When Should Vision Tests Start and What to Expect at Every Age? - Ophthalmology

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Vision examination


At what age should vision examinations begin, and what types of vision tests should be conducted at different ages?

LISA, 20~29 year old female. Ask Date: 2016/03/28

Dr. Gao Pilin reply Ophthalmology


Hello LISA: Actually, as long as the child can read the eye chart, a vision test can be conducted.
The first step is to teach the child how to properly read the eye chart.
After that, a visit to an ophthalmologist for an eye examination can be arranged.
At the e-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical care at a healthcare facility when necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2016/03/28

More Info


Vision tests are crucial for maintaining eye health and ensuring that any potential issues are identified and addressed early. The American Academy of Ophthalmology and the American Optometric Association provide guidelines on when to start vision tests and what to expect at various ages. Here’s a comprehensive overview:

Infants and Toddlers (0-3 years)
- When to Start: Vision screening should begin at birth. Pediatricians often check for basic visual responses during well-child visits.

- What to Expect: By the age of 6 months, a more thorough eye examination is recommended. This may include checking for proper eye alignment, tracking, and focusing abilities. If there are any concerns about vision or eye health, a referral to a pediatric ophthalmologist may be made.


Preschool Age (3-5 years)
- When to Start: Vision screening should occur at least once between ages 3 and 5.

- What to Expect: This screening typically includes tests for visual acuity (how well a child sees at various distances), eye alignment, and color vision. The goal is to identify any issues such as amblyopia (lazy eye) or strabismus (crossed eyes) early on, as these conditions can affect learning and development.


School Age (6-18 years)
- When to Start: Children should have a comprehensive eye exam before starting school and then every 1-2 years thereafter, depending on their vision needs.

- What to Expect: During these exams, the eye doctor will assess visual acuity, eye alignment, and overall eye health. They may also check for refractive errors (like nearsightedness or farsightedness) and screen for conditions such as color blindness. If a child wears glasses or has other vision issues, more frequent exams may be necessary.


Adults (19-64 years)
- When to Start: Adults should have a comprehensive eye exam at least every two years, or annually if they have existing vision problems or risk factors (like diabetes or a family history of eye disease).

- What to Expect: The exam will include tests for visual acuity, refraction (to determine the need for glasses), and a thorough examination of the eye's internal and external structures. Additional tests may be performed to check for conditions like glaucoma, cataracts, and macular degeneration.


Seniors (65 years and older)
- When to Start: Seniors should have annual eye exams.

- What to Expect: In addition to the standard tests, the eye doctor will focus on age-related conditions such as cataracts, glaucoma, and macular degeneration. They will also assess how well the patient can see at different distances and may recommend treatments or corrective lenses as needed.


Additional Considerations
- Risk Factors: Individuals with a family history of eye disease, those with chronic health conditions (like diabetes), or those experiencing vision changes should consult an eye care professional more frequently.

- Symptoms to Watch For: If you or your child experience symptoms such as blurred vision, difficulty seeing at night, eye strain, or any noticeable changes in vision, it’s essential to schedule an eye exam promptly.

In summary, regular vision tests are vital at every stage of life, starting from infancy through adulthood. These exams help to catch potential issues early, ensuring that individuals maintain optimal eye health and visual function. If you have any specific concerns or symptoms, it’s always best to consult with an eye care professional for personalized advice and recommendations.

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