete healing of the eye – neuroadaptation of the brain to the new lens optics proceeds in parallel and takes longer.
- Week 2–12 – adjustment: the brain must adjust to the new vision – this takes time and is completely normal.
- Month 3–6 – full adaptation: neuroadaptation comes to an end. If it proves necessary, this is precisely when we perform fine-tuning.
Think of hypertension therapy: we start with one tablet, measure blood pressure again – and adjust the dose until the result is right. It is the same with presbyopia correction: we correct, the brain adjusts to the new vision, and if necessary – we fine-tune. Enhancement is not a failure but an element of precise treatment.
Dr med. Victor Derhartunian, FEBO, FWCRS
Risks – honestly
Refractive lens exchange is an intraocular procedure with a safety profile similar to cataract surgery – one of the best-studied procedures in medicine. Possible consequences include: secondary cataract (removed with YAG laser, 600 PLN), transient corneal edema, increased intraocular pressure, and with high myopia an elevated risk of retinal detachment – we discuss this separately before the decision. With multifocal lenses, light effects at night are possible during the adaptation period.
Who operates in Kraków
Lens exchange in Kraków is performed personally by Dr med. Victor Derhartunian, FEBO, FWCRS – a refractive surgeon with over 25,000 procedures, leading SwissLaser clinics in Warsaw and Kraków and EyeLaser in Vienna and Zurich. He was born in Kraków, gained experience in Vienna and Zurich, and in his home city operates with the same technology and according to the same protocols as in Switzerland. Qualification, lens selection, surgery and follow-ups take place at one clinic at ul. Kluczborska 15/U3.
Frequently Asked Questions
Will I still need glasses after the procedure?
It depends on the type of implant chosen. Trifocal lenses usually provide independence from glasses at all distances, including reading. EDOF lenses give very good distance and intermediate vision; with fine print, some patients reach for weak reading glasses. Which variant is right is determined by diagnostics and your lifestyle.
How much does refractive lens exchange cost?
11,000 PLN per eye with premium implant – one price for every model, including toric. Qualification examination: 400 PLN.
Can I get cataracts after the procedure?
No. The implanted lens does not cloud like the natural lens. However, the lens capsule may cloud (so-called secondary cataract) – it is removed with a few-minute YAG laser procedure.
How does RLE differ from cataract surgery?
Technically it is the same procedure. The difference is in the indication: with cataract we operate on a clouded lens, with RLE – on a clear lens, in order to correct refractive error and presbyopia.
From what age is it worth considering RLE?
Usually above 45–50 years, when presbyopia accompanies refractive error. In younger patients with preserved accommodation we rather recommend laser correction or phakic ICL lenses.
Is refractive lens exchange reimbursed by the NFZ?
No. The NFZ finances cataract surgery with a monofocal lens when cataract is already diagnosed. Refractive lens exchange is a private procedure: we perform it before cataract develops, and we implant a premium lens that also corrects presbyopia. In Kraków it costs 11,000 PLN per eye; installments are possible with Santander Consumer Bank.
How long does the procedure take and does it hurt?
The procedure itself takes about 15–20 minutes per eye and is painless – we anesthetize the eye with drops, you are conscious and feel only touch. We operate on the second eye after a few days to a few weeks, in accordance with the safety standard protecting against infection.
Is it worth having lens exchange instead of laser correction after age 45?
Laser reshapes the cornea but does not touch the natural lens, which hardens with age and is responsible for presbyopia. RLE corrects refractive error and presbyopia simultaneously, and cataract can no longer develop. We speak honestly, however: this is an intraocular procedure, so we weigh indications more carefully than with laser, and we usually advise against it in persons under 45 with preserved accommodation.
Are both eyes operated on the same day?
No. We perform lens exchange with an interval of a few days to a few weeks between one eye and the other. For patients from outside Kraków we plan both appointments so that the number of visits is minimized.
For how many days will I receive medical leave?
