What Does an Eye Test Include?


A Breakdown of Every Exam You Might Get

Why Eye Tests Matter

When most people hear “eye test,” they picture reading letters on a chart. But a true eye test — also called a comprehensive eye exam — does much more than check for glasses. It evaluates the overall health of your eyes and screens for silent but serious conditions like glaucoma, macular degeneration, and diabetic eye disease.

Eye exams are one of the best ways to protect your vision long term — and they’re tailored to your age, health, and symptoms. Whether it’s your first eye exam or you’re returning after a few years, knowing what to expect can help you feel more confident and informed.

What Happens During a Comprehensive Eye Test?

Most full eye exams include the following:

  • Visual Acuity Test: You read letters from a chart to measure how sharp your vision is — the classic “20/20” check.
  • Refraction Assessment: Determines your eyeglass or contact lens prescription.
  • Eye Muscle Function and Movement: Tests how well your eyes move and coordinate.
  • Pupil Response and Eye Coordination: Evaluates how your pupils react to light and how well your eyes work together.
  • Slit Lamp Exam: A microscope with a bright light is used to examine the cornea, iris, and lens for signs of disease.
  • Dilated Eye Exam: Special drops enlarge your pupils so the doctor can view the retina and optic nerve in detail.
  • Eye Pressure Test (Tonometry): Measures the fluid pressure inside your eye, a key check for glaucoma.

Advanced Screenings (If Needed)

Depending on your symptoms or risk factors, your doctor may also include:

  • Retinal Imaging: High-resolution digital scans of the back of the eye
  • OCT Scans: Cross-sectional images of the retina’s inner layers
  • Visual Field Testing: Maps your peripheral (side) vision
  • Emergency Tonometry: A fast test to rule out acute glaucoma when urgent symptoms arise

Understanding the Eye Pressure Test

This quick test plays a vital role in catching glaucoma early. Although many clinics rely on the traditional (and far less popular) “air puff” method, Complete Eye Care of Medina takes a gentler approach, using advanced technology that provides accurate results without the discomfort.

Instead, we use:

  • iCare Tonometry: A handheld, non-invasive device that gently contacts the eye with a tiny disposable probe. It’s quick, painless, and doesn’t require numbing drops. The probe briefly contacts the eye and measures pressure by analyzing how it rebounds — delivering accurate results without discomfort.
  • Goldmann Applanation Tonometry: After applying numbing drops, a small instrument touches the cornea to provide a precise pressure reading. This method is still considered the gold standard for accuracy.

Eye pressure is just one factor in glaucoma risk, but it’s an important one. That’s why it’s a standard part of adult eye exams, especially for people over 40 or anyone being monitored for eye disease.

How Eye Exams Differ by Age

Children: Babies as young as 6 months can get their eyes checked. These exams focus on alignment, visual tracking, and early development. Preschoolers are tested with shapes or symbols, while school-aged children get vision clarity, tracking, and reading-readiness checks.

Adults: Adult exams focus on updating prescriptions and screening for conditions like glaucoma and cataracts. Many problems can develop without symptoms, so regular exams are vital.

Seniors: Eye exams for older adults emphasize age-related risks like macular degeneration and diabetic eye disease. Preventive checks become more important as vision naturally changes with age.

Real-World Example: Complete Eye Care of Medina

At Complete Eye Care of Medina, patients receive a comprehensive eye exam tailored to their individual needs. Their team utilizes advanced tools, including eye pressure measurement, digital imaging, and corneal scans, to provide patients with a comprehensive picture of their eye health. They also walk each person through the meaning of every test, ensuring they understand not just what’s being done, but why it matters.

Takeaway: More Than Just a Vision Check

A comprehensive eye test is one of the most important health appointments you can keep — not just for getting glasses, but for protecting your vision and catching problems early.

Even if your sight seems fine, eye diseases like glaucoma can be silent. That’s why regular exams — including the eye pressure test — are a smart, preventive step for lifelong eye health.

Let providers like Complete Eye Care of Medina guide you through your next exam with care and clarity.

Schedule your eye exam today!

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