---
title: Is PresbyMAX surgery suitable if prescription is still changing?
description: "PresbyMAX is generally not suitable if your prescription is still changing. ## Why change is a problem Laser outcomes would soon be outdated. - Ongoing refractive shift can quickly reintroduce dependence on glasses - May mask undiagnosed corneal disease such…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-prescription-is-still-changing/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if prescription is still changing?

PresbyMAX is generally not suitable if your prescription is still changing.

## Why change is a problem

Laser outcomes would soon be outdated.

- Ongoing refractive shift can quickly reintroduce dependence on glasses
- May mask undiagnosed corneal disease such as keratoconus
- Raises likelihood of needing further surgery or correction
- Complicates planning for both distance and near targets
- Contradicts standard refractive safety recommendations

## Preferred approach

Stabilisation comes first.

- Regular eye tests to confirm whether change is slowing or stopping
- Corneal topography to exclude ectasia or other pathology
- Temporary management with spectacles or contact lenses
- Re‑evaluation for PresbyMAX once stability is documented
- Discussion of alternative options if progression continues