7
Management
Patient Categories
Category I: Patients with No Risk Factors
Î At the time of each comprehensive medical eye evaluation, the
ophthalmologist will reassess the patient to determine the appropriate
follow-up interval. (G, S)
Î Adults with no signs or risk factors for eye disease should receive
a comprehensive medical eye evaluation at age 40 if they have not
previously received one. (M, S)
Î Interim evaluations, such as screenings, refractions, or less extensive
evaluations, are indicated to address episodic minor problems and
complaints, or for patient reassurance. (G, S)
Table 3. Comprehensive Medical Eye Evaluation for Adults
with No Risk Factors
Age (years) Frequency of Evaluation
≥65 Every 1–2 years (II++, M, S)
55–65 Every 1–3 years (M, S)
40–54 Every 2–4 years (M, S)
<40 Every 5–10 years (M, S)
Interim eye evaluations, consisting of vision examinations (e.g., refractions, eyeglasses,
contact lens evaluations), may be performed during these periods as well.
Category II: Patients with Risk Factors
Î The ophthalmologist determines an appropriate follow-up interval
for each patient based on the presence of early symptoms and signs,
risk factors, the onset of ocular disease, and the potential rate of
progression of a given disease. (G, S)
