What happens during an eye test?

Find out how we check people’s vision for common eye conditions, and explore an optometrist’s office to see some of the tools we use.

An eye health worker records a girl’s results during an eye test at her school in Pakistan. Image © Sightsavers/Jamshyd Masud

How do we test people’s vision?

During a routine eye examination, an eye health worker, such as an optometrist, performs a series of short tests. This usually includes:

  • Eye health screening: the patient is asked if they have any issues, such as blurred vision, pain or discharge. The eye health worker will then examine the health of the eye. This is usually done using a special type of torch called an ophthalmoscope, or a type of microscope called a slit lamp.
  • Visual acuity checks: the patient is asked to read from charts to test what’s known as their ‘visual acuity’ – how clearly they can see at different distances. A Snellen chart is commonly used for checking distance vision, but other charts may be more suitable, depending on the person’s age, language or disability.
  • Refraction assessment: if the patient has difficulty reading during the tests, the health worker can use prescription lenses to determine if they have a refractive error, such as myopia (short-sightedness) or hyperopia (long-sightedness), or age-related vision changes. If this is the case, they will need spectacles.

As these tests don’t require complex medical equipment or electricity, they can be done in many different places, helping to bring eye care to everyone.

A woman holds a small child, who is wrapped in a blanket. The woman is looking at an eye test chart on a wall in a hospital.
A woman looks at an eye test chart.

Did you know...

Refractive errors account for the majority of sight loss.

Source: IAPB

What happens after an eye test?

The optometrist will provide guidance on when the person’s next eye test is due. Even if no eye health problems are detected, it is important for everyone to attend eye tests regularly. The optometrist may also provide advice on how to maintain good eye health and vision.

If the patient is diagnosed with a refractive error, they will be prescribed a pair of spectacles. An optometrist can also offer eye drops to treat mild eye conditions, such as dry eyes or conjunctivitis.

For more serious eye conditions like cataracts or glaucoma, the patient will be referred to the local hospital for further investigations and treatment, such as an operation or medication.

In countries where neglected tropical diseases are still prevalent, people can be diagnosed with trachoma or river blindness. These conditions usually require medication or an operation to prevent further sight loss.

Eye icon.

Did you know...

Eye tests, spectacles and cataract operations could alleviate the majority of sight loss.

Source: IAPB

Common eye conditions

Refractive errors

Refractive errors are the world’s leading cause of visual impairment. These include long-sightedness, short-sightedness, and astigmatism.

Cataracts

Cataracts are caused by a build-up of protein in the lens of the eye, which can lead to blurred vision, sensitivity to light and eventual blindness.

Glaucoma

Glaucoma is a condition in which the optic nerve that connects the eye to the brain becomes damaged, often due to pressure inside the eye.

Whether you live in a remote village or a major city, everyone has the right to quality eye care.

At Sightsavers, we’re supporting governments in Africa and Asia to improve eye health by treating eye conditions, helping to train staff and working with local partners to distribute medication that protects people’s sight.

We help run eye screening clinics in remote areas to reach people who usually struggle to access eye care. Our school programmes bring eye care into the classroom by training teachers to spot eye conditions in children, helping to ensure that no child drops out of education because they have sight loss.

Your support can help us continue our vital work where it’s needed most. 

 

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