---
title: Is PRESBYOND surgery suitable if you have dry eyes?
description: "PRESBYOND can worsen dry‑eye symptoms, so suitability depends on severity and how well the condition can be controlled before surgery. ## Concerns with dry eye Surface quality affects optics and comfort. - Pre‑existing dryness may intensify after laser - Unstable…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-if-you-have-dry-eyes/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable if you have dry eyes?

PRESBYOND can worsen dry‑eye symptoms, so suitability depends on severity and how well the condition can be controlled before surgery.

## Concerns with dry eye

Surface quality affects optics and comfort.

- Pre‑existing dryness may intensify after laser
- Unstable tear film causes fluctuating vision and discomfort
- Dry eye can degrade the quality of blended‑vision optics
- Severe, uncontrolled dry eye is usually a contraindication
- Accurate pre‑operative measurements are harder when the surface is poor

## When it may still be feasible

Mild, treatable dry eye can be optimised.

- Use of lubricants, lid hygiene, and anti‑inflammatory treatments pre‑operatively
- Objective improvement in tear‑film tests before proceeding
- Commitment to ongoing surface care after surgery
- Honest discussion that symptoms may temporarily worsen
- Decision that expected visual gains outweigh the risk of increased dryness