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How Long Does an Eye Exam Take?

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A child sits in their parents' lap while an eye doctor covers their left eye to assess their visual acuity.

Sitting in the exam chair for your comprehensive visit includes more than reading letters off a chart. The exam’s visual component is just one aspect; your eye doctor thoroughly assesses your eyes to check for vision problems, eye diseases, and even general health conditions that can show up in your eyes first. Naturally, a visit so thorough requires time. 

As a general timeline, expect your routine eye exam to take roughly 30 to 60 minutes, but the exact length of this visit varies based on: 

  • Your age
  • Health history
  • Vision concerns 
  • Returning or new patient

No matter the length of your visit, make time for your routine eye exams. These help safeguard your visual and overall health for years to come. 

What Affects Eye Exam Duration?

Even if your vision feels perfect and you don’t wear glasses or contacts, everyone benefits from routine eye exams. Just as you see your family doctor for annual physicals and your dentist for routine cleanings, a visit to your optometrist serves the same purpose.

Every patient is different; the length of the appointment will vary depending on contributing factors.  

Age

For the most part, older children and adults with healthy vision usually finish their exams within 30 minutes. Younger children and older adults, however, might find their exams take longer.  

  • Pediatric exams require extra care so that your little one stays comfortable and engaged.  If it’s your child’s first eye exam, consider booking extra time in your schedule. Some children need breaks during the exam. 
  • Adults 65 and older are more susceptible to developing age-related eye conditions, which is why they benefit from additional tests, resulting in longer appointments. 

Health History

Certain general health conditions can affect your eyes, which is why your medical history can significantly influence the length of your exam. 

If you have diabetes, high blood pressure, or a family history of eye diseases (like glaucoma or macular degeneration), your optometrist might perform additional tests to check for related complications. 

Vision Concerns

If you’re experiencing specific vision problems—like sudden changes in your sight, eye pain, or frequent headaches—your exam will likely take longer. Your optometrist needs extra time to investigate these symptoms and determine their cause.

Similarly, if preliminary tests reveal potential issues, additional testing will extend your appointment time. This isn’t something to worry about; it’s actually a good thing that your optometrist is being thorough.

An optometrist evaluates a patient's external eye structures with a slit lamp.

First Visit vs. Follow-Up Appointments

If this is your first time seeing a new optometrist or if it’s been a while since your last exam, your visit will take longer. This initial eye exam establishes a baseline of measurements to provide a comprehensive understanding of your eye health history. 

Return visits, especially if your vision hasn’t changed much, are usually quicker since your optometrist already knows your eye health history and can focus on specific areas that need monitoring.

Breaking Down the Eye Exam Timeline 

Eye exams follow the same structure and process, though the details of the visit vary based on the parameters from earlier. As a general rule, expect your eye exam to take roughly 30 to 60 minutes. 

Preliminary Tests (5-10 minutes)

Before you see the optometrist, a technician usually handles the initial measurements. This includes: 

  • Checking your current prescription
  • Measuring your eye pressure
  • Taking retinal  images (OCT testing) 
  • Updating your medical history and discussing any concerns with your vision

These tests provide your optometrist with a baseline of your current visual health.

Visual Acuity & Refraction Test (10-15 minutes)

Inside the exam room is probably the part of the visit you’re most familiar with—reading the famous eye chart: the visual acuity test. Covering one eye at a time, your optometrist will ask you to read letters of different sizes with and without your corrective lenses to determine how well you can see. 

Next comes the refraction exam. Your optometrist uses a phoropter to refine your prescription by testing different lens strengths and options. You know the phrase what is clearer, option 1 or 2?—that’s a refraction exam!

Eye Health Exam (15-20 minutes)

During the eye health portion, your optometrist takes a comprehensive look at your eyes’ internal and external structures. These diagnostic tools allow your eye doctor to evaluate the health of the cornea, tear film, retina, optic nerve, and blood vessels. 

This part of the exam is crucial for detecting eye diseases like glaucoma, macular degeneration, and diabetic retinopathy—conditions that often have no early symptoms but can cause serious vision loss if left untreated.

