How often should an older adult have an eye exam?

✓ Accepted answer

Adults aged 65 and older should generally receive a comprehensive dilated eye exam every one to two years, though those with specific risk factors like family history of glaucoma may need annual visits.

Why this frequency matters:

• Risk-Specific Screening: The American Academy of Ophthalmology recommends that individuals with a family history of glaucoma, diabetes, or high blood pressure see an eye doctor annually. Since your mother has a family history of glaucoma, waiting until symptoms appear is dangerous because glaucoma often causes no pain or vision loss in early stages.
• What the Exam Covers: A routine exam goes beyond checking your prescription. It assesses optic nerve health, measures intraocular pressure (eye pressure), checks the retina for leaks or tears, and screens for cataracts and macular degeneration. These conditions frequently progress silently.
• Presumption of Vision: Feeling like your vision is "fine" can be misleading. Peripheral vision loss from glaucoma is often not noticed by the patient until significant damage has occurred, which is irreversible.
• Accessing Care: Many seniors qualify for Medicare Part B to cover preventive eye exams, and organizations like the National Eye Institute provide resources to find board-certified specialists. Regular check-ups allow for early intervention with eye drops or minor procedures, significantly improving long-term outcomes.

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