When to have a cataracts test and what to expect during the exam
Cataract testing is typically done as part of your annual comprehensive eye exam and is important for everyone to have done on a regular basis. Cataracts can often have gradual effects on the eye — some that you may not notice at first on your own.
Of course, if you believe you are experiencing signs or symptoms of a cataract, you can schedule an exam sooner. So how do you know when the signs are enough to request that your eyes be tested for cataracts?
When to be tested for cataracts
Developing a cataract is common during the aging process, and many undergo surgery or other treatments for the eye condition. Cataracts may be more common in those with a family history of cataracts, those who smoke or those who have an illness that can put them at a higher risk. However, anyone can develop cataracts.
The following checklist can help you decide if you should schedule a cataracts test before your next comprehensive eye exam:
Cataract symptom checklist:
Is your vision noticeably more blurry or cloudy than it once was?
Are you having double vision?
Do you experience poor vision at night?
Do colors appear dimmer than they used to be?
Do you need bright lights to read - particularly small print?
Are you sensitive to bright lights including sunlight and computer light?
Has your prescription changed frequently in the past few years?
Are you over 60? (Cataract is more common in older individuals)
If you said yes to one or more of these symptoms, it’s possible that you may have a cataract. To know for sure, have your eyes checked by an eye care professional as soon as possible.
Here’s what you can expect from a cataract test:
What happens during a cataract test?
How is a cataract diagnosed? To determine if you have a cataract, your eye doctor will perform three specific tests: a retinal exam, a slit-lamp exam and a visual acuity test. These will take place during a comprehensive eye exam.
Visual acuity test
During a visual acuity test, your eye doctor will ask you to read different sized letters from an eye chart, one eye at a time. Your ability to read the letters clearly will help your doctor determine if you have a vision impairment.
In order for your doctor to examine the back of your eyes (retinas), you’ll be given special eye drops to dilate your pupils. The doctor will then use a slit-lamp or ophthalmoscope to get a good view of your eyes and see if your lens is being affected by a cataract.
A slit lamp is a microscope which uses a strong, narrow beam of light (slit) to provide a clear and magnified view of everything at the front of the eye, including the iris, cornea and lens, and the space between your iris and cornea. The clearer view provided by a slit-lamp makes it easier for doctors to identify abnormalities such as cataracts.
Why is a cataract test important?
A cataract test is a critical part of maintaining your visual health. If a test reveals that you do have a cataract, your eye doctor will be able to determine what the next steps will be to treat the condition.
Even if you don’t experience symptoms or suspect that you have a cataract, it’s important to have your eyes checked for them every two years after age 40 and every year after age 65. The earlier any vision problems are detected, the earlier they can be treated.
SEE RELATED: Sight-saving tests for older eyes
Treatment following a positive cataract test
What happens next? If your eye doctor detects a cataract, you may be given a stronger vision prescription, which can treat symptoms to an extent. Additional cataract medicine like eye drops could possibly be recommended, depending on the advancement of your condition.
Your doctor may also recommend cataract surgery to relieve any discomfort and help you regain vision that has deteriorated. Cataracts surgery is quick and generally painless, and your eye care professional will walk you through the process before any procedure takes place.
Read more about other cataract treatments here.
If cataracts are left untreated, they can cause even more discomfort and will eventually lead to blindness. This risk can be avoided for patients as long as responsible steps — like having a cataract exam — are taken.
Page published in August 2020
Page updated in February 2022