---
title: Is PRESBYOND surgery suitable if you have diabetes?
description: "PRESBYOND may be considered in well‑controlled diabetes without significant retinopathy, but advanced disease or poor control usually makes it unsuitable. ## Factors supporting suitability Both systemic and ocular status matter. - Good glycaemic control with stable general health - Minimal…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-if-you-have-diabetes/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable if you have diabetes?

PRESBYOND may be considered in well‑controlled diabetes without significant retinopathy, but advanced disease or poor control usually makes it unsuitable.

## Factors supporting suitability

Both systemic and ocular status matter.

- Good glycaemic control with stable general health
- Minimal or no diabetic retinopathy and no macular oedema
- Stable prescription and healthy corneas
- Clear lenses and good expected visual potential
- Understanding that diabetes may still affect vision in the future

## When it is often not advised

Higher risk and lower potential benefit.

- Proliferative retinopathy or diabetic macular oedema
- Poor systemic control increasing infection and healing risks
- Diabetes‑related cataract or other lens changes already affecting clarity
- Need for ongoing intravitreal treatments that take precedence
- Focus placed on metabolic and retinal stabilisation before refractive surgery