---
title: Is PRESBYOND surgery suitable after vitrectomy?
description: "PRESBYOND can occasionally be performed after [vitrectomy surgery](https://bluefinvision.com/blog/what-is-vitrectomy-surgery/), but suitability depends heavily on retinal recovery and visual potential. ## Challenges after vitrectomy Posterior segment disease often dominates vision. - Vitrectomy is typically performed for macular holes, detachments, or haemorrhage -…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-after-vitrectomy/"
updated: "2026-01-22"
category: Suitability
---

# Is PRESBYOND surgery suitable after vitrectomy?

PRESBYOND can occasionally be performed after [vitrectomy surgery](https://bluefinvision.com/blog/what-is-vitrectomy-surgery/), but suitability depends heavily on retinal recovery and visual potential.

## Challenges after vitrectomy

Posterior segment disease often dominates vision.

- Vitrectomy is typically performed for macular holes, detachments, or haemorrhage
- These underlying conditions may permanently limit acuity or contrast
- Corneal laser cannot correct residual retinal distortion or scarring
- Blended‑vision optics may be less well tolerated in compromised eyes
- Overall risk-benefit balance must consider previous surgery and prognosis

## Situations where it might be reasonable

Only if the eye retains strong potential.

- Stable post‑vitrectomy retina with good central vision
- Clear cornea and lens, with presbyopia as the main problem
- Retinal surgeon agrees vision is robust enough for refractive surgery
- Patient understands that laser will not fix any remaining retinal issues
- All alternatives are discussed before proceeding