---
title: Is PRESBYOND surgery suitable if you have autoimmune disease?
description: "PRESBYOND can sometimes be performed in stable, well‑controlled autoimmune disease, but active or severe disease often makes laser unsuitable. ## Risks in autoimmune conditions Healing and inflammation can be unpredictable. - Higher risk of dry eye, delayed healing, or inflammatory…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-if-you-have-autoimmune-disease/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable if you have autoimmune disease?

PRESBYOND can sometimes be performed in stable, well‑controlled autoimmune disease, but active or severe disease often makes laser unsuitable.

## Risks in autoimmune conditions

Healing and inflammation can be unpredictable.

- Higher risk of dry eye, delayed healing, or inflammatory complications
- Some systemic treatments alter infection or wound‑healing responses
- Conditions such as Sjögren's markedly affect the ocular surface
- Flare‑ups may worsen ocular symptoms around the time of surgery
- Outcome variability is greater than in otherwise healthy patients

## When it may still be considered

Requires multidisciplinary planning.

- Stable disease with minimal ocular involvement
- Clear potential benefit and strong patient motivation
- Coordination with rheumatologist regarding timing and medication cover
- Acceptance of higher uncertainty and need for close follow‑up
- In many cases, lens‑based or non‑surgical options are preferred