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Eye Health by Generation: What Should Each Age Group Get Checked, and How Often?

Vision does not remain the same throughout life. Our eyes and visual habits change as we age—from childhood, when the visual system is still developing, to school and working years spent looking at screens for long periods, and later to our 40s and beyond, when presbyopia may begin to develop. As we get older, it also becomes increasingly important to pay attention to overall eye health.

That is why eye exams should not be postponed until your vision becomes noticeably blurred. Regular checks should be based on age, symptoms, and individual risk factors, as some vision problems may develop without clear early symptoms.

Key Takeaways

  • Children: As the visual system is still developing, their visual development and refractive errors should be monitored regularly.
  • Students and young professionals: Vision should be checked, especially if the board or screen appears unclear, or if there is eye strain, squinting, or prolonged screen use.
  • Working adults: Even with clear vision, regular eye exams are recommended—particularly for people who work with screens or have high visual demands.
  • Adults aged 40+: Watch for signs of presbyopia, such as difficulty reading up close, needing to hold reading material farther away, or needing more light.
  • Adults aged 65+: Regular eye health checks become increasingly important, as the risk of several eye conditions rises with age.
  • People with underlying conditions such as diabetes or high blood pressure, a family history of eye disease, or unusual symptoms may need more frequent examinations, as advised by an ophthalmologist or optometrist.

Table of Contents

Why Does Each Age Group Need Different Eye Exams?

Like other parts of the body, the eyes change with age. However, the areas that need attention vary at each stage of life.

For children, it is important to monitor visual development and identify abnormalities that may affect learning. Working adults, meanwhile, are often affected by prolonged computer and smartphone use, as well as extended near-vision tasks. From around age 40 onwards, the ability to focus at close range gradually declines. As we age further, the risk of certain eye conditions and diseases also increases.

For this reason, there is no single answer to the question, “How often should you have an eye exam?” It should take into account your age, symptoms, visual demands, health history, and risk factors.

Gen Alpha: Children Should Have Their Visual Development Checked Early

During childhood, the visual system is still developing, and refractive errors may change as a child grows. Vision problems do not always present as a child saying, “I cannot see clearly,” as some children may not realise that what they see differs from others.

What should be checked during childhood?

Key areas to observe and assess include:

  • Visual acuity
  • Nearsightedness, farsightedness, and astigmatism
  • How well both eyes work together
  • Crossed eyes, eye misalignment, or amblyopia
  • Squinting, head tilting, or sitting unusually close to screens
  • Difficulty seeing the board or reading

Gen Z: The More You Use Screens, the More Important It Is to Check Your Vision

From online classes and reading materials to computer work and everyday smartphone use, Gen Z tends to spend a significant amount of time on near-vision tasks.

It is therefore important to consider not only whether vision is clear, but also whether the eyes feel comfortable while studying and working.

Key areas to observe and assess include:

  • Nearsightedness, farsightedness, and astigmatism
  • Distance and near visual acuity
  • Difficulty seeing screens or the board clearly
  • Eye pain, eye strain, or headaches during visual tasks
  • Focusing ability and how well both eyes work together
  • Whether current glasses or lenses suit everyday visual habits

Gen Y: Working Adults Should Not Wait Until Their Vision Becomes Blurred

Working adults may feel that their vision is still fine and therefore postpone an eye exam. In reality, spending many consecutive hours in front of screens, attending online meetings, driving, and frequently shifting focus between distances can place greater demands on the eyes.

At a minimum, an eye exam should assess:

  • Whether your current prescription has changed
  • Distance and near visual acuity
  • Astigmatism
  • Eye strain from visual tasks
  • Whether your glasses suit your working distance
  • Health history or risk factors that may affect the eyes

Gen X: From Age 40+, It Is Time to Watch for Presbyopia

From around age 40, many people begin to notice the same change:

“I used to read my phone comfortably. Why do I now need to hold it farther away?”

One common reason is presbyopia, or age-related farsightedness. It occurs as the ability to focus at close range naturally decreases with age. It can affect people with normal vision, nearsightedness, or astigmatism.

