When Should You Get an Eye Exam?

By: Meg Irish

Ever wonder how often you should get an eye exam, just for general good health?  According to TPMG board certified ophthalmologist Anthony DeRosa, MD, the guidelines vary dependent on age.

Eye Care during Childhood and Adolescence

For children, the recommended age for visits to an eye doctor include at birth, between six and twelve months, at three years of age, before the child is ready to enter school, and then again in their early teens.

Parents should place just as much importance on pediatric eye care as they do on routine vaccinations and pediatric development visits. Generally, infants need to have their first office eye exam at six months of age. During an exam, the eye doctor will check for a family history of eye disease, observe the child’s eye movements, and examine the child’s eyes to look for any discharge or signs of infection.

“Eye conditions can be corrected if caught early,” said DeRosa. “A few signs that your child should get an eye exam immediately include the child’s eyes do not move together, they have difficulty focusing on objects close up, or are exhibiting poor visual tracking,” said Dr. DeRosa.

Nearly 80 percent of information children receive in the classroom is presented visually, which is why routine eye exams are critical for children before entering school. At three years of age, an ophthalmologist will look to see if the child’s eyes are healthy, and that they have no vision problems that could interfere with school performance. This includes visual acuity at all distances, accurate eye movement, and focusing skills. Children who have normal vision with no correction needed should have an eye exam every two to three years. Those who need eyeglasses should be examined annually by their eye doctor.

Once puberty hits, the eyes undergo changes, which is an important reason why teenagers should have their eyes checked at least once during this developmental stage. Vision problems can occur due to an imbalance in hormones, but once hormones stabilize, so should vision. Other common eye issues that develop in teens include dry eye syndrome, UV light damage, nearsightedness, and sports-related injuries. The development of nearsightedness, myopia, is correlated with screen time (computers, gaming systems, tablets) and is lessened with time spent outdoors. 

“It is said that 60% of your brain function is related to vision processing in some way, so given that it’s probably the most important of our senses, protecting your eyesight is essential to maintain strong eye health and good vision,” said Dr. DeRosa.

Eye Care in Adulthood

As we age our eyes don’t perform like they used to, and periodic eye exams play an important role in preventative eye health. During an adult eye exam, an ophthalmologist will review your eye history, any corrective measures, overall health, and current medications. They will also perform a variety of tests on the eye to determine any changes in vision, this includes a refraction test, a colorblindness test, a glaucoma test, and examine your eyes front to back, from corneas to retinas and optic nerves.  These tests will help your doctor identify any abnormalities or detect a condition that may need treatment.

“Generally, it is wise to be seen once in your 20’s, a couple of times in your 30’s, a few times in your 40’s and 50’s, and then once you reach your 60’s once or twice a year unless you have a family history of eye disease or you are diabetic or hypertensive,” said Dr. DeRosa.

Maintaining Eye Health

Early detection and the frequency of eye screenings are the best preventative measures to maintain proper eye health and avoid vision loss.

The majority of work and sports-related eye injuries occur from not wearing safety glasses. Be sure to wear eye protection when working with tools, operating machinery, and engaging in sports activities.

According to the American Academy of Ophthalmology, the leading cause of blindness is age-related diseases such as macular degeneration, diabetic retinopathy, and glaucoma. Studies have shown that regular exercise can reduce the risk of age-related macular degeneration. 

By maintaining a healthy lifestyle, watching for changes in vision, and having your eyes checked at the appropriate times, you can avoid vision loss and continue to maintain optimal eye health.


Anthony J. DeRosa, MDAbout Dr. Anthony DeRosa

Dr. Anthony DeRosa is a board certified ophthalmologist at TPMG – Ophthalmology with over 20 years of experience in the treatment and care of conditions of the eye. He is fellowship trained in Cornea, External Disease, Uveitis, and Refractive Surgery and offers treatment for dry eye syndrome and corneal disease, glaucoma, diagnosis of macular degeneration, and diabetic eye exams.

For more information or to make an appointment with Dr. DeRosa at a TPMG Ophthalmology office in Newport News or Williamsburg, call (757) 223-5321