Refractive lens exchange in Kraków – in brief
- The eye’s own lens is replaced with a premium implant – trifocal or EDOF. Refractive error and presbyopia are resolved in a single procedure.
- Cataract can no longer develop afterwards.An artificial lens does not cloud. For patients over about 50 this is usually the decisive argument.
- Trifocal or EDOF is the real decision.Trifocal covers the full range including reading; EDOF offers better contrast and minimal light phenomena at night.
- 11,000 zł per eye, one rate for every lens model, toric included. Suitability assessment: 400 zł. Price list
Why this is often the better choice than laser after 45
Laser correction reshapes the cornea. It fixes the refractive error but leaves the eye’s own lens untouched – and it is precisely that lens which loses elasticity over the years and clouds later. Someone who has laser at 50 corrects one problem and keeps two.
Lens exchange works one level deeper. The ageing lens is gone, and with it presbyopia and the prospect of cataract. So the question is not “laser or lens”, but: what condition is your own lens in today?
Am I suitable for lens exchange?
- Green light: usually from 45 to 50 years, refractive error accompanied by presbyopia, early changes in the natural lens, healthy retina.
- Amber – requires assessment: glaucoma, diabetes, high myopia (the risk of retinal detachment deserves a separate conversation), macular degeneration changes.
- Red light: young age with preserved accommodation, active intraocular inflammation, unrealistic expectations of complete spectacle independence in every situation.
How the procedure works in Kraków
- 1. Suitability assessment: about 90 minutes (400 zł) – optical biometry, MS-39 tomography, fundus examination, calculation of lens power and choice of model.
- 2. Surgery – about 15 minutes per eye: under topical anaesthesia, day-case. The natural lens is removed by phacoemulsification and replaced with the premium implant.
- 3. Second eye: at a later date – which is why we bill per eye.
- 4. Follow-up: two check-ups in the first month, included in the package.
Before the assessment we ask for a contact lens break: soft lenses at least seven days, rigid lenses at least four weeks.
Trifocal or EDOF – how we choose the lens
This is the most important decision of the whole procedure, and there is no single best implant. There are two different visual profiles, and the choice depends on how you actually use your eyes.
- Trifocal lens – the full range of focus: distance, intermediate and reading. The price for that: halos may appear around lights at night. This is not a fault of the implant but the physics of light refracted by multizonal rings. They usually diminish during neuroadaptation.
- EDOF lens – extended depth of focus instead of separate focal points. Very good contrast and minimal light phenomena at night, which makes it a sensible choice for drivers and screen work. For fine print some patients use weak reading glasses.
- Diagnostics and daily life decide.A professional driver and someone who reads for several hours a day need different implants. The MS-39 maps show what the anatomy permits; the conversation about daily life settles the rest.
What it costs
- 11,000 zł per eye with a premium implant – spherical, toric or customised, at one rate. No surcharge for correcting astigmatism.
- Suitability assessment: 400 zł.
- Included: surgery, the implant and two check-ups in the first month.
- Instalments available (Santander Consumer Bank).
Healing and neuroadaptation
- First days: vision improves rapidly; the eye is protected from rubbing.
- Two weeks: no intense exertion or sport.
- 4–6 weeks: the eye is fully healed.
- Weeks 2 to 12: the brain adjusts to the new optics. This neuroadaptation runs in parallel and takes longer than the physical healing.
Risks – stated plainly
Refractive lens exchange is an intraocular procedure with a safety profile comparable to cataract surgery – one of the best-studied procedures in medicine. Possible sequelae are: posterior capsule opacification, removed in a few-minute YAG laser procedure (600 zł per eye), transient corneal oedema, a rise in intraocular pressure and, in high myopia, an increased risk of retinal detachment.
And an honest note: no lens guarantees complete spectacle independence in every situation. With very fine print or in low light some patients still reach for weak reading glasses – that is a predictable part of the outcome, not a complication.
Frequently asked questions
When is lens exchange better than laser correction?
From around the age of 45, when presbyopia is added to the refractive error. Lens exchange corrects both at once and permanently. Where a cataract is beginning, it solves three problems in one procedure.
Can a cataract still develop after the procedure?
No. An artificial lens does not cloud, so a cataract can no longer occur. Any later opacification of the capsule – posterior capsule opacification – is treated in a few-minute YAG laser procedure (600 zł per eye).
Which lenses can I choose from?
Trifocal lenses, EDOF lenses with extended depth of focus, and toric versions for astigmatism. The choice follows from the diagnostics and your daily life.
Will I still need glasses after the procedure?
That depends on the implant. Trifocal lenses usually give spectacle independence at all distances including reading. EDOF lenses give very good distance and intermediate vision; for fine print some patients use weak reading glasses.
How much does lens exchange cost in Kraków?
11,000 zł per eye with a premium implant, at one rate for every model. The suitability assessment costs 400 zł.
How to find 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 at the Krowodrza Górka loop, with free parking.
Contact and directions · Book an appointment
Related topics
Refractive lens exchange – method in detail · Phakic ICL lenses in Kraków · Laser vision correction
Medically reviewed by Dr Victor Derhartunian, FEBO, FWCRS – refractive surgery specialist. Last reviewed: August 2026.