---
title: Is PresbyMAX surgery suitable after LASIK?
description: "PresbyMAX‑style presbyopic laser enhancements can sometimes be performed after LASIK, but require very careful assessment. ## When post-LASIK PresbyMAX may be considered It can extend range in previously treated eyes. - Stable post‑LASIK refraction with adequate residual corneal thickness -…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-after-lasik/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable after LASIK?

PresbyMAX‑style presbyopic laser enhancements can sometimes be performed after LASIK, but require very careful assessment.

## When post-LASIK PresbyMAX may be considered

It can extend range in previously treated eyes.

- Stable post‑LASIK refraction with adequate residual corneal thickness
- Regular topography and no signs of ectasia
- Clear lenses and good retinal health
- Presbyopia now causing increased dependence on readers
- Desire to avoid lens replacement at this stage

## Additional challenges

Safety thresholds are tighter.

- Less residual tissue available for further ablation
- Higher sensitivity to dry eye and flap‑related issues
- Corneal biomechanics already altered by prior surgery
- Need for extremely accurate measurements and realistic expectations
- In some cases, lens‑based options may be safer than additional corneal laser