Good eye care starts with regular exams — and that’s true at every age. Routine visits allow your optometrist to monitor your vision, detect changes in prescription, and identify eye conditions early, often before symptoms appear. Some conditions, like diabetic retinopathy — a leading cause of blindness in working-age adults — require annual monitoring to prevent serious vision loss. Others, like myopia, glaucoma, and macular degeneration, are best managed when caught early.
At Adventures in Vision Optometry, we provide comprehensive eye care for the whole family, with a particular focus on children’s vision. The questions below cover the concerns we hear most often from our adult patients and from parents. If you don’t find what you’re looking for, don’t hesitate to reach out — we’re happy to help.
Eye Care for Adults
How Often Should Adults Have Eye Exams?
The frequency of eye exams can depend on several factors, including age, overall health, and vision needs. Adults, especially those over 60, and African American individuals over 40, should have a thorough eye exam, including dilation, every one to two years, as it’s key for catching eye problems early.
Generally, here’s a guideline:
- Ages 18-60: It’s recommended to have a comprehensive eye exam at least every two years.
- Ages 61 and above: An annual eye exam is advisable to monitor for age-related conditions such as glaucoma or macular degeneration.
However, if you have existing vision issues, wear contact lenses, or have health conditions like diabetes or high blood pressure that could affect your eyes, more frequent check-ups may be necessary. An eye doctor can provide personalized recommendations based on your specific situation.
What are the signs that I might need glasses or a change in prescription?
There are several signs that might indicate you need glasses or a change in your prescription:
- Blurry Vision: If you notice that your vision is blurry, even when wearing your glasses, it might be time for a new prescription.
- Frequent Headaches: Headaches, especially after reading or screen time, can be a sign that your eyes are straining to focus.
- Squinting: If you find yourself squinting to see clearly, your glasses might not be providing the right correction.
- Eye Fatigue: Feeling like your eyes are tired or strained, especially at the end of the day, can indicate a need for a new prescription.
- Difficulty Seeing at Night: Struggling to see clearly while driving at night or experiencing glare from headlights can be a sign.
- Double Vision: Experiencing double vision or a sudden loss of clarity can indicate a change in your vision.
- Old Glasses: If you’ve had the same pair of glasses for a long time, it’s likely that your vision has changed.
If you’re experiencing any of these symptoms, it’s a good idea to schedule an eye exam with your optometrist to get a comprehensive check-up and update your prescription if needed
Can digital screens damage my eyes?
Digital screens don’t cause permanent eye damage, but prolonged use can lead to Computer Vision Syndrome (CVS) — a pattern of temporary discomfort that includes dry eyes, blurred vision, headaches, and neck or shoulder tension. This is especially common in work-from-home environments where screen time has increased significantly. The most effective habit you can build is the 20-20-20 rule: every 20 minutes, shift your focus to something 20 feet away for at least 20 seconds. Beyond that, optimizing your workspace helps — reduce screen glare, increase font size, ensure your monitor is roughly arm’s length away and positioned slightly below eye level, and use a humidifier if your office air is dry. If symptoms persist despite these adjustments, an eye exam can determine whether a dedicated computer lens prescription would help.
What is glaucoma, and how is it detected?
Glaucoma is a group of eye conditions that damage the optic nerve, often caused by elevated pressure inside the eye. It is one of the leading causes of blindness in people over 60, and early detection is critical since vision loss from glaucoma is irreversible. During a comprehensive eye exam, your optometrist uses several methods to screen for it: tonometry measures the pressure inside your eye; ophthalmoscopy allows direct examination of the optic nerve for signs of damage; a visual field test checks for peripheral vision loss; and optical coherence tomography (OCT) produces detailed images of the optic nerve and retina to detect subtle changes over time. This is one of the key reasons regular eye exams matter even when your vision seems fine.
Are there any specific eye care recommendations for people with diabetes?
Yes, there are several important eye care recommendations for people with diabetes to help prevent vision loss and manage eye health:
- Annual Eye Exams: It’s crucial to have a comprehensive eye exam at least once a year, including a dilated eye exam. This helps detect any early signs of eye disease.
- Blood Sugar Control: Keeping your blood sugar levels under control is essential to reduce the risk of diabetic retinopathy and other eye complications.
