---
title: "Is PRESBYOND surgery suitable if you have post-LASIK corneas?"
description: "PRESBYOND‑style enhancements on post‑LASIK corneas are possible in selected patients, but require particularly cautious assessment. ## When it may be considered Safety and tissue reserve must be adequate. - Stable post‑LASIK refraction with clear presbyopic symptoms - Adequate residual stromal…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-if-you-have-post-lasik-corneas/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable if you have post-LASIK corneas?

PRESBYOND‑style enhancements on post‑LASIK corneas are possible in selected patients, but require particularly cautious assessment.

## When it may be considered

Safety and tissue reserve must be adequate.

- Stable post‑LASIK refraction with clear presbyopic symptoms
- Adequate residual stromal thickness and regular topography
- No signs of ectasia or flap complications
- Clear lenses and good retinal health
- Desire to avoid lens replacement at this stage

## Special challenges

Re‑treatment carries extra risk.

- Less residual tissue available for further ablation
- Higher vulnerability to dry eye and night‑vision symptoms
- Altered corneal biomechanics compared with virgin corneas
- Need for highly experienced refractive surgeons and meticulous planning
- In some cases, lens‑based options are safer than additional corneal laser