---
title: Is PresbyMAX surgery suitable if you are on blood thinners?
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-you-are-on-blood-thinners/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if you are on blood thinners?

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