How Often Should You Really Get an Eye Exam?
October 15, 2026
Quick Answer:
Healthy adults ages 18 to 64 should generally have an eye exam every two years, while adults 65 and older should have one every year. People with diabetes, glaucoma risk, contact lens use, or other risk factors may need exams more often. Your eye doctor will recommend a schedule based on your individual needs.
An eye exam does more than update your glasses prescription. It screens for glaucoma, cataracts, macular degeneration, diabetic eye disease, and other conditions that often have no early symptoms.
Adults ages 18 to 64
For healthy adults without risk factors, a comprehensive exam about every two years is typically recommended. Many people benefit from annual exams if they wear contacts, work long hours on screens, or have a family history of eye disease.
Adults 65 and older
Eye disease risk rises with age. Annual exams help detect cataracts, glaucoma, and macular degeneration early, when treatment is most effective.
Children
Children should be examined at about 6 months, at age 3, before starting school, and then regularly as recommended by their eye doctor. Early exams catch problems like amblyopia (lazy eye) that are most treatable when young.
People who need more frequent exams
Your doctor may recommend yearly or more frequent exams if you have:
- Diabetes or prediabetes
- High blood pressure
- A family history of glaucoma or macular degeneration
- Very high or very low prescriptions
- Previous eye surgery or eye injuries
- Regular contact lens wear
- Medications that affect the eyes, such as some steroids
An exam is not the same as a screening
School and workplace vision screenings check whether you can read letters on a chart. They don’t evaluate eye health. A comprehensive exam with dilation provides a full assessment.
Frequently Asked Questions
I feel fine. Do I still need an exam?
Yes. Many serious eye conditions, including glaucoma, have no early symptoms.
Does insurance cover eye exams?
Vision insurance typically covers routine refraction and eyeglass benefits. Medical insurance may cover exams related to a specific condition, such as diabetes or glaucoma. Our team can help clarify coverage before your visit.
What if I haven’t had an exam in years?
Schedule one now. It’s never too late to establish a baseline and address concerns.
Due for an exam?
Call (978) 774-7033 to book with Dr. Prentiss in Danvers. Learn more about our comprehensive exams .
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