Eye Exams for People Over 60

As we age, eye exams become even more important. Vision problems may develop with no physical symptoms until they’re quite advanced.

When you see your eye doctor, use this handy eye exam checklist to list all of your current concerns, health issues and your family history. The more your eye care professional knows, the better protected you’ll be against potentially debilitating vision loss.

What To Expect at an Eye Exam

senior man iPadTypically, your eye doctor will review your personal and family health history for eye hereditary problems of eye disease, diabetes, high blood pressure or poor vision.  

Then your doctor will conduct tests to check for:

  • Vision - The doctor can check for nearsightedness (myopia), farsightedness (hyperopia), astigmatism and presbyopia. While you look at an eye chart, the doctor will measure your vision precisely, and, if necessary, determine a prescription for corrective lenses.
  • Coordination of eye muscles - The doctor will move a light in a set pattern to test your ability to see sharply and clearly at near and far distances, and to use both eyes together.
  • Side (peripheral) vision - The doctor will move an object at the edge of your field of vision to make sure you can see it.
  • Pupil response to light - The doctor will shine a light in your eye and watch the pupil's reaction.
  • Color testing - The doctor will ask you to describe figures in a series of illustrations made up of numerous colored dots or circles. This tests your ability to differentiate colors.
  • Eyelid health and function - The doctor will examine your eyelid, inside and out.
  • The interior and back of the eye - After dilating your eyes (by both using a few eye drops and dimming the lights so the pupils will widen), the doctor will use a special instrument called an ophthalmoscope to see through to the retina and optic nerve at the back of the eye. This is where clues to many eye diseases first show up.
  • Measurement of fluid pressure - The doctor will release a puff of air onto your eye using an instrument called a tonometer.  This tests the pressure inside the eye, an early indicator of glaucoma and other diseases.

Monitor for Age-Related Macular Degeneration (AMD)

Your eye care professional will examine the back of your eye using special instruments to detect and monitor conditions affecting the macula.

You may also self-monitor between professional visits by looking at an Amsler grid. This is a pattern that resembles a checkerboard with a dot in the center. While staring at the dot, you may notice that the straight lines in the pattern appear wavy. Or you may notice that some of the lines are missing. Print and take the quick vision test using the Amsler grid(72.3 KB, PDF). By looking at an Amsler grid regularly you can monitor any sudden changes in your vision. If you do notice any changes, contact your eye doctor right away.

Amsler grid - normal vision
Amsler Grid Normal

Amsler grid - with AMD

Amsler Grid AMD

Here's how:

  1. Do the test with each eye separately by covering the eye that’s not being tested.

  2. Hold the test grid directly in front of you, about 14 inches from your face, and look at the dot in the center of the grid, not at the lines.

  3. While looking at the dot, all the lines, both vertical and horizontal, should appear straight and unbroken.

  4. If any of the straight lines appear wavy, or you notice that some of the lines seem to be missing, note their location on the grid for future reference.

Remember, this test would not replace your regularly scheduled eye examinations.