Recommended Examination Frequency For the Pediatric Patient

It is recommended that all children have a dilated eye examination by the age of 1 to help detect any possible developmental delays to their eyes and visual health.

Children should have their eyes re-examined at age 3-4, prior to starting school, to help detect any changes in refractive error. At this age, eye focusing problems may be detected which can affect a child’s ability to learn to read.

A yearly examination is recommended to maintain an accurate spectacle prescription and to monitor proper visual function.

Prematurity, low birth weight, oxygen at birth, grade III or IV intraventricular hemorrhageChildren considered to be at risk for the development of eye and vision problems may need additional testing or more frequent re-evaluation. Factors placing an infant, toddler, or child at significant risk for visual impairment include:

  •     Family history of retinoblastoma, congenital cataracts, or metabolic or genetic disease
  •     Infection of mother during pregnancy (e.g., rubella, toxoplasmosis, venereal disease, herpes, cytomegalovirus, or AIDS)
  •     Difficult or assisted labor, which may be associated with fetal distress or low Apgar scores
  •     High refractive error
  •     Strabismus
  •     Anisometropia
  •     Known or suspected central nervous system dysfunction evidenced by developmental delay, cerebral palsy, dysmorphic features, seizures, or hydrocephalus

Recommended Examination Frequency For the Adult Patient

It is recommended that adults ages 18-60 have a dilated eye examination every 1-2 years or as determined by their eye care professional. Patients over age 60 should an eye examination annually. Patients determined to be at-risk should see their eye care professional as recommended.

Patients at risk include those:

  •     with diabetes, hypertension, or a family history of ocular disease (e.g., glaucoma, macular degeneration)
  •     working in occupations that are highly demanding visually or eye hazardous
  •     taking prescription or nonprescription drugs with ocular side effects
  •     wearing contact lenses
  •     who have had eye surgery
  •     with other health concerns or conditions.