The American Academy of Ophthalmology recommends an eye-disease screening for all adults as follows:
If you have no signs or risk factors for eye disease, it is recommended that you get a baseline eye-disease screening at age 40 — the time when early signs of disease and changes in vision may start to occur. Based on the results of the initial screening, an ophthalmologist will prescribe the necessary intervals for follow-up exams.
For individuals at any age with symptoms of eye disease, or for those who are at risk for eye disease (such as those with a family history of eye disease, diabetes or high blood pressure), the AAO recommends seeing an ophthalmologist to determine how frequently their eyes should be examined.
The recommendation does not replace regular visits to the ophthalmologist to treat ongoing disease or injuries, or for vision examinations for glasses or contact lenses.
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