During a comprehensive eye examination, your eye doctor will screen for vision related problems and medical eye conditions that could impact your vision or eye health.

What to Bring

  • Glasses

  • Sunglasses (if prescription)

  • Original contact lens boxes (if available)

  • Any eye drops you are using

  • A list of all prescription medications you take

  • Name and address of Primary Care Provider

What should you expect during a comprehensive eye examination?

Patient History
During and throughout your eye exam, the eye care technician and your doctor will ask about your prior eye history, medical history, current & past medications, family medical/eye history, and many other important aspects. The doctor will ask about current symptoms or signs that impact your vision or eye health.

These tests or high-tech machines measure the curvature of the cornea (front surface of the eye) by focusing a circle of light on the cornea and measuring its reflection. This helps your Doctor of Optometry with an initial start of your ophthalmic prescription, the best contact lens for your unique eye (based upon specific measurements), and other critical aspects to rule out underlying eye diseases.

The eye care technician and your doctor will check your eye pressures, which is one factor potentially leading to a disease called glaucoma. There are a number of ways to check your eye pressures. At Wallerich Eye Care, we use a device called the iCare tonometer. There is no “air puff” utilized during this test, which has created a more seamless experience for our patients.

Preliminary Tests
Your doctor may look at several unique aspects of your vision or eye health that may include: depth perception, color vision, eye muscle movements, peripheral (side vision), pupil responses, and several other aspects pending your initial concerns.

Eye Movements
To allow for a clear, single image, the eyes must work in concert or tougher to be able to change focus, move and work in unison. Your doctor may test accommodation (ability to focus), ocular motility (eye movement) and binocular vision (the ability of your eyes to work well together) during your visit. This is important for traumatic brain injury patients and for pediatric patients.

Your doctor then uses an instrument called a phoropter or an autophoropter (electronic form) to determine your ‘refractive power’ to aide in the correction of nearsightedness, farsightedness, or astigmatism.

Visual Acuity
Visual acuity is the way your doctor determines how well you can see at far distances or near. The doctor determines how well you can see. How well you can see is determined by vision correction or eye diseases.

Eye Health Evaluation
Your Doctor of Optometry uses microscopes, lenses, and other digital technology to aide in the assessment of your eye health of the eye and surrounding structures of the eye. Dilating your eyes in office is always recommended for patients with a history of systemic diseases (diabetes, hypertension, thyroid disease, and many others) and to ensure excellent eye health to rule out retinal disease (retinal detachments, retinal holes, retinopathy), optic nerve disorders (glaucoma, optic neuropathy, etc.) or macula conditions (macular degeneration, macular edema, etc.).

How often should I get a comprehensive eye examination?

Adult: An eye examination is recommended at least every two years from age 18-64 unless followed for a particular systemic or eye condition.

Child: An eye examination is recommended at least once between 6-12 months of age. Then, at least once between ages 3 years and 5 years. It then should be completed annually from age 6 to age 17.

Source: American Optometric Association