Regular eye examinations can detect eye diseases early and early intervention for eye diseases could improve the prognosis for these eye diseases. Certain eye diseases like glaucoma is asymptomatic and can only be diagnosed through an eye examination.

The comprehensive visual examination evaluates clarity of vision at distance and near, as well as eye teaming, eye focussing and eye movement skills.

Contact lens examinations: Contact lenses are an alternative visual correction when you do not want to use a spectacle prescription.   If your lifestyle or daily tasks makes spectacle wear impractical or if you want to enjoy fashion, sport or other activities without spectacles, ask your eye care professional  regarding a contact lens examination to fit you with the appropriate contact lenses to suit your lifestyle.

Specialty contact lens examinations offer patients the options of orhtokeratology or scleral contact lenses.

All contact lens patients needs to visit their eye care professional for a yearly corneal pathology examination to ensure your corneas are healthy during contact lens wear.


Low vision assessments:  Low vision is the term used to describe significant visual impairment that can’t be corrected fully with spectacles, contact lenses, medication or eye surgery.  Vision loss in adults and seniors can be particularly traumatic, leading to frustration and depression. Losing the ability to drive safely, read quickly, watch television or view a computer screen can cause people with low vision to feel shut off from the world. They may be unable to get around town independently or shop for food and other necessities.  

If you have a vision impairment that interferes with your ability to perform everyday activities and enjoy life, your first step is to see an eye care professional for a complete eye exam.

Pediatric eye examination: Visual examinations for children are extremely important to ensure early identification of a child’s vision problem.  When visual problems are diagnosed and treated early, the child’s visual system is often more responsive to the treatment.

According to the American Optometric Association (AOA), infants should have their first comprehensive eye exam at 6 months of age. Children then should have additional eye exams at age 3, and at age 5 or 6 when they start their school career in Grade R.

The visual examination for a child is adapted to the child’s age and cognitive level.    Young children don’t have to know the alphabet or even speak to have their vision tested by an optometrist.  Many vision tests use pictures or symbols familiar to preschoolers, and children can respond by naming, matching or pointing.  Other tests are done objectively, so young children don’t have to be able to communicate well to be evaluated. 

The comprehensive eye examination includes the following according to the rules of the HPCSA. The BASIC eye exam that an optometrist conducts should comprise the following:

  • Taking Visual Acuities at distance and near (aided and unaided)
  • Visual Skills Investigation – saccades, pursuits, NPC, accommodative skills
  • External Ocular Health Examination – Slit lamp examination of external ocular structures & papillary reflex evaluation with penlight torch
  • Visual Fields Screening
  • Objective Refraction
  • Subjective Refraction
  • Binocular Vision Evaluation
  • Internal Ocular Health Examination
  • Intra Ocular Pressures
  • Dispensing of optical appliance, if required
  1. PATIENT EDUCATION – patients should be adequately informed as to their current visual status, use of the optical appliance prescribed and relevant health information. Advice should be provided on related health issues.
  • Appropriate referral if necessary