Are Online Vision Tests a Safe Way to Renew Your Prescription?

If you’re wondering how safe and reliable online vision tests are, you’re not alone. While seeing an optometrist or ophthalmologist in person may be required for some people, many patients can get simple prescriptions for contacts and glasses renewed with visual acuity tests performed online. Find out if an online vision test is right for you!

By

Sally Wadyka

| Reviewed by

After more than a year of Zoom meetings, FaceTime family reunions and telehealth doctor visits, we’ve all gotten a lot more comfortable with taking care of things virtually. Now you can add at-home eyecare to the list of things you can accomplish—without changing out of your pajamas.

 

Online eye exams can’t yet provide all of the services of seeing an optometrist or ophthalmologist in person. But these increasingly sophisticated procedures are a convenient way to renew your glasses or contact lens prescription.

 

Here’s what you need to know before taking an online eye exam.

 

What to expect during an online vision test

Traditional, in-person eye exams typically use a lot of sophisticated equipment to measure your eyes, test your pressures, analyze optic nerves, etc. And, for now at least, there are only some aspects that you can recreate at home using just your computer and a smartphone.

 

Most online vision tests are a tool to test your visual acuity (how well you can see). Depending on the exam, you may be asked to read an eye chart  sitting or standing a certain distance  from your computer, or use an app on your phone to test your sight.  After completing the test, your results should be sent to a licensed eyecare provider before you receive a prescription for updating your glasses or contacts. At Quadrant Eye, your test results and prescription are alway reviewed by our highly trained optometrists and ophthalmologists to ensure safety and accuracy. If they spot any potential problems they will recommend a visit to an eyecare professional. 

 

How accurate is an online eye exam?

Used correctly, an online eye exam can accurately measure your vision and provide a prescription for renewing your glasses or contact lenses. Because contact lenses need to be fitted onto your eyes in person, it’s not a good idea to use an online exam if you’re new to contacts or are planning to change brands.

 

As online eye test offerings progress toward offering more complete at-home eyecare, the process may be able to help diagnose more serious eye health issues. For now, the best case is that the exam might flag a potential problem—but it will be up to you to follow up with an in-person appointment.

 

Who can use an at-home eyecare exam?

For the millions of people who wear glasses and contacts, an online exam may be all they need most years. The American Academy of Ophthalmology recommends that healthy adults up to age 40, who have no risk factors for eye disease, need a full, in-person exam just once every five years. And those 40 to 55 need a comprehensive exam every two to three years.

 

However, online eye exams aren’t for everyone. If you are over age 55, have diabetes, high blood pressure or a family history of eye disease, you need to see your eyecare provider for a full exam every year.

 

The QE Perspective

An online eye exam is a great tool for renewing a glasses or contact lens prescription from the convenience of your home. But at Quadrant Eye, we want to take that tool from just a simple vision test to a true form of at-home eyecare. Millions of Americans don’t have easy access to quality eyecare. We’re addressing this issue by elevating online eye technology to bring eyecare into the home. One day soon we’ll be able to identify eye problems at their earliest stages to avert cases of preventable blindness.

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Taking good care of your eyes and your overall health can go a long way toward preventing age-related eye conditions. Eating an eye-healthy diet that includes lots of antioxidant-rich fruits and vegetables slows down the formation of cataracts and reduces your risk of macular degeneration. Getting plenty of exercise and maintaining a healthy weight can prevent diseases like diabetes and high blood pressure--both of which affect vision and eye health. And while you may not be able to prevent the presbyopia (and need for reading glasses) that comes with getting older, your eyecare professional can make sure you get the correct vision correction to see clearly.

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The sun’s rays contain damaging ultraviolet (UV) light. The same UV rays that burn your skin and lead to skin cancer also affect your eyes. Staring directly into strong sunlight can damage the retina. And repeated sun exposure over time can lead to cataracts, benign growths on the eyes and even eye cancer. Protect your eyes anytime you’re in the sun by wearing sunglasses that block both UVA and UVB rays.

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Some people claim that by correcting your vision with prescription glasses or contacts, you’re weakening your eyes—which then leads to worse vision. Their “proof” is that after wearing your corrective prescription for a while, your vision appears blurrier when you’re not wearing it. But that’s likely because you’re now used to seeing the world in clear, crisp detail—and in contrast, your uncorrected vision appears fuzzier. Getting the proper vision correction for your eyes is essential for your eye health. Don’t try to tough it out if you can’t see clearly. Visit your eyecare professional for an in-person or virtual vision screening.


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Not having a bright enough light may make it harder to clearly see the words on the page, but it won’t damage your eyes or permanently impact your vision. Because you’re straining to see, you might get a headache or other symptoms of eyestrain. If you want to read in bed without illuminating the entire bedroom, get a reading light that provides just enough brightness to see your book clearly. 


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LASIK surgery corrects your distance vision only, so people who are nearsighted benefit most from it. But LASIK doesn’t affect the lens of the eye, the part that helps you focus up close. As you get older, changes to the lens impact your ability to see close up. So even if you have LASIK in your 20s or 30s, you’ll most likely still need reading glasses by the time you hit your 40s or 50s.

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Having your face right up next to the bright screen may give you a headache or even cause some temporary eyestrain or fatigue, but it won’t damage your vision. Children are more prone to this behavior than adults—which may be because children can focus close up better than adults can. But if your child can only see the television clearly when sitting close (and has to hold other things close to see them clearly), they may be nearsighted. Taking your child to an eyecare professional for a vision exam will help determine if they need glasses to see clearly.

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Most eyecare professionals recommend removing—and thoroughly cleaning—your contacts every night. Even if you use extend-wear lenses that are approved for use a week or month at a time, it’s always safer to give your eyes a nightly break. Your contacts are more likely to accumulate bacteria when you leave them in 24/7, and that can lead to eye infections. Sleeping in your contacts also prevents essential oxygen from getting to your corneas. If you must sleep in your contacts, make it a once-in-a-while event and ask your eyecare provider about contacts that are specially formulated to let more oxygen through. 


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Carrots (along with other vegetables like sweet potatoes and dark leafy greens) contain high amounts of beta-carotene, which the body converts to vitamin A. Vitamin A is essential for eye health, and a deficiency of the nutrient is the leading cause of childhood blindness in developing countries. In the U.S., vitamin A deficiency is rare, and few people get so little it could impact their eyesight. Also, there’s no evidence that beta-carotene affects the sharpness of your vision or can prevent near or farsightedness. So while getting lots of beta-carotene in your diet may help keep your eyes healthy, no amount of carrots is going to actually improve your vision and allow you to toss out your glasses or contacts. 


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The jury is still out on how effective blue light glasses are for eyestrain. One recent study found they made no difference in eyestrain symptoms during a two-hour-long computer task. But some experts feel they may help alleviate eyestrain and fatigue during prolonged, cumulative screen time. Either way, blue glasses alone won’t solve the problem of too much screen time. The best way to reduce eyestrain is to limit screen time and take frequent breaks when you do need to spend several hours at your computer.

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The jury is still out on how effective blue light glasses are for eyestrain. One recent study found they made no difference in eyestrain symptoms during a two-hour-long computer task. But some experts feel they may help alleviate eyestrain and fatigue during prolonged, cumulative screen time. Either way, blue glasses alone won’t solve the problem of too much screen time. The best way to reduce eyestrain is to limit screen time and take frequent breaks when you do need to spend several hours at your computer. 


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