Key takeaways.
- An in-person eye exam is a medical assessment of your vision and eye health. It's the only way to get a new prescription or check for eye diseases.
- An online eye exam is a vision test used to renew an existing, stable prescription. It's not a substitute for a health check-up.
- Eyeglass prescriptions are typically valid for one to two years. Federal law requires contact lens prescription expiration to be a minimum of one year.
- The Federal Trade Commission (FTC) requires your eye doctor to give you a copy of your prescription at the end of your exam, even if you don't ask for it.
A valid prescription is the first step toward clear vision. This guide explains how to get a glasses prescription, the difference between an in-person exam and an online eye exam, the rules for how long glasses prescriptions are good for, and what you need to know about your rights as a patient.
Getting a prescription: in-person exam vs. online renewal.
You have two main paths to getting a prescription. One is a medical health exam, while the other is a convenient tool for renewing a prescription from home.
The in-person comprehensive eye exam.
This is the standard for eye care. An optometrist or ophthalmologist performs a complete assessment of your vision and the physical health of your eyes.
During the exam, the doctor will:
- Perform a refraction test to determine your exact prescription.
- Measure your visual acuity and eye pressure (tonometry).
- Conduct a slit-lamp exam to check for conditions like glaucoma or cataracts.
- Examine your retina and optic nerve, often through a dilated pupil exam.
This method is necessary for first-time eyeglass wearers, people with existing health concerns, or anyone experiencing changes in their vision. It's the only way to detect eye diseases in their early stages.
The online vision test.
An online eye exam doesn't check your eye health; it checks your vision to renew a prescription. A licensed eye doctor reviews your results remotely to determine if your current prescription is still suitable.
Eligibility checklist for online renewal.
Online tests are suitable for a specific group of people. You're likely a good candidate if you:
- Are between 18 and 65 years old.
- Have an existing, stable single-vision distance prescription.
- Have no eye health concerns, such as glaucoma, macular degeneration, or diabetes.
- Aren't experiencing blurry vision, headaches, or eye pain.
- Reside in a state where these services are permitted.
Prescription expiration: how long is it valid?
Prescriptions have an expiration date to make sure you're wearing the most accurate correction and to encourage regular eye health.
Eyeglass prescription validity.
How long are glasses prescriptions good for? Typically one to two years, but your doctor determines the exact duration based on your eye health and state law. Factors that may lead to a one-year validity include:
- Rapidly changing vision, common in children.
- Older age, which increases the risk of eye conditions.
- Health conditions like diabetes or hypertension.
Eyeglass prescription expiration by state.
While most states default to a one or two-year validity, specific laws can vary.
State | Maximum Prescription Validity (Years) |
---|---|
Florida | 5 |
North Dakota | 3 |
Alabama | 2 |
California | 2 |
New York | 2 |
Pennsylvania | 2 |
Texas | 2 |
Washington | 2 |
All other states | 1-2 (Consult state board for specifics) |
Contact lens prescription expiration.
The contact lens prescription expiration period is stricter. The FTC's Contact Lens Rule mandates a validity of at least one year, or longer if state law allows.
This is because contact lenses are classified by the Food and Drug Administration (FDA) as medical devices that sit directly on the cornea. An annual check-up is required to monitor the fit of the lenses and the health of your eyes to prevent complications. Remember that glasses and contact lens prescriptions are not interchangeable.
Why prescriptions expire.
Prescriptions expire for two primary reasons: vision accuracy and health monitoring.
- Your vision can change. Refractive errors change over time. Wearing an outdated prescription can cause eye strain, headaches, and blurry vision.
- To monitor eye health. An expiration date is a reminder to schedule a health exam. It's the only way to detect silent but serious conditions like glaucoma before they cause vision loss.
Know your rights as a patient.
According to the FTC's Eyeglass Rule, you have specific rights when it comes to your prescription.
- You must be given a copy of your prescription at the end of your exam. You don't have to ask for it.
- You cannot be charged an extra fee for the prescription itself.
- You are not required to buy eyewear from the same place you get your exam.
- If a third-party seller needs to verify your prescription, your doctor must respond within eight business hours.
Final thoughts.
Getting a regular in-person eye exam is the best way to maintain clear vision and protect your long-term eye health. While an online eye exam offers a convenient way to renew a stable prescription, it's not a replacement for a medical check-up. Understanding your prescription's validity and your rights empowers you to make informed decisions about your eye care and find the right prescription glasses for your needs.
FAQs.
What should I do if my prescription is expired?
You must get a new eye exam to obtain a valid prescription. You cannot legally purchase new glasses or contacts with an expired one.
Is it illegal to use an expired prescription to buy glasses?
Yes. Sellers are legally prohibited from filling an order with an expired prescription. This is to protect your vision and health.
Can I get a copy of my prescription if I lost it?
Contact the office of the eye doctor who performed your last exam. They are required to provide you with a copy of your prescription at no extra cost.
Can wearing an old prescription damage my eyes?
Wearing an outdated prescription won't cause physical damage to your eyes, but it can lead to symptoms like blurry vision, eye strain, and headaches.
References.
- Federal Trade Commission. (2020). The Contact Lens Rule: A Guide for Prescribers and Sellers. https://www.ftc.gov/business-guidance/resources/contact-lens-rule-guide-prescribers-sellers
- U.S. Food and Drug Administration. (n.d.). Contact Lens Prescription. https://www.fda.gov/medical-devices/contact-lenses/contact-lens-prescription