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Why comprehensive eye exams are important for your vision

It is easy to assume that a vision screening is a comprehensive eye test, but this is not the case.

Vision screenings are basic eye tests that help identify whether you have any problem with your vision, but they don’t test for eye diseases or the underlying causes of any vision problem. It does, however, identify whether you should get a comprehensive eye exam and should not be seen as a substitute for one. It is a series of short tests compared to a full eye exam. It is often a precursor as it identifies whether you have a vision problem rather than determining what the issue is. Vision screenings are often performed in places like schools or community centres by nurses, optometrists, and other allied health practitioners. And, sometimes by your GP. A screening would normally involve a set of simple assessments such as:

  • Testing your visual acuity using an eye chart either with “Snellen” letters or for children who can’t read yet, what is called the “Tumbling E” chart
  • Testing your pupil reactions to light
  • Eye coordination using simple charts or other basic tests
  • Stereopsis (depth perception /3D)
  • Some vision screenings also test for colour vision using charts like the Ishihara Colour Vision test

A comprehensive eye examination on the other hand is performed by an optometrist and will involve a thorough examination of all aspects of your vision. Your optometrist will then make recommendations based on your individual visual needs. This includes prescription lenses, eye exercises, eye drops or ointment, and even referral to an ophthalmologist for further treatment or surgery as required.

An eye test may vary slightly depending on your age or specific needs, but most commonly include these tests:

  • Visual Acuity:This is a test to measure the sharpness of your vision.
  • Refraction: This finds your prescription, which may or may not need to be made into glasses
  • Colour Vision:A screening test to check your colour vision to rule out any colour vision defect.
  • Tonometry: This measures the pressure of inside your eyes. This is part of Glaucoma test.
  • Cover Test:This is a simple, easy way to test if your eyes work well together.
  • Ocular Motility or Eye Movements:This determines how well your eyes can follow a moving object as well as fixate on different targets. Issues with eye movement can cause eye strain and lead to difficulties in reading.
  • Slit Lamp Exam:This is a specific test your optometrist uses to examine the structure of your eye under high magnification. This helps detect a wide range of eye conditions and diseases including cataract, macular degeneration, corneal ulcers, and diabetic retinopathy.
  • Retinal Photography: Many optometrists today use high resolution digital cameras to take images of the back of your eye to be able to look at changes over time and as a good record of the state of your retina.

These are the most common tests performed during a comprehensive eye exams but there are more which covers a wide spectrum of potential eye conditions.

You can get an eye exam with an optometrist at Junic Eyecare Plus Coombs or ophthalmologist clinic. It is important to book an appointment first to make sure we can accommodate you.

At the eye exam, you can expect the optometrist to take a comprehensive medical history to figure out what they should be looking out for. These questions can range from your family history, past and present medical issues, medications you might be on, injuries, and other factors. It is essential to be as forthcoming and thorough as possible with your answers to ensure that the test covers all likely possibilities.

Eye exams: Your health through the eyes of your optometrist

What do my eyes have to do with my overall health?

Many people don’t realize an eye exam is not just determining your prescription for glasses, but it’s a wellness check of your overall health. During that awkward silence, when the eye doctor is invading your personal space with his bright light, he is examining structures of the eye that can show changes related to systemic health conditions and diseases. In some cases, an eye exam can save your life!

Conditions An Eye Exam Can Detect

There are many serious health conditions that are often first detected during a comprehensive eye test. Here are a few things that your optometrist might find:

High blood pressure

The blood vessels in the back of the eye are often a predictor of how the rest of the blood vessels in the body are doing. Narrowing of the ocular arteries can often signal high blood pressure and can give the doctor insight about a future heart disease. Some studies show that high blood pressure can increase the pressure inside the eyeball. This increased eye pressure can lead to glaucoma, causing loss of peripheral vision if left untreated.

High cholesterol

During your eye examination, the optometrist would examine your cornea which the clear front surface of the eye. Presence of a hazy white or grey ring called arcus detected in patients under 60 years of age could indicate high cholesterol. Therefore, requiring a yearly cholesterol blood test with your Gp. Cholesterol deposits can also make their way to the retinal vessels and cause a blockage, which can lead to vision loss. Cholesterol in the eye can even be an early detector for someone at risk for a life-threatening stroke!

Diabetes

Did you know one of the first clue to a diabetes type 2 diagnosis is fluctuating vision and small bleeds within the vessels of your eye? A Haemoglobin A1c blood test can be ordered to confirm the increased sugar levels. If your optometrist sees these changes early, he can recommend exercise and diet changes to prevent the condition from worsening.

Autoimmune diseases

Most of the times, autoimmune disease related eye issues would occur first before prompting a diagnosis. Some of these eye issues your optometrist can detect includes red eyes from rheumatoid arthritis, dry eyes from Sjogren syndrome. Multiple Sclerosis can cause missing parts of vision. Graves’ disease can cause double vision. Ankylosing spondylitis can cause light sensitivity and recurring inflammation, called uveitis

Schedule an Eye Test Today

A comprehensive eye exam is so much more than just telling you if you need glasses or not. It provides a view into your body and overall health.

Book in today for a comprehensive eye exam at JUNIC EYECARE PLUS COOMBS. Get your eye examination, for your overall wellbeing.