---
title: Is PresbyMAX surgery suitable after vitrectomy?
description: "PresbyMAX can occasionally be performed after vitrectomy, but suitability depends heavily on retinal status and overall visual potential. ## Challenges after vitrectomy Posterior pathology often dominates. - Vitrectomy is frequently done for macular holes, detachments, or haemorrhage - These conditions…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-after-vitrectomy/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable after vitrectomy?

PresbyMAX can occasionally be performed after vitrectomy, but suitability depends heavily on retinal status and overall visual potential.

## Challenges after vitrectomy

Posterior pathology often dominates.

- Vitrectomy is frequently done for macular holes, detachments, or haemorrhage
- These conditions may permanently limit acuity or contrast
- Corneal laser cannot correct retinal or optic‑nerve damage
- Residual distortions may make multifocal optics less tolerable
- Risk-benefit analysis must consider previous surgical history

## Scenarios where it might be reasonable

Only if the eye remains visually promising.

- Stable retina with good post‑vitrectomy acuity and minimal distortion
- Clear cornea and lens, with presbyopia now the main annoyance
- Retinal surgeon agrees there is adequate reserve
- Patient fully understands that laser will not fix any remaining retinal changes
- Alternative refractive solutions discussed in parallel