PRESBYOND can sometimes be done while on blood thinners, but the decision must be individualised in consultation with your medical team.
Considerations with anticoagulants
Systemic risk usually outweighs ocular bleeding risk.
- Corneal laser involves minimal bleeding, so many patients remain on antiplatelets
- Stopping anticoagulants may increase risk of stroke or clot
- Underlying cardiac or vascular conditions must be considered
- Certain combinations (for example dual therapy) require particular caution
- General health and anaesthetic considerations are reviewed even though surgery is topical
Typical approach
Coordination and risk balancing are essential.
- Never alter blood‑thinner medication without guidance from the prescribing doctor
- Assess whether procedure benefits justify any medication adjustments
- In high‑risk patients, non‑surgical options may be preferred
- Clear documentation of anticoagulation status at the time of surgery
- Decision tailored individually rather than applying a blanket rule
