Vision Enhancement

Dr Apel performs all types of refractive surgery which enables patients to enjoy vision without the need for glasses or contact lenses.

Implantable Contact Lens

This procedure is a great alternative for people who are not suitable for the well-known LASIK or other laser refractive surgery. We can treat high myopia (short-sightedness) and hypermetropia (long-sightedness) in addition to astigmatism. Some reasons people may not be suitable for laser treatment, include thin corneas, dry eyes, or large pupils. Implantable Contact Lenses (ICL) are like a permanent contact lens, except that the lens is placed inside the eye, rather than on the surface. The procedure is a day surgery. Recovery is about 48 hours off work and one week off strenuous exercise.

Laser Surgery

Dr Apel performs all types of refractive surgery which enables patients to enjoy vision without the need for glasses or contact lenses. LASIK or PTK procedures are performed at QLD Laser Vision Centre at 33 North St Spring Hill QLD 4000. These laser procedures treat myopia (short-sightedness), astigmatism and mono-vision.

To get in contact for a free suitability assessment please call (07) 3831 8299 or TOLL FREE 1800 662 020 or go to the link below.


Presbyopia is a common condition that makes vision difficult at a normal reading distance. It is not a disease.

Close tasks such as reading and sewing become difficult, particularly in poor light. For example, you may find that you are holding your newspaper further away from your eyes to make the print clearer. You may also have difficulty concentrating when reading or you may find periods of close work result in sore eyes, headaches or tiredness.

It is important to understand how your eyes change their focus for viewing close objects. Normally they are focused for distance vision. To focus on close objects, a special muscle in the eye changes the shape of the lens. This process is called accommodation.

With age the human lens loses its flexibility and is less able to change its shape. This is a completely normal ageing change, just like stiffening joints or greying hair. The loss in lens flexibility is the reason that close focusing becomes more difficult.

Presbyopia is corrected by a prescription designed especially for close distances, in the form of spectacles, contact lenses or intra-ocular lenses.

Having different prescriptions in glasses for distance and reading can be a nuisance, especially if you have to change spectacles all the time. One way around the problem is the use of multifocal intraocular lenses. These are special implants that have a prescription for distance, intermediate and near vision in concentric rings throughout the lens. They will give you independence from glasses from most activities.

Refractive Lens Exchange

Refractive lens exchange, also called “clear lens extraction”, may be a better option than LASIK or Implantable Contact Lenses refractive surgery for people with presbyopia and high hyperopia (farsightedness).

Refractive lens exchange (RLE) replaces your eye’s clear natural lens with an artificial intraocular lens (IOL) to correct your refractive error and achieve sharper focus, reducing your need for reading glasses, bifocals or multi-focals.

The procedure for RLE is virtually identical to cataract surgery. The difference is that in RLE, the lens being replaced is clear, rather than a cloudy lens due to a cataract. . There are no stitches or patches required during the surgery. Recovery is about 48 hours off work and a week of strenuous exercise.

As in cataract surgery, two types of IOLs are available to replace your natural lens, depending on your vision needs and the health of your eyes. They are:

  • Monofocal fixed-focus IOLs. Monofocal lenses provide clear vision at distance, intermediate or near ranges — but not all three at once. Toric IOLs to correct astigmatism also are classified as monofocal IOLs.
  • Multifocal IOLs. A multifocal lens provides clear vision at distance, intermediate and near simultaneously. They can also be used to correct astigmatism.

With RLE, there is no “one size fits all”, and Dr Apel will recommend an IOL that is most suitable for your individual needs.

RLE usually takes about 15 minutes and is performed on an inpatient day procedure basis. Each eye is done separately.

Numbing anaesthetic drops and twilight anaesthesia are used during RLE, so typically there is no discomfort, and most people report immediate vision improvement after surgery. Full vision recovery takes about 48 hours once the pupils have returned to a normal size again.

Final outcomes of RLE can take up to several weeks, and you may notice vision disturbances such as blurry vision, halos and glare, or a “scratchy” sensation as your eyes heal.

You should be able to return to work and resume driving within a week of surgery, dependent on Dr Apel’s instructions.

Normally, you won’t feel an IOL in your eye, in the same way that you don’t feel a dental filling for a cavity.

Also, since the IOL is situated inside your eye and not on the surface like a contact lens, it is not visible to the naked eye.

The artificial IOL is a permanent replacement for your natural lens and is designed to last the rest of your life.

And, because IOLs are not affected by age-related changes, there is minimal risk of regression (loss of corrective effect or deterioration of vision) over time.


No procedure is entirely risk free. Adverse effects from any eye procedure include infection, bleeding and further eye problems. Dr Apel and his staff will be happy to discuss these with you at any time. The information provided on this website is for general education only and should not be construed as individual medical advice. For advice relevant to your particular situation, please speak to Dr Apel.