Many people on long‑term medication can still have PRESBYOND, but each drug and underlying condition must be assessed.
Medication‑related issues
Some treatments influence healing and safety.
- Systemic steroids or isotretinoin can impair corneal healing
- Immunosuppressants alter infection and inflammatory responses
- Psychiatric or neurological medications may affect consent or cooperation
- Drugs that worsen dry eye can reduce visual quality after laser
- Potential interactions with post‑operative eye drops must be checked
Best practice before surgery
A comprehensive medical review is required.
- Provide a complete medication list at your assessment
- Involve relevant specialists (for example cardiology, rheumatology) where appropriate
- Optimise control of chronic conditions before elective surgery
- Adjust or time medications only on medical advice
- Balance expected visual benefits against any increased systemic or ocular risk
