---
title: Is PresbyMAX surgery suitable if you have ocular hypertension?
description: "PresbyMAX may be possible in ocular hypertension, but requires careful assessment of pressure risk and future glaucoma monitoring. ## Points of caution Laser alters corneal parameters. - Post‑laser corneal thinning can make pressure readings appear lower than true - Pre‑existing…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbymax-surgery-suitable-if-you-have-ocular-hypertension/"
updated: "2025-12-24"
category: Suitability
---

# Is PresbyMAX surgery suitable if you have ocular hypertension?

PresbyMAX may be possible in ocular hypertension, but requires careful assessment of pressure risk and future glaucoma monitoring.

## Points of caution

Laser alters corneal parameters.

- Post‑laser corneal thinning can make pressure readings appear lower than true
- Pre‑existing tendency to high pressure reduces safety margin
- Need for long‑term surveillance to detect glaucoma early
- Dry‑eye‑inducing drops may complicate surface quality for surgery
- Risk-benefit analysis must consider decades of future IOP monitoring

## Factors supporting suitability

Some ocular hypertension patients remain candidates.

- Healthy optic nerves and normal visual fields
- Pressures controlled at acceptable levels
- Good corneal thickness and shape aside from planned ablation
- Agreement to ongoing eye‑pressure follow‑up after surgery
- Close collaboration with the clinician managing ocular hypertension