Skip to main content
Home » What's New » Eye Exams: What to Expect and Questions
Close-up of an optometrist adjusting a phoropter during an eye exam, with the patient's face visible in the background.

What to Expect During an Eye Exam

Did you know that the human eye can distinguish approximately 10 million colors or that it’s the fastest muscle in your body, contracting in less than 1/100th of a second? Despite these incredible feats, how often do we pause to consider the importance of keeping these remarkable organs in top shape?

Eye exams aren’t just about reading letters on a chart; it’s a comprehensive evaluation of your eye health, ensuring your eyes function at their best. Knowing what to expect can ease any anxieties and prepare you for a thorough assessment, whether it's your first eye exam or a routine check-up.

In this guide, we’ll walk you through the steps of a vision exam at Market Square Optical, answer common questions, and highlight the essential role of regular eye exams in maintaining your overall well-being.

What Happens During an Eye Exam

An eye exam is a detailed process designed to assess your vision and the overall health of your eyes. While it might seem straightforward, a comprehensive eye exam includes several important steps. Here’s what typically happens during these exams:

1.
Patient History

The exam begins with discussing your medical history, lifestyle, and any vision concerns you might have. Your eye doctor will ask questions about your general health, medications, and whether you have a family history of eye conditions like glaucoma or macular degeneration. This information helps us understand your needs and potential risks.

2.
Visual Acuity Test

This is the classic eye test most people are familiar with, where you read letters from a chart at a distance. Known as the Snellen chart, this test measures your visual acuity, or how clearly you can see at specific distances. It’s usually done for each eye separately to identify any differences in vision between them.

3.
Refraction Assessment

The next step is a refraction assessment if the visual acuity test indicates that you need corrective lenses. During this test, you’ll look through a phoropter, a device with multiple lenses, while the eye doctor switches between lens options and asks you which ones make an image appear clearer. This process helps determine your exact eyeglasses or contact lens prescription.

4.
Eye Muscle Test

This test checks the function of the muscles that control your eye movements. You’ll be asked to follow a target, such as a pen or small light, with your eyes while the doctor observes how well your eyes track the movement. This test helps identify any issues with eye alignment or muscle coordination.

5.
Pupil Dilation

To get a better view of the internal structures of your eye, your optometrist may use special eye drops to dilate your pupils. Once dilated, we can examine your retina, optic nerve, and other critical components more thoroughly, checking for signs of eye diseases like glaucoma, macular degeneration, or diabetic retinopathy.

6.
Tonometry

This test measures the pressure inside your eyes, known as intraocular pressure (IOP). High IOP can be a sign of glaucoma, a condition that can lead to vision loss if not treated. The most common tonometry method involves a puff of air directed at the eye or using a small probe that gently touches the eye’s surface.

7.
Visual Field Test

A visual field test checks for blind spots in your peripheral (side) vision. You’ll look straight ahead during this test while small lights flash in your peripheral vision. You’ll press a button each time you see a light, allowing your eye doctor to map out your field of vision.

8.
Slit-Lamp Exam

The slit-lamp is a microscope with a bright light that allows the eye doctor to examine the front parts of your eye in detail, including the cornea, iris, lens, and anterior chamber. This test can detect conditions like cataracts, corneal injuries, and infections.

These are the core components of a comprehensive eye exam. Based on your specific needs or any identified risk factors, your eye doctor may recommend further testing to provide additional information for a more accurate diagnosis.

Common Eye Test Questions

Understanding what to expect during a routine eye exam can help alleviate any concerns. Here are some common questions patients often ask about eye tests, along with detailed answers to help you feel more prepared and informed.

How often should I get an eye exam?

It’s recommended that adults have a comprehensive eye exam every two years. However, if you have risk factors such as a family history of eye disease, diabetes, or high blood pressure, your eye doctor may suggest more frequent visits.

Children should have their first eye exam at six months old, then at age three, and again before starting school. After that, yearly exams are advised.

Do I need to have my eyes dilated every time?

Pupil dilation is an important part of a thorough eye exam because it allows the eye doctor to get a better view of the retina and optic nerve. However, dilation may not be necessary at every visit, especially if you’ve had a recent exam and there are no concerns about your eye health. Your eye doctor will decide whether dilation is needed based on your current eye health, age, and risk factors.

Will the eye exam hurt?

No, an eye exam is painless. Some people may feel slight discomfort during specific tests, like the puff of air in the tonometry test or the brightness of the slit lamp. However, these sensations are brief and should not cause lasting discomfort.

Can an eye exam detect health problems?

Yes, eye exams can reveal signs of other health conditions, such as diabetes, high blood pressure, and even certain types of cancer.

For example, changes in the blood vessels in your retina could indicate early signs of diabetes or hypertension. This is why regular eye exams are important, even if you don’t wear glasses or contacts.

What should I bring to my eye exam?

Bring any prescription glasses or contact lenses you currently wear and a list of any medications you’re taking. It’s also helpful to bring information about your family’s eye health history and any vision problems you’ve been experiencing.

Eye Exams at Market Square Optical

Our eye doctors provide personalized care that goes beyond just checking your prescription. We take the time to understand your needs, lifestyle, and any concerns you may have. We use state-of-the-art equipment to detect early signs of eye conditions, allowing for prompt treatment and better outcomes. If you have specific risk factors, such as a family history of eye disease or a chronic condition like diabetes, we’ll perform additional tests to monitor your eyes more closely.

What sets our practice apart is our commitment to patient education. We believe that informed patients make better decisions about their eye health. During your exam, we’ll explain each test and its importance, answer any questions you may have, and provide recommendations for maintaining your vision. Whether you need a new prescription for glasses, treatment for an eye condition, or advice on protecting your eyes from digital strain, we’re here to help.

Schedule an Eye Exam in Massachusetts and New York

Regular eye exams are a vital part of preventive healthcare. Market Square Optical is dedicated to helping you preserve your vision for life. Schedule your comprehensive eye exam at one of our four locations across Massachusetts and Massachusetts and experience the difference of personalized, professional care.