Dr Steve Seah
Senior Consultant Ophthalmologist
MBBS, FRCS(G), M Med(Ophth)
FRCS(Ed), FRCOphth, FAMS
Good vision plays an essential role in daily life, yet many people overlook regular eye check-ups until problems arise. Seeing an eye specialist routinely is one of the most effective ways to detect issues early, protect your sight and maintain long-term eye health.
How often you should schedule an eye examination depends on several factors, including your age, general health and any existing vision concerns. Those with medical conditions such as diabetes or high blood pressure may require more frequent visits, while individuals with no symptoms or risk factors can be examined less often.
Understanding how often to see an eye doctor helps you take a proactive approach to preserving healthy vision throughout life.
Eye Exam Frequency Guidelines by Age Group
How often you should schedule an eye examination depends on your age, eye health and medical history. Regular check-ups allow your eye specialist to detect changes early and keep your vision at its best.
For Children
A child’s first comprehensive eye screening is recommended between the ages of three and five. This is a crucial stage for detecting conditions such as amblyopia (lazy eye) and refractive errors like myopia, which are increasingly common in younger children. Regular eye exams help track visual development and ensure that any necessary prescriptions are updated as they grow.
For Adults (Between 18–39)
Young adults with healthy eyes and no symptoms can generally schedule an eye examination every two years. However, those who wear corrective lenses or have risk factors such as diabetes or a family history of eye disease should visit annually. These check-ups help ensure that prescriptions remain accurate and allow early detection of conditions like glaucoma, which can begin without obvious symptoms.
For Middle-Aged Adults (Ages 40–64)
From age 40 onwards, yearly eye screenings are recommended. This is when the risk of developing conditions such as glaucoma, cataracts and presbyopia (age-related farsightedness) begins to increase. Examinations during this stage focus on monitoring key areas that can change gradually over time, such as intraocular pressure, lens clarity and retinal health.
For Seniors (65 and above)
After age 65, annual eye exams become especially important. Seniors are at higher risk of conditions such as age-related macular degeneration (AMD), diabetic retinopathy and cataracts. Regular screenings allow these issues to be detected and treated early, helping to maintain clear vision and quality of life for as long as possible.
What Affects How Often You Need an Eye Exam
While age offers a general guideline for how often to schedule an eye examination, several other factors can determine the frequency of your visits. These include your vision needs, medical history, lifestyle and overall health. Certain situations may require more regular check-ups to monitor changes and ensure your eyes stay healthy.
Existing Vision Correction
If you wear glasses or contact lenses, yearly eye exams are recommended to keep your prescription accurate and your vision comfortable. Even small changes in eyesight can affect how well your lenses perform, leading to eye strain or headaches. Regular reviews also allow your eye specialist to check the fit and condition of your lenses and ensure your eyes remain healthy.
History of Eye Disease
Individuals with a personal or family history of conditions such as glaucoma, macular degeneration or retinal disorders benefit from more frequent monitoring, typically every six to twelve months. Your eye specialist may suggest a tailored screening schedule based on your unique risk factors and overall eye health.
Occupation and Lifestyle
Your work and daily habits can also influence how often you should have your eyes checked. People who spend long hours on digital screens or perform visually demanding tasks may require more frequent assessments to prevent strain and detect early signs of computer vision syndrome. Similarly, those who drive often or work outdoors benefit from regular monitoring to safeguard against glare, dryness and UV-related damage.
Chronic Conditions
Systemic diseases such as diabetes, hypertension and autoimmune disorders (e.g., rheumatoid arthritis) can have significant effects on eye health. Diabetic patients, for instance, should undergo annual dilated fundus examinations to detect diabetic retinopathy, while those with high blood pressure may need regular checks for hypertensive retinopathy. Your eye doctor will recommend a schedule that aligns with your overall health management plan.
Do You Need Annual Eye Exams If You Have No Symptoms?
Even if your vision seems perfectly fine, yearly eye examinations are still recommended, especially for adults over 40. Many common eye diseases, including glaucoma and diabetic retinopathy, develop silently without causing pain or early symptoms. By the time vision changes are noticeable, permanent damage may already have occurred.
Regular check-ups allow your eye specialist to detect these hidden conditions early and begin treatment before your sight is affected. Taking a proactive approach not only protects your vision but also supports your overall eye health as you age.
When to See an Ophthalmologist Instead of an Optometrist
Optometrists focus on routine eye exams and prescribing corrective lenses. Ophthalmologists, however, are medical doctors trained to diagnose and treat complex eye diseases, perform surgeries and manage advanced cases. Understanding the difference between an ophthalmologist and an optometrist can help you make informed choices about your vision care, ensuring you receive the most appropriate treatment for your needs.
For timely intervention, see an ophthalmologist for:
- Persistent Symptoms
If you experience symptoms such as blurry vision, eye pain, floaters or light sensitivity that persist or worsen, it’s best to consult an ophthalmologist. These warning signs may indicate conditions such as acute angle-closure glaucoma, retinal detachment or uveitis, which require specialised medical attention beyond routine optometric care.
- Diagnosed Eye Conditions
Individuals diagnosed with conditions like glaucoma, cataracts or retinal disorders should be under the care of an ophthalmologist. These complex conditions often require long-term medical management, surgical treatment or both to preserve vision and prevent further complications.
Plan Your Next Eye Exam With Confidence
Regular eye examinations are essential for maintaining healthy vision and detecting problems before they become serious. How often you need an eye exam depends on your age, medical history and risk factors, but staying proactive is the best way to preserve long-term eye health. Knowing when to consult an optometrist for routine care and when to see an ophthalmologist for specialised treatment ensures that you receive the right care at the right time.
At Steve Seah Eye Centre, we are dedicated to providing comprehensive, evidence-based eye care using advanced diagnostic technology. If you have questions about your vision or notice any changes, a specialist review can provide clarity and a plan you can trust. Dr Steve Seah offers comprehensive assessments and evidence-based care using advanced diagnostic technology. To take the next step, book a consultation or call 6565 6888. We are here to help you understand your options and support your vision at every stage.