- Monitor Vision Changes: Be aware of any changes in your vision, such as blurry vision, dark spots, or difficulty seeing at night, and report them to your eye doctor immediately.
- Manage Blood Pressure and Cholesterol: High blood pressure and cholesterol can also affect your eye health, so it’s important to keep them in check.
- Quit Smoking: Smoking can increase the risk of eye diseases, so quitting can have a positive impact on your eye health.
- Protect Your Eyes: Wear sunglasses to protect your eyes from UV rays and use protective eyewear when engaging in activities that could harm your eyes.
- Follow Your Doctor’s Advice: Your eye doctor may recommend more frequent exams or specific treatments based on your individual needs.
What is the difference between an optometrist and an ophthalmologist?
An optometrist holds a Doctor of Optometry (OD) degree and serves as your primary eye care provider — performing comprehensive eye exams, diagnosing vision problems, prescribing corrective lenses, and managing conditions like dry eye, glaucoma, and minor infections. An ophthalmologist is a medical doctor (MD or DO) who has completed additional years of specialized training, qualifying them to perform eye surgery and treat more complex eye diseases such as cataracts, macular degeneration, and diabetic retinopathy. For most people, an optometrist handles routine and ongoing eye care, and will refer to an ophthalmologist when surgical or advanced medical treatment is needed.
Can diet and nutrition affect my eye health?
Absolutely! Diet and nutrition play a significant role in maintaining eye health and preventing eye diseases. Here are some key nutrients that are beneficial for your eyes:
- Vitamin A: Essential for good vision, especially in low-light conditions. Found in carrots, sweet potatoes, and dark leafy greens like spinach.
- Vitamin C: An antioxidant that helps protect the eyes from damage caused by free radicals. Sources include citrus fruits, strawberries, bell peppers, and broccoli.
- Vitamin E: Another antioxidant that helps maintain cell health. Found in almonds, sunflower seeds, and avocados.
- Lutein and Zeaxanthin: These carotenoids are found in the retina and help protect the macula, the part of the eye responsible for central vision. Leafy greens like kale and spinach are excellent sources.
- Zinc: Important for the structure of proteins and cell membranes in the eye. Found in legumes, seeds, meat, and dairy products.
- Omega-3 Fatty Acids: Help maintain cell membrane health in the eyes. Found in fish like salmon and mackerel, as well as flaxseeds and walnuts.
Incorporating a variety of these nutrient-rich foods into your diet can help protect your vision and reduce the risk of eye diseases like age-related macular degeneration and cataracts.
What are cataracts, and how are they treated?
Cataracts are a common eye condition where the lens of the eye becomes cloudy, leading to a decrease in vision. It’s like looking through a foggy or frosty window. Cataracts usually develop slowly and can affect one or both eyes.
Symptoms
- Blurry or dim vision
- Trouble seeing at night
- Sensitivity to light and glare
- Seeing “halos” around lights
- Frequent changes in eyeglass or contact lens prescription
- Fading or yellowing of colors
- Double vision in one eye
Treatment
The only effective treatment for cataracts is surgery. During cataract surgery, the cloudy lens is removed and replaced with a clear artificial lens called an intraocular lens (IOL). This surgery is generally safe and effective, with about 90% of people experiencing significant improvement in their vision.
How can I tell if I have age-related macular degeneration (AMD)?
Age-related macular degeneration (AMD) is a common eye condition that affects the macula, the central part of the retina responsible for sharp, detailed vision. There are two types of AMD: dry (atrophic) and wet (exudative).
Symptoms of AMD
- Blurry or fuzzy vision: Difficulty seeing details.
- Dark, empty areas or blind spots: These appear in the center of your vision.
- Straight lines appear wavy: Distorted vision.
- Difficulty recognizing familiar faces: Trouble seeing details.
- Colors seem less bright: Changes in color perception.
- Trouble seeing in low lighting: Difficulty adapting to dim environments.
Detection and Diagnosis
Regular eye exams are crucial for early detection. Your eye doctor may use tests like a dilated eye exam, Amsler grid, and optical coherence tomography (OCT) to diagnose AMD.
What are the symptoms of dry eye syndrome, and how can it be treated?
