COMPREHENSIVE EYE EXAMINATION

People of all ages should have periodic eye examinations as a part of routine primary care.

Like some systemic diseases, some eye diseases are silent or asymptomatic, therefore early diagnosis established on routine eye exams is very important for eye health.

A comprehensive examination and some of the tests in suspicious cases are performed to evaluate visual acuity, eye movement, tearing function and any potential eye disease to protect the eyes from later complications.

First, the ophthalmologist takes the conclusive eye-related and systemic history and evaluates visual acuity by determining the smallest letters that a person can read on a standardized eye chart.

Your doctor will also test for refractive errors. A refractive error means that your eyeball doesn’t refract the light properly so the image you see is blurred.

There Are Four Types of Refractive Error:

Myopia (nearsightedness)

Close objects are clear, but distant objects appear blurred.

Hyperopia (farsightedness)

Close objects are blurry.

Astigmatism

Vision is blurred for both near and far objects.

Presbyopia

The eyes gradually lose the ability to change focus from distance to near.

Many people will have one or more of these refractive errors, which can be corrected with the help of glasses or contact lenses.

In addition, by using some diagnostic tests your ophthalmologist will examine:

  • Coordination of eye muscles
  • Pupil response to light
  • Intraocular pressure
  • Anterior segment of the eye
  • Peripheral vision
  • Color vision
  • Posterior segment of the eye, including the retina

If there is any eye disease, treatments with medication, including eye drops, may be recommended. In some cases, certain eye diseases require laser surgery or other surgical procedures.

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RECOMMENDED INTERVALS FOR REGULAR EYE EXAMS

If you have a family history of certain eye diseases, diabetes, or history of eye injury, you may need to see your ophthalmologist more often than recommended below:

PRE-SCHOOL CHILDREN

There are chances that your child may have a serious vision problem without being aware of it, his or her eyes should be screened especially refractive errors should be addressed at an earlier stage. Vision testing is recommended for all children starting around 2-3 years of age.

If there is a family history of eye problems or if your child appears to have any of the following conditions, he or she should be examined by an ophthalmologist as soon as possible:

  • White reflex in the eye
  • Strabismus (crossed eyes)
  • Ptosis (drooping of the upper eyelid)

SCHOOL-AGE TO 19

To ensure your child or teenager’s eyes remain healthy, his or her eyes should be examined every two years. Without a proper eye exam, many children have vision problems that remain undiagnosed and may even be misdiagnosed as a learning disability.

And early detection of certain eye problems, such as lazy eye, makes treatment much more likely to be successful.

AGE 20 TO 39

Most young adults have healthy eyes, but they still need to take care of their vision by wearing protective eyewear when playing sports, doing yard work, working with chemicals, or taking part in other activities that could cause an eye injury. In our settings, glasses must be worn while driving a bike.

Have a complete eye exam at least once between the ages of 20 and 29 and at least twice between the ages of 30 and 39.

Also, be aware of symptoms that could indicate a problem. See an eye physician if you experience any eye conditions, such as:

  • Visual changes or pain
  • Flashes of light
  • Seeing spots or ghost-like images
  • Lines appear distorted or wavy
  • Dry eyes with itching and burning

AGE 40 TO 64

Adults with no signs or risk factors for eye disease should get a baseline eye disease screening at age 40 which is the time when early signs of disease and changes in vision may start to occur. Based on the results of the initial screening, the ophthalmologist will prescribe the necessary intervals for follow-up exams.

This evaluation can also uncover evidence of many forms of systemic disease that affect the eyes, like hypertension and diabetes. With appropriate intervention, potentially blinding diseases such as glaucoma, cataract, and diabetic retinopathy often have a favorable outcome. Recently age-related changes can be seen at an earlier age than before.

AGED 65 AND OVER

Adults with no signs or risk factors for eye disease should get a baseline eye disease screening at age 40 which is the time when early signs of disease and changes in vision may start to occur. Based on the results of the initial screening, the ophthalmologist will prescribe the necessary intervals for follow-up exams.

This evaluation can also uncover evidence of many forms of systemic disease that affect the eyes, like hypertension and diabetes. With appropriate intervention, potentially blinding diseases such as glaucoma, cataract, and diabetic retinopathy often have a favorable outcome. Recently age-related changes can be seen at an earlier age than before.

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