Signs to look out for after age 40

  • Difficulty reading a phone or book at the usual distance
  • Needing to hold reading material farther away to see clearly
  • Needing brighter light when reading
  • Slower refocusing when shifting from a screen to a distant view
  • Eye strain or tired eyes during close-up work
  • Finding it easier to see up close after removing nearsighted glasses

Baby Boomers and Adults Aged 65+: Look Beyond Prescription Changes Alone

As we enter older adulthood, checking whether glasses provide clear vision may not be enough. Ageing is associated with a higher risk of several eye health concerns.

What should older adults pay attention to?

  • Changes in prescription
  • Visual acuity and overall visual quality
  • Vision in low-light conditions
  • Peripheral vision
  • Changes affecting the eye’s lens and retina
  • Risk of glaucoma
  • Underlying conditions that may affect the eyes, such as diabetes and high blood pressure

Summary: How Often Should Each Generation Have an Eye Exam?

Age Group

Key Areas to Focus On

General Frequency*

Gen Alpha / Children

Visual development, refractive errors, eye alignment, and seeing the board

Based on developmental stages, with regular follow-up throughout school years

Gen Z

Prescription, distance and near vision, and eye strain from visual tasks

About every 1–2 years, or more often if the prescription changes or symptoms occur

Gen Y

Prescription, screen use, and visual comfort

About every 1–2 years if there are no risk factors

Gen X / Age 40+

Prescription, presbyopia, and distance, intermediate, and near vision

About every 1–2 years, or sooner if symptoms begin

*These are general guidelines for people without symptoms or risk factors. The appropriate frequency may vary depending on eye health, underlying conditions, family history, medication use, and professional advice.

Which Symptoms Should Not Wait Until Your Next Eye Exam?

Regardless of your generation, do not wait until your next scheduled eye exam if you experience a noticeable change in vision—especially if you have any of the following symptoms:

  • Reduced vision or unusual blurred vision
  • Double vision
  • Eye pain
  • Unusual eye redness
  • Flashes of light
  • A sudden increase in dark spots or floaters
  • A curtain-like shadow over your vision or partial loss of visual field

These symptoms should be assessed by an ophthalmologist as soon as possible. Do not rely solely on changing glasses or having a vision test.

Do Not Wait Until Your Vision Becomes Blurred—Let Better Vision Support Your Vision at Every Stage of Life

From school years and working life to the stage when presbyopia begins, regular eye exams can help you understand whether your vision has changed and choose glasses or lenses suited to your real-world needs at every stage of life.

At Better Vision, eye care is provided by optometrists and eye-care professionals, with vision-examination standards and recommendations that consider your prescription, visual habits, and lifestyle. This reflects the brand’s approach to vision care—from prevention, correction, and protection to referral when specialised care is needed.

Vision changes differently at every age. Do not wait until your vision becomes blurred before you begin to care for it.

Visit Better Vision for a vision examination and personalised advice on glasses and lenses suited to you.

If an examination identifies signs that may be related to eye health concerns or eye disease, further assessment by an ophthalmologist may be recommended as appropriate.

FAQs About Eye Exams

Q: How often should I have an eye exam?

A: For adults without symptoms or risk factors, an eye exam every 1–2 years may be appropriate. Older adults, people with underlying conditions, or those at risk of eye problems may need an examination at least once a year or as advised by a professional.

Q: My vision is clear. Do I still need an eye exam?

A: Yes. Some vision and eye health concerns may not cause clear symptoms in the early stages. Regular examinations can help monitor changes more effectively than waiting until vision becomes blurred.

Q: What should people aged 40+ have checked in particular?

A: It is important to check distance, intermediate, and near vision, as well as signs of presbyopia. These may include difficulty reading a book or phone, needing to hold reading material farther away, or eye strain during close-up work.

Q: At what age should children start having eye exams?

A: Vision care should begin in childhood, with screening at key developmental stages. The AOA recommends assessments at 6–12 months, 3–5 years, before starting school, and continued monitoring throughout the school years. Children with symptoms or risk factors should receive further assessment as recommended by a professional.

Q: Are a vision test and an eye health examination the same?

A: Not entirely. A vision test focuses on assessing visual acuity and refractive error to determine the most suitable correction. An eye health examination may also include an assessment of eye structures and eye diseases, and in some cases, an examination by an ophthalmologist may be required. The most appropriate type of examination depends on each person’s age, symptoms, and risk factors.

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