What Happens During an Eye Test: Step by Step, How Long It Takes, and How to Prepare

A complete walkthrough of every step in a UK eye test. What the optician does, why each step matters, and what to bring with you.

How Long Does It Take?

Standard

20-30 min

Most common appointment

Enhanced (with OCT)

30-45 min

Adds retinal imaging

Children's

15-20 min

Adapted for younger patients

Contact lens fitting

45-60 min

Includes teaching and trial lenses

Step-by-Step Walkthrough

1

Arrival and Paperwork

5 min

You check in at reception, confirm your details, and complete a short questionnaire about your health, any medications, family eye history, and any visual symptoms. If you have a previous prescription, bring it along.

2

History and Symptoms

2-3 min

The optometrist asks about your vision since your last test, any problems (headaches, difficulty reading, dry eyes), your general health, and any medications. Be honest about symptoms, even minor ones.

3

Visual Acuity

2-3 min

The classic letter chart test. You read letters of decreasing size from a set distance (usually 6 metres, or reflected to simulate 6 metres in a smaller room). Tested with each eye separately and then both together. The result is expressed as a fraction such as 6/6 (normal) or 6/12 (reduced).

4

Refraction

5-10 min

The optometrist places a series of trial lenses in front of your eyes (using a phoropter or trial frame) and asks 'which is clearer, one or two?' for each combination. This determines your exact prescription for glasses or contact lenses. There is no wrong answer. Just say which looks better.

5

Eye Pressure (Tonometry)

1-2 min

Measures the pressure inside your eye. High pressure is a risk factor for glaucoma. Usually done with a puff of air (non-contact tonometry) or a small probe that briefly touches the eye (Goldmann tonometry). The puff of air is startling but completely painless.

6

Slit Lamp Examination

2-3 min

A microscope with a bright, narrow beam of light examines the front structures of your eye: the cornea, iris, lens, and eyelids. You rest your chin on a support while the optometrist looks through the microscope. Checks for cataracts, corneal damage, and other conditions.

7

Retinal Examination

3-5 min

The optometrist shines a light into your eye (direct ophthalmoscopy) or uses the slit lamp with a special lens to see the retina, optic nerve, and blood vessels at the back of your eye. This can detect signs of diabetes, hypertension, macular degeneration, and retinal detachment.

8

Visual Field Test (if indicated)

3-5 min

You look straight ahead at a screen and press a button each time you see a small light flash at the edges of your vision. This maps your peripheral vision and is used to screen for glaucoma, strokes, and neurological conditions. Not always included in a routine test.

9

OCT Scan (if opted for)

1-2 min

If you have chosen the enhanced test with OCT, the machine takes a 3D scan of your retina. You rest your chin on a support and look at a target. The scan takes about 30 seconds per eye. Non-invasive and painless.

10

Results Discussion

3-5 min

The optometrist explains the results, whether you need glasses or a prescription change, any conditions found, and when to return. You receive a printed copy of your prescription. This is yours by right, even if you choose not to buy glasses there.

How to Prepare

To get the most from your appointment, bring the following:

Your current glasses or contact lenses
Your previous prescription (if you have it)
A list of any medications you take
Details of any visual symptoms or concerns
Proof of NHS eligibility if applicable
Sunglasses (your eyes may be sensitive to light afterwards if dilated)
A note of your family eye history (glaucoma, macular degeneration)
Your Advantage Card if attending Boots

After the Test

Your Prescription

You will receive a printed copy. It includes values for each eye: sphere (long/short sight), cylinder (astigmatism), axis, and addition (for reading, if needed). The prescription is valid for 2 years (or 1 year if you are under 16 or advised otherwise).

Pupillary Distance (PD)

The distance between your pupils, needed for ordering glasses. Opticians do not always include this on the prescription because it encourages you to buy from them. You can ask for it, or measure it yourself with a ruler and mirror. Online retailers provide measuring guides.

Do You Have to Buy Glasses There?

No. Your prescription belongs to you by law. The Opticians Act 1989 (as amended) requires the optician to give you a copy of your prescription at the end of the test, whether or not you buy glasses from them.

You can take your prescription to any other optician, or buy online from retailers such as Glasses Direct, SelectSpecs, or SmartBuyGlasses. Online glasses typically cost 50 to 70% less than high street prices for the same prescription.

The optician may apply some sales pressure. A polite "I would like to take my prescription and think about it" is perfectly acceptable.

How Often Should You Go?

GroupIntervalReason
Most adults (under 70)Every 2 yearsStandard recommendation from the College of Optometrists
Over 70Every yearHigher risk of age-related conditions
DiabeticsEvery yearDiabetic retinopathy screening
Contact lens wearersEvery yearCorneal health and lens fit check
ChildrenEvery yearRapid vision changes during growth
Glaucoma riskEvery yearMonitoring for early changes
After cataract surgeryAs advisedPost-operative monitoring

If your vision changes noticeably between scheduled tests (new floaters, sudden blurring, flashing lights, distorted lines), do not wait. Book an appointment immediately or go to A&E if symptoms are severe and sudden.