PresbyMAX can sometimes be performed while on blood thinners, but requires individualised planning with your medical team.
Considerations with anticoagulants
Bleeding risk is small but relevant.
- Corneal laser itself involves superficial tissue with minimal bleeding
- However, systemic anticoagulation reflects underlying cardiovascular risk
- Stopping medication may increase stroke or clot risk
- Some regimens (for example dual antiplatelet therapy) require special caution
- General anaesthetic is not used, but systemic safety still matters
Typical approach
Coordination and risk balancing are key.
- Discuss with GP or cardiologist before altering any blood thinner
- Often, minor corneal procedures proceed without stopping antiplatelets
- Warfarin or DOAC management depends on indication and INR / renal status
- Non‑surgical options may be preferred if medical risk is high
- Final decision individualised rather than automatic
