---
title: Is PresbyMAX surgery suitable after ICL surgery?
description: "PresbyMAX can sometimes be used after ICL surgery, but combining intraocular and corneal procedures increases complexity and requires meticulous planning. ## Possible indications It can fine‑tune presbyopic needs. - Good distance vision with ICL but increasing dependence on reading glasses…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-after-icl-surgery/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable after ICL surgery?

PresbyMAX can sometimes be used after ICL surgery, but combining intraocular and corneal procedures increases complexity and requires meticulous planning.

## Possible indications

It can fine‑tune presbyopic needs.

- Good distance vision with ICL but increasing dependence on reading glasses
- Stable ICL position and appropriate vault
- Healthy cornea with sufficient thickness and regular shape
- Clear natural lens without cataract
- Desire to retain ICL rather than move to lens replacement

## Considerations and alternatives

Risks and future options must be weighed.

- Further surgery reduces simplicity if lens replacement is later needed
- Multifocal corneal optics plus internal lens power can be harder to balance
- Lens‑based presbyopia solutions may ultimately be more straightforward
- Extensive counselling about potential night‑vision effects is essential
- Suitability judged on a case‑by‑case basis in an experienced refractive centre