Additional Testing (10-30 minutes)

Sometimes your optometrist will recommend additional tests based on the findings during your visit. These might include: 

  • Visual field testing to check your peripheral vision, which is especially important for detecting glaucoma. This test can take 10-15 minutes per eye.
  • Optical coherence tomography (OCT) provides detailed images of your retina and can help detect early signs of eye disease. This typically adds about 10 minutes to your appointment and is included in the preliminary testing section. At St. Marys Optometry, we perform OCT on almost all patients before they see the optometrist.
  • Pupil dilation allows for a more thorough examination of your retina but requires additional time for the drops to take effect and for the examination itself.

Your Visual Health Is Worth the Time

The thought of spending almost 60 minutes at the eye doctor might seem inconvenient, but staying consistent with your routine eye exams is one of the most valuable investments you can make for your long-term health and wellness. The time you spend in the exam chair today could prevent complex vision concerns down the line.  

It’s time to book your routine eye exam. Connect with our St. Marys Optometry team today. Your eyes—and your future self—will thank you for making the time.

Carol

Written by Dr. Carol Venn

My journey into optometry began when I was 15 and got my first pair of glasses. Suddenly, the world came into focus—details I hadn’t even realized I was missing became clear, and it made all the difference, especially in school. That experience was life-changing, and it sparked something in me: I wanted to give others the gift of clear vision, too. That realization set me on the path to earning my degree at the University of Waterloo and, eventually, to opening St. Marys Optometry in 2010.

Since then, I’ve been dedicated to providing comprehensive eye care to patients of all ages, from little ones experiencing their first eye exams to adults who want to preserve their vision for years to come. I love connecting with my patients and making every visit a comfortable and positive experience. I’m passionate about uncovering the unique vision challenges my patients face so I can recommend the best solutions. By offering personalized, customized products and services, I help ensure every individual’s needs are met with care and precision.

One of my favourite things about St. Marys Optometry is the incredible team I get to work with every day. They are the backbone of the practice, and I truly couldn’t function without them! Each member of the SMO team cares deeply about our patients, going above and beyond to provide exceptional vision care. But they don’t just care about our patients—they care about each other, too, supporting one another in countless ways both in and out of the office. I genuinely love each member of our team and feel thankful for them every single day.

One of my favourite team traditions takes place each fall and holds a special place in my heart. We attend a conference together, spending the day learning, networking, and drawing inspiration from our colleagues in the optical industry. But the real magic happens after dinner, when we hit the dance floor! As someone who has always loved to dance, sharing the joy of dancing with my SMO team is an experience that’s truly unbeatable. Despite our different tastes in music and the range of ages in our group, it’s no surprise that we come together so effortlessly, making unforgettable memories while having a blast.

Outside the office, I value staying active and having fun. My favourite spot to stay active is the pickleball court, where I enjoy games with family and friends, as well as competing in tournaments—often teaming up with my longtime friend and fellow optometrist, Dr. Laurie. If you want to see what we’re up to check out @pickleball_visionaries on Instagram. I also love strolling through town with my husband Mike and our dogs, Scout and Hunter. At home, I enjoy spending quality time with Mike and our teens, Megan and Luke. And when it’s time to unwind, nothing beats a cozy moment with a cup of tea, a square of dark chocolate, and a good book or TV show.

As a longtime local (almost 30 years!), I’m passionate about supporting our vibrant community. If you’re new to St. Marys or looking to explore, I’d highly recommend checking out some of my favourite spots: TuttCo for the most delicious meals, Dunny’s Source for Sports where you can get everything you need for an active lifestyle, O’Grady’s Clothing and Accessories when it’s time to look your best, Sensations Salon and Day Spa for haircare and other services, and The Town & Country Cheese Shoppe where they make the best sandwiches as well as offering a massive variety of cheese. They’re all fantastic places to experience the heart of our town.

For me, optometry isn’t just about eye care—it’s about making a difference in people’s lives. At St. Marys Optometry, I’m proud to combine professional expertise with a personal touch, creating a space where everyone can feel at home while receiving the highest quality care.

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