---
title: Is PRESBYOND surgery suitable if you have glaucoma?
description: "PRESBYOND may be considered in early, well‑controlled glaucoma, but advanced or unstable disease often makes it unsuitable. ## Issues specific to glaucoma Monitoring and safety are more complex. - Post‑laser changes in corneal thickness affect intraocular‑pressure readings - Existing visual‑field…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-if-you-have-glaucoma/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable if you have glaucoma?

PRESBYOND may be considered in early, well‑controlled glaucoma, but advanced or unstable disease often makes it unsuitable.

## Issues specific to glaucoma

Monitoring and safety are more complex.

- Post‑laser changes in corneal thickness affect intraocular‑pressure readings
- Existing visual‑field loss and contrast reduction may limit benefit
- Multifocal optics could further reduce contrast in compromised optic nerves
- Advanced glaucoma increases the risk of disappointing outcomes
- Some glaucoma medications worsen dry eye, affecting laser suitability

## When it may still be appropriate

Requires close collaboration with a glaucoma specialist.

- Stable, early glaucoma with preserved fields and structural stability
- Open angles and well‑controlled pressure
- Careful consideration of risks versus presbyopic benefits
- Agreement on long‑term follow‑up and pressure monitoring after surgery
- Priority always remains on protecting optic‑nerve health