Dry eye syndrome occurs when your eyes don’t produce enough tears or the quality of your tears is poor, leading to inadequate lubrication. Here are some common symptoms:
- Burning, stinging, or scratchy sensation in your eyes
- Stringy mucus in or around your eyes
- Redness in the eyes
- Sensitivity to light
- Difficulty wearing contact lenses
- Watery eyes (as a response to dryness)
- Blurred vision or eye fatigue
Treatment Options
Treatment for dry eye syndrome aims to restore or maintain the normal amount of tears in the eye. Here are some common treatments:
- Artificial Tears: Over-the-counter eye drops that help lubricate the eyes.
- Prescription Eye Drops: Medications like cyclosporine or lifitegrast that reduce inflammation and increase tear production.
- Punctal Plugs: Tiny silicone plugs inserted into tear ducts to prevent tear drainage and keep the eyes moist.
- Lifestyle Changes: Using a humidifier, wearing protective eyewear, and taking breaks from screen time can help manage symptoms.
- Omega-3 Supplements: These can improve tear quality and reduce dry eye symptoms.
- Treating Underlying Conditions: Managing conditions like rheumatoid arthritis or Sjögren’s syndrome that contribute to dry eyes.
Eye Care for Children
At what age should my child have their first eye exam?
Kids need regular eye checks too, to make sure their vision is developing as it should and to quickly deal with any eye issues that may arise.
It’s recommended that children have their first comprehensive eye exam by age 1. Early eye exams are crucial because they can detect vision problems that might affect your child’s development1. After the initial exam, it’s a good idea to have their eyes checked again before they start school, around age 5 or 6.
How can I tell if my child is having vision problems?
Children often don’t realize their vision is impaired because they assume everyone sees the way they do. Watch for these signs:
- Squinting or tilting the head to see more clearly
- Sitting unusually close to the TV or holding books/tablets too close
- Frequent eye rubbing, especially when not tired
- One eye turning inward or outward
- Complaints of headaches or eye pain after reading or screen use
- Difficulty reading, skipping lines, or losing their place on the page
- Avoiding activities that require sustained visual focus
- Excessive tearing or persistent redness not related to illness
If you notice any of these, schedule a comprehensive eye exam. Many vision problems are highly treatable when caught early — but children rarely self-report them.
Are there any activities or habits that can harm my child's vision?
Yes, certain activities and habits can negatively affect your child’s vision. Here are some things to be mindful of:
1. Excessive Screen Time
Spending too much time on digital devices can lead to digital eye strain, causing symptoms like dry eyes, blurred vision, and headaches. Encourage regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.
2. Poor Reading Habits
Reading in low light or holding reading materials too close can strain the eyes. Ensure they read with adequate lighting and at a comfortable distance.
3. Lack of Outdoor Play
Outdoor play can reduce the risk of nearsightedness (myopia). Encourage your child to spend time outside in natural light.
4. Not Wearing Protective Eyewear
Ensure your child wears protective eyewear during sports and activities that could cause eye injury. This includes sports goggles and safety glasses.
5. Improper Use of Contact Lenses
If your child wears contact lenses, ensure they follow proper hygiene practices to avoid eye infections. This includes washing hands before handling lenses and not wearing them for longer than recommended.
6. Ignoring Eye Safety Rules
Teach your child to avoid rubbing their eyes, especially with dirty hands, to prevent infections and irritation.
7. Skipping Regular Eye Exams
Regular eye exams are essential for early detection of vision problems. Make sure your child has regular check-ups with an eye care professional.
Encouraging healthy eye habits can help protect your child’s vision and ensure their eyes stay healthy.
What is amblyopia (lazy eye), and how is it treated?
Amblyopia, commonly known as lazy eye, is a vision development disorder where one eye doesn’t achieve normal visual acuity, even with prescription glasses or contact lenses. It usually develops in childhood and can result in the brain favoring one eye over the other, leading to poor vision in the weaker eye.
Symptoms
- Squinting or tilting the head: To see better.
- Eye rubbing: Frequently rubbing one eye.
- Poor depth perception: Difficulty judging distances.
- Shutting one eye or squinting: Especially in bright light.
- Crossed or wandering eye: One eye may turn in, out, up, or down.
Treatment
Early treatment is crucial for the best outcomes. Here are some common treatments:
- Corrective Eyewear: Glasses or contact lenses to correct refractive errors like nearsightedness, farsightedness, or astigmatism.
- Eye Patching: Wearing an eye patch over the stronger eye to force the brain to use the weaker eye, strengthening it over time.
