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What to Expect at Your First Eye Exam: A Complete Guide

September 16, 2025

By: Aaron Blehm, OD

What to Expect at Your First Eye Exam: A Complete Guide

Why Your First Eye Exam Matters

Your first eye exam is more than just checking if you need glasses. It’s a vital step in protecting your vision and overall health. Many eye conditions develop silently, without noticeable symptoms, and an exam allows doctors to catch problems early. If you’ve ever wondered what happens at an eye exam or felt nervous about the process, this guide will walk you through everything you need to know so you can feel prepared and confident.

Preparing for Your First Eye Exam

Getting ready for an exam is simple, but being organized ensures the visit runs smoothly.
What to bring:

  • Current glasses or contact lenses
  • Insurance card(s) — both vision and medical
  • A list of medications and dosages
  • Any questions or concerns for your doctor

Sharing your medical and family history is also key, since many conditions like glaucoma or macular degeneration can run in families.

Step-by-Step: What Happens During the Exam

An eye exam typically lasts 30–60 minutes and includes several painless tests.

  1. Visual Acuity Test – Reading letters on a chart to measure clarity of vision.
  2. Refraction Test – Determining your exact prescription using a phoropter (“which is better, one or two?”).
  3. Eye Muscle & Movement Checks – Ensuring eyes work together and track properly.
  4. Peripheral Vision Test – Measuring side vision to detect blind spots.
  5. Tonometry – A quick test of eye pressure to screen for glaucoma.
  6. Slit-Lamp Exam – A microscope check of the cornea, lens, and retina.
  7. Dilation (when needed) – Drops widen your pupils so the doctor can examine the retina and optic nerve for hidden conditions.

Beyond Glasses: What Your Exam Can Reveal

Eye exams are powerful tools for detecting both eye diseases and broader health conditions. For example:

  • Glaucoma – Often symptomless until advanced, but detectable early with pressure tests and optic nerve checks.
  • Cataracts – Clouding of the eye’s natural lens, revealed during slit-lamp exams.
  • Macular Degeneration – Detected by spotting deposits beneath the retina.
  • Diabetes & Hypertension – Changes in blood vessels inside the eye can signal systemic disease.

How Often Should You Have an Eye Exam?

The right schedule depends on your age and risk factors:

  • Children: First exam at 6–12 months, then before school, and every 1–2 years after.
  • Adults under 40: Every 2 years if healthy.
  • Adults 40–64: Every 1–2 years, or annually if at risk.
  • Adults 65+: Annual comprehensive exams are recommended.

Main Points to Keep in Mind

  • A first eye exam is quick, painless, and essential for lifelong eye health.
  • Expect vision tests, pressure checks, and possibly dilation.
  • Bring glasses/contacts, insurance, and a medication list.
  • Regular exams protect against silent vision loss and systemic health problems.

Protect Your Sight with Confidence

Your first eye exam isn’t just about vision correction — it’s about prevention. By preparing ahead and knowing what to expect, you can take the stress out of your visit and walk away with peace of mind. Whether it’s your first exam or it’s been years since your last, scheduling with a trusted provider ensures your eyes — and your health — are in good hands.

Ready to protect your vision? Schedule your first eye exam with SightMD today.