---
title: Is PRESBYOND surgery suitable after LASIK?
description: "PRESBYOND‑type presbyopic enhancements can sometimes be performed after LASIK, but require especially cautious evaluation. ## When post-LASIK PRESBYOND may be considered Corneal and refractive stability are crucial. - Stable refraction many years after LASIK - Adequate residual stromal thickness and…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-after-lasik/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable after LASIK?

PRESBYOND‑type presbyopic enhancements can sometimes be performed after LASIK, but require especially cautious evaluation.

## When post-LASIK PRESBYOND may be considered

Corneal and refractive stability are crucial.

- Stable refraction many years after LASIK
- Adequate residual stromal thickness and regular topography
- No signs of ectasia, flap issues, or significant dry eye
- Clear lenses with presbyopia now the main complaint
- Patient preferring corneal enhancement over lens replacement for the moment

## Additional challenges

Re‑treating a LASIK cornea carries risks.

- Less tissue reserve for further ablation
- Higher risk of night‑vision symptoms and dry eye
- Biomechanics already altered by the original flap and ablation
- Need for highly experienced surgeons and detailed planning
- In some cases, refractive lens exchange is a safer presbyopia solution