---
title: Is PresbyMAX surgery suitable if you have glaucoma?
description: "PresbyMAX can sometimes be performed in stable, early glaucoma, but significant or unstable disease often makes it unsuitable. ## Issues in glaucoma patients Monitoring and safety are more complex. - Corneal thickness and biomechanics change after laser, affecting pressure readings…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-you-have-glaucoma/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if you have glaucoma?

PresbyMAX can sometimes be performed in stable, early glaucoma, but significant or unstable disease often makes it unsuitable.

## Issues in glaucoma patients

Monitoring and safety are more complex.

- Corneal thickness and biomechanics change after laser, affecting pressure readings
- Glaucoma damage may already limit visual potential and contrast
- Field testing and structural monitoring become harder to interpret
- Advanced or poorly controlled glaucoma increases risk of disappointing outcomes
- Some glaucoma medications affect ocular surface health needed for laser

## When it may still be considered

Careful selection is essential.

- Well‑controlled, early glaucoma with stable fields and optic nerve
- Open angles and no major structural progression
- Strong presbyopia‑related symptoms and clear potential benefit
- Coordination with a glaucoma specialist regarding risks and follow‑up
- Understanding that glaucoma care remains the priority long term