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How often should I have an eye examination, and does everyone need one yearly?

Quick answer

Eye examination intervals depend on age, symptoms, diabetes, family history and earlier findings. Some people need yearly or more frequent review, while others can have longer intervals. Sudden vision changes should not wait for a routine appointment.

Details

What does the examination cover?

A glasses prescription check does not always replace an eye-health assessment. Examination of the retina and optic nerve through dilated pupils and additional tests may be appropriate. Ask what the examination is assessing and when to return.

Diabetes and childhood

The first retinal examination in diabetes depends on type and duration; later intervals reflect findings and the care team’s recommendations. Children need vision screening according to age and risk. A squint or visual difficulty should be assessed without waiting for school screening.

When to bring the appointment forward

Mention family glaucoma history and medicines that may affect the eyes. Sudden vision loss, a curtain over vision or severe eye pain needs urgent assessment. Being able to read a distant sign does not rule out eye disease, because some conditions start without noticeable symptoms.

Related reading: What is congenital glaucoma in babies, and what are its signs?.

Note: This answer is for educational purposes and does not replace a consultation with a specialist who examines your case in person. Do not use it for self-diagnosis.

References

  1. Get a dilated eye exam — National Eye Institute
  2. Diabetic eye disease — NIDDK / NIH
  3. Eye tests for children — NHS