Usually 3 to 7 days per eye – that is how long is needed for safe healing before returning to work, especially at a computer.
Will I see halos around lights at night after the procedure?
With multifocal lenses, halos at night result from their ring construction and in most patients diminish within weeks to months of neuroadaptation. For people who drive a lot at night, we more often recommend an EDOF lens, which produces fewer light effects at the cost of reading the finest print.
Will the lens also correct astigmatism?
Yes. With astigmatism we implant a toric variant with a built-in cylinder axis – at SwissLaser at no extra charge; a premium implant always costs 11,000 PLN per eye.
Can I choose the type of lens myself?
You can have a preference, but we select the model after eye biometry and a conversation about your lifestyle: a trifocal lens gives a full range of focus, EDOF smooth distance and intermediate vision with less halo, monofocal the clearest distance image with reading glasses. All variants cost the same.
Who performs lens exchange in Kraków?
Dr med. Victor Derhartunian, FEBO, FWCRS – personally qualifies, selects the lens and operates. He was born in Kraków, gained experience in Vienna and Zurich, and today leads SwissLaser clinics in Warsaw and Kraków and EyeLaser in Vienna and Zurich.
How many times do I need to come to Krakow?
Usually: qualification examination (about 90 minutes), first eye surgery with follow-up the next day, second eye surgery with follow-up, then follow-ups in the first month included in the package. Some follow-ups can be performed by arrangement with an ophthalmologist closer to home. From Katowice it is about an hour via the A4 motorway, from Kraków Główny station 15–20 minutes to the clinic.
What is secondary cataract and is there a risk after lens exchange?
The implant does not cloud, but in some patients after months or years the capsule in which the lens sits clouds slightly. We remove this with a YAG laser in the office – the procedure takes about a minute, is painless and restores full sharpness.
Patient reviews from Krakow
Directly from Google, without selection or editing – the clinic in Kraków is rated 5.0 by patients in 169 reviews.
For patients from outside Kraków
Patients from Katowice and all of Silesia, Tarnów, Kielce and Rzeszów regularly come to the clinic in Krowodrza. From Katowice it is about an hour via the A4 motorway, from Kraków Główny station 15–20 minutes. We have described the visit plan with the minimum number of trips on the page for patients from outside Kraków, separately also travel from Katowice.
How to reach us in Kraków
SwissLaser Kraków
ul. Kluczborska 15/U3, 31-271 Kraków
Phone: +48 12 383 33 60
Monday–Friday 8:00–18:00
The clinic is located at the Krowodrza Górka loop, with free parking.
Contact and directions · Book an appointment
Related Topics
RLE – details · EDOF lenses · Presbyopia · Cataract
Content fact-checked by Dr. med. univ. (Vienna) Victor Derhartunian, FEBO, FWCRS – refractive surgery specialist. Last verified: August 2026.
How to get to the clinic in Krakow
ul. Kluczborska 15/U3, 31-271 Krakow – Krowodrza.
Phone: +48 12 383 33 60 · Monday – Friday, 8:00 AM – 6:00 PM
- Bus: Krowoderskich Zuchów stop about 190 m – three minutes on foot.
- Tram: Krowodrza Górka terminus about 350 m, or a 5-minute walk.
- By car: at the Krowodrza Górka terminus, there is a Park and Ride parking lot – leave your car and take the tram.
- Train: Kraków Łobzów station about 890 m.
Other procedures in Krakow
In the same clinic, we also perform:
Laser vision correction
Trans-PRK, FemtoLASIK, SmartSight – from 10,000 PLN for both eyes
Phakic ICL Lenses
when laser is not enough: refractive errors up to -18 dpt, PLN 11,000 per eye
Cataract treatment
removal of clouded lens with premium implant
Keratoconus Treatment
cross-linking, CAIRS rings, diagnostics
Presbyopia Treatment
PresbyMAX, EDOF lenses, monovision