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Standard ophthalmic exam Health Article

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Definition

A standard ophthalmic exam is a series of tests done to check your vision and the health of your eyes.

See also: Refraction test

Alternative Names

Routine eye examination; Eye exam - standard; Snellen chart

How the test is performed

The eye doctor will ask questions about your overall health and family's medical history. You should tell the doctor if you have noticed any eye problems.

The doctor checks your vision (visual acuity) using a chart of random letters of different sizes. This is called the Snellen chart.

To see inside your eye, the doctor looks through a magnifying glass that has a light on the end (an ophthalmoscope). The device allows the doctor to see the retina and nearby blood vessels, back of the eye (fundus), and optic nerve area.

Sometimes, you'll be given eye drops so that the doctor can better view the back of the eye. Another magnifying device called a slit lamp is used to see the clear surface of the eye (cornea). See: Slit-lamp exam

Different machines and methods test your eye's reaction to light, eye movement, and side (peripheral) vision. To see if you need glasses, the doctor places several lenses in front of your eye, one at a time, and asks you when the letters on the Snellen chart are easier to see.

Color blindness is tested using multicolored dots that form numbers. See: Color vision test

The doctor checks for glaucoma using a method called tonometry.

How to prepare for the test

Make an appointment with an eye doctor (some take walk-in patients). Avoid eye strain the day of the test. You may need someone to drive you home if the doctor uses eye drops to perform certain eye tests.

How the test will feel

The tests cause no pain or discomfort.

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Reviewer Info: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA . Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.; ADAM Health Illustrated Encyclopedia, 02/22/2007
 
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