---
title: Is PresbyMAX surgery suitable if you have autoimmune disease?
description: "PresbyMAX can sometimes be performed in well‑controlled autoimmune disease, but active or severe disease often makes corneal laser unsuitable. ## Risks with autoimmune conditions Healing and inflammation may be unpredictable. - Higher likelihood of dry eye, delayed epithelial healing, or…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-you-have-autoimmune-disease/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if you have autoimmune disease?

PresbyMAX can sometimes be performed in well‑controlled autoimmune disease, but active or severe disease often makes corneal laser unsuitable.

## Risks with autoimmune conditions

Healing and inflammation may be unpredictable.

- Higher likelihood of dry eye, delayed epithelial healing, or sterile infiltrates
- Potential for post‑operative inflammation affecting vision
- Systemic immunosuppressants altering infection risk
- Specific conditions (for example rheumatoid arthritis, Sjögren's) heavily linked with ocular‑surface problems
- Laser may destabilise previously compensated ocular surface

## When it may still be considered

Decision requires a multidisciplinary approach.

- Stable disease with minimal ocular involvement
- Strong motivation and suitable corneas
- Input from rheumatologist and ophthalmologist on timing and medication cover
- Willingness to accept higher uncertainty and need for close follow‑up
- In many cases, lens‑based or non‑surgical options remain preferable