OK - got it.

I have noted an increase in the number of folks (typically around 50 years of age and older), who, rather than having refractive surgery (LASIK or PRK) are paying for a Refractive Lens Exchange - this is to improve vision and reduce or eliminate reliance on glasses or contacts. The age factor is important as it recognizes the likelihood of cataracts occurring over the next two years - and, accepting this, simply skips the LASIK/PRK cost and procedure with IOLs implanted. One IOL of note is the Light Adjustable Lens (LAL) which can be adjusted after implantation - conceptually like LASIK and PRK can be touched up to a desired script. A couple of citations: https://crstoday.com/articles/2018-may/early-lens-exchange, and https://www.discovervision.com/blog/rle-vs-cataract-surgery/.

Now, this isn't for everyone, but simply saying don't have surgery prior to cataracts forming does not, in my opinion, take into consideration a bit more modern approach.

BTW - I had PRK in 2007, then cataract surgery last year - and, I got the LAL IOL, and it has continued my ability to have 20/15 distance and J1+ near vision with the same mono/blended vision approach as with PRK.