---
title: Is PresbyMAX surgery suitable if you have dry eyes?
description: "PresbyMAX can exacerbate dry‑eye symptoms, so suitability depends on how well the condition can be controlled before surgery. ## Concerns with dry eye The ocular surface affects outcomes. - Pre‑existing dryness can worsen after corneal laser - Unstable tear film…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-you-have-dry-eyes/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if you have dry eyes?

PresbyMAX can exacerbate dry‑eye symptoms, so suitability depends on how well the condition can be controlled before surgery.

## Concerns with dry eye

The ocular surface affects outcomes.

- Pre‑existing dryness can worsen after corneal laser
- Unstable tear film degrades vision and quality of multifocal optics
- Dryness increases risk of discomfort, fluctuating blur, and slower healing
- Severe dry eye is a relative or absolute contraindication
- Accurate measurements are harder when the surface is irregular

## When it may still be possible

Optimisation can sometimes make surgery safe.

- Mild to moderate dry eye that responds to treatment and lid care
- Use of preservative‑free lubricants and anti‑inflammatory therapy pre‑operatively
- Objective improvement in tear‑film tests before proceeding
- Willingness to continue ongoing dry‑eye management after surgery
- Shared decision that benefits outweigh the risk of symptom flare