If you’ve had a vision screening recently, you might say, “My vision is fine! I don’t need a comprehensive eye exam.”
But a vision screening provides a limited perspective on the overall health of your eyes. It’s a bit like getting your blood pressure checked and not getting the rest of your annual physical. You’ll have useful information, but it’s not the whole picture.
Comprehensive eye exams evaluate all aspects of your vision and eye health.
The comprehensive eye exam looks at your eye externally and internally for any signs of eye disease, then tests your vision in a variety of ways.
Visual Acuity – The doctor will test your vision with different lenses to determine which eyeglasses and/or contact lenses will optimize your vision.
External Exam – This is an evaluation of the whites of your eyes, the iris, pupil, eyelids, and eyelashes.
Internal Exam – This is an evaluation of the retina and optic nerve while your eyes are dilated.
Visual Function and Eye Health – This includes testing depth perception, color vision, peripheral vision, and the response of the pupils to light, as well as an evaluation of eye focusing, eye teaming, and eye movement abilities.
Glaucoma Testing – This is a test of fluid pressure within your eyes to check for the possibility of glaucoma.
Comprehensive eye exams look at your total health history.
Your eye doctor will discuss your overall health and that of your immediate family, any medications you’re taking, and whether you have high blood pressure or diabetes. She will also want to know if you smoke and how much sun exposure you get. All of these factors help your doctor properly assess your eye health.
The American Optometric Association recommends that you have an eye exam every one to two years. This may vary depending on your age, risk factors, and whether you wear eyeglasses or contacts.