PRESBYOND may be possible after retinal laser if the retina is stable and visual potential remains high, but retinal health remains the primary concern.
When it can be appropriate
Retinal laser often secures the periphery.
- Peripheral laser for lattice or small tears that has fully healed
- Stable retinal examinations with good central acuity
- No macular oedema or significant distortion
- Presbyopia now causing functional difficulties
- Support from a retinal specialist for proceeding with refractive surgery
When caution or avoidance is better
More extensive retinal disease limits benefit.
- History of major retinal detachment or macular pathology
- Need for ongoing retinal treatment and surveillance
- Uncertainty about long‑term retinal stability
- Risk that visual limitations will persist despite corneal laser
- Often, non‑surgical or lens‑based options are preferred in complex retinal cases
