What are the Benefits of a Comprehensive Eye Exam?

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. At Kenkel Eye Care, every patient is given a refraction test using our state-of-the-art Clarifye digital refraction system included in their comprehensive eye exam. The purpose of this test is to determine if a person has a refractive error which would then mean the patient would need glasses or contact lenses.

How Is The Refraction Test Performed?

The test is performed by having the patient seated in a chair that has a special device (called a phoropter or refractor) attached to it. The patient looks through the device and focuses on an eye chart 20 feet (6 meters) away. The device contains lenses of different strengths that can be moved into the patient’s view. The test is performed one eye at a time. If the patient is wearing contact lenses, they should be removed before the test.

In case the final vision is less than 20/20 even with lenses, then there is probably another non-optical problem with the eye. The vision level achieved during the refraction test is called the best-corrected visual acuity (BCVA).

What Is The Normal Value for Refraction Test?

A value of 20/20 is normal (optimum) vision. This means that individuals who have 20/20 vision are able to read letters that are 3/8-inch (1 centimeter) tall from 20 feet (6 meters) away. The normal uncorrected vision (without glasses or contact lenses) refractive error is zero (plano). Individuals who don’t have 20/20 vision, have what is called a refractive error. A refractive error means that the light is not bending properly when it passes through the lens of the eye. The refraction test will tell the doctor what prescription lens should be used in order to have 20/20 vision.

For people over age 40 who have normal distance vision but difficulty with near vision, a refraction test with a small type size is used to determine the normal near vision and the correct power of reading glasses.

What Are The Causes of Abnormal Refraction Test Results?

• Abnormal results may be due to:

• Astigmatism (abnormally curved cornea causing blurred vision)

• Hyperopia (farsightedness)

• Myopia (nearsightedness)

• Presbyopia (inability to focus on near objects that develop with age)
   

Other conditions under which the test may be performed:

• Corneal ulcers and infections

• Loss of sharp vision due to macular degeneration

• Retinal detachment (separation of the light-sensitive membrane (retina) in the back of the eye from its supporting layers)

• Retinal vessel occlusion (blockage in a small artery that carries blood to the retina)

• Retinitis pigmentosa (an inherited disorder of the retina)
   

There is an art to refraction and the optometrist will always answer the patient’s questions and as well as discuss their findings. Based on the results of the refraction test, they can determine the amount of myopia, hyperopia or astigmatism.
 

When Should Refraction Tests Be Performed?

Children should have a refraction test every 1-2 years, starting at no later than 3 years of age. Healthy adults under age 60 who aren’t experiencing vision problems should have a refraction test every 2 years, while adults currently wearing prescription glasses or contact lenses or with a refractive error should have a refraction test every 1-2 years or when their vision changes which will allow the doctor to figure out what prescription is necessary as the eyes change. In the case of encountering any vision problems between exams, the eye doctor should be seen for another refraction test.

It is important that patients with diabetes have an eye examination every year. A number of eye conditions are associated with diabetes, such as diabetic retinopathy and glaucoma. According to the American Diabetes Association, people with diabetes are at a greater risk for blindness than other Americans.

Adults over 60 or who have a family history of glaucoma, should also have a refraction test every year. Glaucoma occurs when pressure builds up in the eye, damaging the retina and the optic nerve. Regular exams will help the eye doctor screen for glaucoma and other eye conditions associated with aging and when necessary, begin early treatment.

What Are The Benefits Of A Comprehensive Eye Exam?

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.

• 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.

• Visual Acuity – Your doctor will test your vision with different lenses to determine if glasses or contact lenses can improve your vision.
   

Comprehensive eye exams look at your total health history.
Even though you visit a separate office for your eye health, that doesn’t mean your eyes shouldn’t be treated holistically. 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. They’ll also want to know if you smoke and how much sun exposure you get. All these factors help the eye doctor properly assess your eye health.

The American Optometric Association recommends an eye exam every two years if you aren’t having any problems and you’re aged 18-60. After the age of 61, you should schedule a comprehensive exam annually or as recommended by your eye doctor.