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General & Diagnostic Eye Care

Annual Eye Exams

Not everyone needs an eye exam every year, but many people do, and the ones who most need it are the ones least likely to notice a problem: many adults over 65, people with diabetes, patients with glaucoma or a family history of it, high myopes, contact lens wearers, and patients on certain medications. Children need regular vision screening. An annual exam catches the slow, silent diseases of the eye at the stage when treatment protects vision, and it keeps prescriptions current.

Medically reviewed by Dr. Bavand Youssefzadeh, DO

Often yearly
Diabetes, glaucoma risk, high myopia, contact lenses
Every 1 to 2 years
Adults 65 and over
Every 1 to 4 years
Adults 40 to 64 without risk factors, by age
Children
Vision screening by your pediatrician; a full exam if a problem is suspected

Why yearly for some people

The eye diseases that cause most vision loss (glaucoma, diabetic retinopathy, macular degeneration and cataract) progress slowly and silently, and their risk rises with age and with specific conditions. A year is about the interval at which early change can be caught before it costs vision. For a healthy 30 year old the same interval finds little; for a 65 year old with a family history of glaucoma it may find the beginning of a disease that would otherwise be noticed only once vision was lost.

Who should be seen every year

  • Adults 65 and over, often yearly and at least every one to two years, for cataract, glaucoma and macular degeneration
  • Everyone with diabetes, at any age, for retinopathy
  • Patients with glaucoma, ocular hypertension or a first-degree relative with glaucoma
  • Black and Hispanic adults over 40, who have higher glaucoma risk
  • Highly nearsighted patients, for retinal thinning and tears
  • Contact lens wearers, for corneal health and lens fit
  • Patients on hydroxychloroquine, long-term steroids or other medications that affect the eye
  • Patients with previous eye surgery, injury or a diagnosed eye condition

Children

Children's vision develops in the first years of life, and problems such as lazy eye (amblyopia) are treatable only while it is developing. Children are usually checked by vision screening at their pediatrician's well-child visits, with a full eye exam if a problem is found or suspected, and sooner if a teacher or parent notices squinting, head tilting or difficulty seeing the board. Nearsightedness that appears in childhood is monitored regularly; ask our team whether myopia control is offered.

What the annual exam includes

A comprehensive exam, with dilation at the interval your doctor recommends, and the additional tests your risk calls for: OCT for glaucoma suspects and macular disease, retinal photography for diabetes, corneal assessment for contact lens wearers. The findings are compared with previous years, which is how slow change is detected.

Is this right for your eyes?

Nothing on this page is a diagnosis. Whether this is the right choice for you is decided by a full examination at one of our 4 offices: Pasadena, Huntington Beach, Woodland Hills and Beverly Hills.

About this content: This page was written with the assistance of AI tools and reviewed for medical accuracy by Dr. Bavand Youssefzadeh, DO. It is general information, not medical advice, and does not replace an eye examination. Individual results vary. Read our medical disclaimer.

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Frequently Asked Questions

If you are in one of the groups above, yes. The exam is about eye health, which changes without vision changing.

Exams for a medical reason or risk factor, such as diabetes or glaucoma, are usually billed to medical insurance; routine exams are covered differently. Our team will confirm your coverage when you book.

Please call our office to ask about exams for children and which office can see your child.

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