---
title: Is PresbyMAX surgery suitable if you have diabetes?
description: "PresbyMAX can be considered in well‑controlled diabetics without significant retinopathy, but many patients will be advised to prioritise medical and retinal stability first. ## Factors influencing suitability Systemic and ocular control are key. - Good glycaemic control and stable general…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-you-have-diabetes/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if you have diabetes?

PresbyMAX can be considered in well‑controlled diabetics without significant retinopathy, but many patients will be advised to prioritise medical and retinal stability first.

## Factors influencing suitability

Systemic and ocular control are key.

- Good glycaemic control and stable general health
- Little or no diabetic retinopathy and no macular oedema
- Healthy corneal surface and tear film
- Stable prescription within laser ranges
- Understanding that diabetes may still affect vision over time

## When it is often unsuitable

Advanced disease increases risk and reduces benefit.

- Proliferative retinopathy or diabetic macular oedema
- Poor systemic control with higher infection and healing risk
- Existing or developing cataracts linked to diabetes
- Need for frequent intraocular treatments that take priority
- Decision that improving metabolic and retinal status is more urgent than refractive surgery