Eye Exams in Metairie, LA

Routine comprehensive eye exams allow your ophthalmologist to monitor your eye health closely. Catching early changes in your eye health and vision is vital. Often there are no symptoms to warn you of problems that can lead to vision loss and blindness. The American Academy of Ophthalmology (AAO) provides guidelines for eye exam frequency across the lifespan.

Eye screenings should begin in infancy and occur every 12 months or more often if indicated. Pediatric eye screenings identify eye misalignments and abnormal eye movements, among other major eye health concerns. The child should visit an ophthalmologist for further testing if concerns are noted during a screening. Comprehensive eye exams are recommended by the AAO when a child turns five or before beginning Kindergarten, although Louisiana schools require only a screening. Other guidelines for pediatric eye exams can be found here.

For adults with healthy eyes and good vision, the AAO advocates for one complete eye exam in your 20s and two in your 30s to maintain optimal eye health. A comprehensive eye exam at age 40 is standard to minimize early-onset age-related eye and vision risks. For those over 65, the recommended frequency for eye exams is once a year or every other year, as aging increases the chances of deteriorating eye health and retinal disease development.

No matter your age, if you are at risk for eye problems or retinal diseases due to genetics, diabetes, or high blood pressure, or if you use contact lenses, you should have comprehensive eye exams as directed by your ophthalmologist. You should also have a complete exam if you have an acute eye concern like injury, infection, pain, or visual disturbances.

Our skilled and experienced ophthalmologist, Dr. Brett Budden, will conduct your eye examination in-office at Budden Retina. After Dr. Budden examines your eyes, he will develop an individualized treatment plan to address your problem. To keep your eyes healthy for years to come, follow his recommendations, like follow-up testing or future scheduling exams.

During your exam at Budden Retina, you will undergo one or more of the following:

Visual Exam

A visual exam reveals how well you can see from a distance. The Snellen chart is the most familiar eye chart used to measure visual acuity and monitor distance vision changes over time. Your eyes will be tested separately and together using the chart. The standard distance from the chart when testing is 20 feet. Results are recorded as a fraction. The top number, 20, records the distance from the chart, while the bottom number represents the smallest line of letters identified accurately. Normal vision is the ability to read the chart’s smallest line of letters without error while standing 20 feet away. This is known as 20/20 vision. Testing with the Snellen chart provides valuable information about your vision but does not measure overall eye function.

As part of a comprehensive eye exam, visual field testing measures focus and peripheral vision. It can identify blind spots or other visual limitations beyond distance vision. Visual field testing may identify underlying medical conditions, like hypertension or brain tumors.

The refraction test measures the way light shines through to your retina. The Snellen chart is often used again during this part of the eye exam to help your ophthalmologist determine your glasses or contacts prescription.

Eye Pressure/Tonometry

Tonometry is used to measure intraocular pressure (IOP) and is an important part of an eye examination. The most common tonometry method is non-contact tonometry, which involves a startling but nonpainful puff of air blown into the eye. Less commonly used tonometry methods involve antiseptic eye drop application to numb the eye. A small, pencil-like tool is used to touch the cornea located at the back of the eye. Both types of tonometry measure the force needed to flatten a portion of the cornea. If more force is needed to flatten the cornea, fluid has built up, resulting in higher IOP. The increased fluid pressure can go undetected without tonometry and cause irreversible vision problems, like glaucoma.


Pupil dilation is required for wider views of the posterior eye structures. These structures, including the retina, retinal blood vessels, macula, vitreous, optic disk, and optic nerve, are visible in the back of your eye without dilation, but other eye structures obstruct the view.
Eye drops are used to enlarge, or dilate, the pupil. This takes approximately 15 minutes. While your pupils are enlarged, your ophthalmologist uses a magnifying glass to examine the back of the eye for damage or disease. Side effects may include a tight sensation in the eyelids and blurry vision. It takes 4-6 hours after dilation for pupils to return to their normal size.

After the Exam

Temporary side effects of eye exams may include blurred vision and light sensitivity. If a driver is recommended when scheduling your appointment, please take this precautionary measure to ensure your safety.

Request your appointment

To request your appointment, fill out the form below in its entirety. We will contact you within 24-48 hours to schedule your appointment. If you have additional questions, please call us at 504-354-9690 and our staff will be glad to assist you. Thank you for choosing Budden Retina!