- Atropine Eye Drops: These drops temporarily blur vision in the stronger eye, encouraging the use of the weaker eye.
- Bangerter Filters: Special filters placed on the glasses lens of the stronger eye to blur vision and stimulate the weaker eye.
- Vision Therapy: Exercises and activities designed to improve coordination and focus.
- Surgery: In cases where amblyopia is caused by strabismus (misaligned eyes) or cataracts, surgery may be necessary to correct the underlying issue.
Can my child watch TV or use a computer/tablet? How much screen time is safe?
Yes, your child can watch TV and use a computer or tablet, but it’s important to manage their screen time to protect their vision and overall health. Here are some guidelines to help:
Screen Time Recommendations
- Ages 2 to 5: Limit screen time to 1 hour per day of high-quality programming.
- Ages 6 and older: Encourage consistent limits on screen time, ensuring it doesn’t interfere with sleep, physical activity, and other healthy behaviors. Aim for no more than 2 hours of recreational screen time per day.
Tips for Healthy Screen Time
- Take Breaks: Encourage the 20-20-20 rule—every 20 minutes, look at something 20 feet away for at least 20 seconds.
- Maintain Proper Distance: Ensure your child keeps the screen at least an arm’s length away from their eyes.
- Use Appropriate Lighting: Avoid using screens in dark rooms and reduce glare by adjusting the screen brightness.
- Encourage Outdoor Play: Balance screen time with outdoor activities to promote overall health and reduce the risk of myopia (nearsightedness).
- Set Screen-Free Zones: Establish areas in your home, like the dining room, where screens are not allowed to encourage family interaction.
- Monitor Content: Ensure your child is watching age-appropriate and educational content. Co-viewing can help you guide and discuss what they’re seeing.
- Enforce Bedtime Rules: Turn off screens at least one hour before bedtime to ensure a good night’s sleep.
By following these guidelines, you can help ensure that your child’s screen time is balanced and doesn’t negatively impact their eye health or well-being.
What should I do if my child complains of headaches or eye strain?
If your child is experiencing headaches or eye strain, it’s important to address the issue promptly. Here are some steps you can take:
- Assess Screen Time: Reduce the amount of time your child spends on digital devices. Implement the 20-20-20 rule to give their eyes regular breaks.
- Check Lighting: Ensure your child’s workspace has proper lighting. Avoid glare from windows or lights directly reflecting on screens.
- Adjust Screen Settings: Reduce screen brightness, increase font size, and use a blue light filter, especially in the evening.
- Encourage Blinking: Remind your child to blink frequently to keep their eyes moist, as we tend to blink less when looking at screens.
- Promote Good Posture: Ensure your child is sitting comfortably with their screen at eye level to avoid straining their neck and eyes.
- Use Artificial Tears: If your child’s eyes feel dry, over-the-counter lubricating eye drops can provide relief.
- Schedule an Eye Exam: If the problem persists, it’s essential to have a comprehensive eye exam to rule out any underlying vision problems or need for corrective lenses.
- Monitor Symptoms: Keep track of when the headaches or eye strain occur to identify any patterns or triggers.
Addressing these factors can help alleviate your child’s discomfort and prevent further issues. If symptoms continue, consulting with an eye care professional is the best course of action.
Should my child wear sunglasses?
Yes, wearing sunglasses is important for children. Here’s why and what to look for:
Benefits of Sunglasses for Children
- UV Protection: Children’s eyes are more susceptible to UV radiation. Sunglasses that block 100% of UVA and UVB rays help protect their eyes from potential damage.
- Reduced Glare: Sunglasses reduce glare, making it easier for children to see clearly and comfortably, especially in bright sunlight.
- Protection from Debris: Sunglasses act as a barrier against dust, wind, and debris, which can irritate or damage the eyes.
What to Look for in Sunglasses
- UV Protection: Ensure the sunglasses provide 100% UVA and UVB protection.
- Impact-Resistant Lenses: Look for polycarbonate lenses, which are more durable and resistant to impact.
- Comfortable Fit: Choose sunglasses that fit well and are comfortable for your child to wear. Wrap-around styles can offer more comprehensive protection.
- Durability: Since kids can be rough on their belongings, opt for sunglasses that are sturdy and can withstand active play.
