Many people on long‑term medication can still have PresbyMAX, but each drug and underlying condition must be reviewed.
Medication‑related issues
Some treatments affect surgery.
- Systemic steroids, isotretinoin, or certain acne drugs can impair healing
- Immunosuppressants alter infection and inflammation risk
- Psychiatric or neurological medications may influence consent and cooperation
- Drugs causing dry eye or lid problems affect the ocular surface
- Interactions with prescribed eye drops should be checked
Best practice before surgery
A detailed medical review is essential.
- Provide a complete list of medications and doses at assessment
- Involve relevant specialists (for example cardiology, rheumatology) as needed
- Optimise control of chronic conditions before elective surgery
- Adjust or time certain medications only on medical advice
- Balance visual benefits against any increased systemic or ocular risk
