The Specsavers guide to your eye examination

Regular eye examinations are essential for clear, comfortable vision. They are an important health check too - the optometrist checks the health of your eyes and can find indications of other medical conditions.

There are hundreds of different ways to do the tests in your eye examination. This guide shows a typical example of each. You may not have all the tests described, because your optometrist will tailor your eye examination to suit your individual needs.

1 - Visiting the Opticians

The optical assistant makes sure that your confidential customer record is accurate and up-to-date.

If you are wearing contact lenses, you need to remove them before your eyes are tested.

Visiting the Opticians

2 - Using a non-contact tonometer

Using a non-contact tonometer, the optical assistant (or the optometrist) blows a few puffs of air at each of your eyes in turn. The air bounces back at the instrument, giving a measurement of the pressure inside each eye.

This is an important test, as high pressure can indicate the early stages of glaucoma, a sight-threatening condition.

Using a non-contact tonometer

3 - The autorefractor

The autorefractor takes an electronic measurement of how well your eyes focus and gives a readout of your approximate prescription for the optometrist to use.

If we do not have a record of your current prescription, the focimeter can read it from your glasses so that it can be compared with the findings of your eye examination by the optometrist.

The autorefractor

4 - About your health and lifestyle

The optometrist asks questions about your health, your family's health, your work and your lifestyle.

It is very important to have a clear understanding of your vision needs, especially if a specific problem is the reason for your visit.

About your health and lifestyle

5 - The retinoscope

The optometrist may use an instrument called a retinoscope, which bounces a light beam off the back of your eye and back into the instrument. Different lenses focus the reflected light beam until it is steady, giving a close guide to the prescription you need.

The retinoscope is very accurate - it is used to test the sight of very small children, or people with communication difficulties who can't easily describe how clearly they can see.

The retinoscope

6 - The test chart

The optometrist fine-tunes his findings by asking you to read the test chart through different strength lenses. The results for one eye often vary from those for the other, so each eye will be tested individually before both eyes are finally tested together.

The optometrist flips different lenses in front of your eyes that change how clearly you can see. Depending on your answers, the optometrist changes the lenses until you have the clearest, most comfortable vision possible.

The test chart

7 - Using the ophthalmoscope

The optometrist uses an ophthalmoscope to examine the retina at the back of the eye, including the blood vessels and the front of the optic nerve. This important test can detect changes which can indicate diseases such as diabetes or high blood pressure.

The optometrist darkens the room and sits quite close to you, while they shine a bright light into each eye in turn using the ophthalmoscope. The light may leave shadows on your vision, but these soon fade.

Using the ophthalmoscope

8 - The oxo box

You are also asked to focus on an oxo box, and say whether the illuminated lines are in line horizontally and vertically.

This indicates whether your eyes work well together - balanced and co-ordinated eyes are essential for clear comfortable vision.

The oxo box

9 - The slit lamp

The slit lamp is a powerful, illuminated microscope that is used to examine the outer surface of your eyes - the cornea, the iris and the lens - to check for abnormalities or scratches.

This is a very important test for contact lens wearers.

The slit lamp

10 - Visual field screener

A visual field screener randomly flashes dots of light on a black background.

If you fail to see any of the dots, this can be an indication of a blind spot.

Visual field screener

11 - Testing your focus

The optmetrist may test your ability to focus at varying distances to decide if you need different prescriptions for distance and reading.

Testing your focus

12 - Discussing your needs

The optometrist will try to answer your queries during the eye examination, and will explain his findings.

If the optometrist considers that you would have clearer vision with a change of prescription or new glasses, they will explain why and recommend the best options.

Discussing your needs

13 - Choosing your glasses

After your eye examination, your optometrist will pass on his findings and recommendations to a dispenser, who will help you to choose your new glasses.

Choosing your glasses