Encouraging your child to wear sunglasses when they are outdoors helps protect their eyes from potential harm and promotes good eye health.
What is myopia management, and does Adventures in Vision offer it?
Myopia (nearsightedness) in children doesn’t just mean blurry distance vision — it tends to worsen progressively throughout childhood and adolescence, and higher levels of myopia are associated with increased risk of serious eye conditions later in life. Myopia management refers to treatment strategies specifically designed to slow that progression, rather than simply correcting the prescription with standard glasses.
At Adventures in Vision Optometry, we currently offer two myopia management options for children:
- Low-dose atropine eye drops, applied nightly, which have been clinically shown to slow myopia progression with minimal side effects
- MiSight contact lenses (and other soft multifocal designs), which are FDA-approved specifically for myopia management in children and work by altering how light focuses on the peripheral retina
If your child’s prescription is changing rapidly from year to year, it’s worth having a conversation with Dr. Curtis about whether myopia management makes sense for them.
How does prolonged exposure to screens affect my child’s vision?
The most significant concern with heavy screen use in children is its association with myopia (nearsightedness), which is progressing at higher rates among school-age kids than previous generations. Researchers believe that time spent focused on close-up tasks — screens, reading, homework — combined with reduced outdoor time, contributes to the eye’s elongation that causes myopia. Once myopia develops, it tends to worsen throughout childhood, making early intervention important.
Beyond myopia, children using screens for extended periods commonly experience digital eye strain — symptoms like dry eyes, blurred vision, headaches, and fatigue. Children also tend to blink significantly less when focused on a screen, which contributes to dryness and irritation.
The most practical steps: limit recreational screen time (especially for younger children), enforce the 20-20-20 rule, and prioritize outdoor play — even 1–2 hours per day outdoors has been shown to have a measurable protective effect on myopia development. If you have concerns about your child’s screen habits and their vision, bring it up at their next eye exam.
Are eye exams for children covered by insurance?
Yes, many health insurance plans cover eye exams for children. Under the Affordable Care Act (ACA), most health plans must provide preventive care benefits, which include annual eye exams for children, without charging a copayment or coinsurance. This coverage is available through Marketplace health plans, Medicaid, and the Children’s Health Insurance Program (CHIP).
However, the extent of coverage can vary depending on your specific insurance plan and location. Some plans might cover the cost of glasses or contact lenses, while others may require you to pay a portion of the cost. It’s a good idea to check your health plan’s summary of benefits or contact your insurance provider directly to understand the specifics of your coverage.
Please let us know if you would like help finding more information about your insurance plan’s vision coverage.
What are the signs of color blindness in children, and how is it tested?
Children with color blindness may exhibit several signs, including:
- Difficulty distinguishing colors: They might confuse colors like red and green, or blue and yellow.
- Using the wrong colors in drawings: For example, drawing purple leaves on trees or green faces.
- Low attention span during coloring tasks: They may quickly lose interest in coloring activities.
- Denial of color issues: They might insist they see colors correctly even when they don’t.
- Problems identifying color pencils: Difficulty distinguishing between colors like purple and blue, pink and grey, or red and brown.
- Sensitivity to bright lights: They may find certain color combinations uncomfortable.
- Reading issues with colored pages: Struggling with worksheets that use color.
- Complaints of eye or head pain: Especially when looking at certain color combinations.
Testing for Color Blindness
Color blindness can be tested using several methods:
- Ishihara Test: This is a common test that uses a series of plates with colored dots forming numbers or shapes. If the child can’t see the numbers or shapes, they might be color blind.
- EnChroma Test: This online test is designed for children and uses a hidden digit task method to measure the type and level of color vision deficiency.
- Color Plate Test: This test involves looking at sets of colored dots and identifying patterns, like letters or numbers.
- Professional Eye Exam: An eye doctor can perform more sophisticated tests to diagnose color blindness accurately.
Communities we provide optometry eye care to include, but are not limited to, Arden-Arcade, Auburn, Cameron Park, Carmichael, Citrus Heights, El Dorado Hills, Elk Grove, Fair Oaks, Folsom, Galt, Gold River, Natomas, North Highlands, Orangevale, Placerville, Pollock Pines, Rancho Cordova, Rancho Murieta, Rocklin, Roseville, Sacramento, and Shingle Springs. If you’re not yet a patient, we’d love to provide for your eye care needs too!