AOA recommended frequency of eye examinations for pediatric patients and adults

 

Recommended Examination Frequency For the Pediatric Patient

Patient Age

Examination Interval

 

Risk Free

At Risk

Birth to 24 Mo.

At 6 mo. of age

By 6 mo. of age or as recommended

2 to 5 yrs.

At 3 yrs. of age

At 3 yrs. of age or as recommended

6 to 18 yrs.

Before first grade and every two years thereafter

Annually or as recommended


Children that are considered at risk for the development of eye and vision problems may need additional testing or more frequent re-evaluation. Factors placing an infant, toddler, or child at significant risk for visual impairment include:

  • Strabismus
  • Anisometropia
  • High refractive error
  • Family history of retinoblastoma, congenital cataracts, or metabolic or genetic disease
  • Prematurity, low birth weight, oxygen at birth, grade III or IV intraventricular hemorrhage
  • Difficult or assisted labor, which may be associated with fetal distress or low Apgar scores
  • Infection of mother during pregnancy (e.g., rubella, toxoplasmosis, venereal disease, herpes, cytomegalovirus, or AIDS)
  • Known or suspected central nervous system dysfunction evidenced by developmental delay, cerebral palsy, dysmorphic features, seizures, or hydrocephalus

 

Recommended Examination Frequency for the Adult Patient

Patient Age

Examination Interval

 

Risk Free

At Risk

18 to 60 yrs.

Every two yrs.

Every one to two yrs. or as recommended

61 and older

Annually

Annually or as recommended

 

Patients at risk are:

  • Contact lenses wearers
  • Persons who have had eye surgery
  • Persons working in occupations that are highly demanding visually or eye hazardous
  • Patients with diabetes, hypertension, or a family history of ocular disease (e.g., glaucoma, macular degeneration)
  • Those with other health concerns or conditions.Those taking prescription or nonprescription drugs with ocular side effects