Eye Care Service

Comprehensive Eye Examination

A full medical eye-health assessment — not just a prescription check. We evaluate the front and back of your eye, screen for systemic conditions that show up in the retina, and use the same digital imaging standards as a specialist clinic. When something falls outside routine optometry, we refer you directly into the U Vision Group specialist network.

Coverage

Is My Eye Exam Covered by OHIP?

Ontario’s OHIP eye-exam benefit depends on your age and whether you have a qualifying medical condition. The table below reflects the current Ministry of Health Schedule of Benefits — Optometry Services. We’ll confirm your specific coverage when you book.

Age BandOHIP Coverage
19 and underOne major eye exam every 12 months, plus any medically necessary follow-up visits.
20–64 (no qualifying condition)Not OHIP-covered. Covered by most extended-health plans, or direct-pay.
20–64 (with qualifying condition)One major eye exam per year plus up to two follow-up visits when medically indicated.
65 and olderNo qualifying medical condition: one major eye exam every 18 months. With a qualifying medical condition: one major eye exam every 12 months, plus 2 medically necessary follow-up visits.

Qualifying medical conditions (ages 20–64)

OHIP covers a full eye exam in this age band when your referring physician or optometrist documents one or more of the following:

  • Diabetes mellitus (type 1, type 2, or gestational)
  • Glaucoma or glaucoma suspect
  • Cataracts (visually significant)
  • Retinal disease — age-related macular degeneration, diabetic retinopathy, or retinal detachment history
  • Corneal disease — including keratoconus
  • Optic nerve or visual pathway disease
  • Uveitis
  • Prescribed medications requiring ocular monitoring — including Chloroquine, Hydroxychloroquine (Plaquenil), Ethambutol, Tamoxifen, and certain corticosteroid regimens

If you’re not OHIP-covered

If you don’t have coverage, our team will confirm the exam fee when you book. Most extended-health benefit plans (Manulife, Sun Life, Canada Life, Green Shield, Blue Cross, and others) fully or partially cover routine eye exams — we can direct-bill most carriers. Bring your benefits card and we’ll handle the paperwork.

Source: Government of Ontario — What OHIP covers. Coverage schedules are periodically updated by the Ministry of Health.

What’s Included

A full eye-health assessment

A comprehensive eye exam is a medical evaluation of your entire visual system — not a quick acuity check. Here’s what we cover in every exam.

Vision assessment

  • Refraction — your precise prescription for glasses and contact lenses
  • Visual acuity — distance and near
  • Binocular vision — how your two eyes work together; vergence, accommodation, and alignment
  • Colour vision — screening for inherited and acquired colour deficiency

Eye health evaluation

  • Intraocular pressure — the primary glaucoma screening test
  • Anterior segment exam — lids, lashes, cornea, conjunctiva, iris, and lens, under the slit-lamp biomicroscope
  • Dilated retinal examination — the gold standard for evaluating the optic nerve, macula, retinal vessels, and peripheral retina
  • Digital retinal photography — high-resolution imaging available as an optional add-on (billed separately — not covered by OHIP)
  • Visual field screening — available as an optional add-on when glaucoma or neurological concerns are identified (billed separately — not covered by OHIP)

Advanced diagnostics — OCT and beyond

Optical Coherence Tomography (OCT) is a non-invasive scan that captures cross-sectional images of the retina and optic nerve at the micron level. It’s the same technology used in ophthalmology clinics and is the modern standard of care for screening and monitoring:

  • Glaucoma (thinning of the retinal nerve fibre layer)
  • Diabetic retinopathy
  • Age-related macular degeneration
  • Epiretinal membranes and macular holes
  • Post-operative retinal changes

OCT and retinal photography are available at U Optical as optional add-on diagnostics — they are not part of the OHIP-insured or standard exam and are billed separately, with costs confirmed before any testing. If you carry additional risk factors — family history, diabetes, or a prior retinal finding — these scans help us detect change years before symptoms appear.

Dry eye and ocular surface

Tear film stability, tear volume, and lid-margin assessment are built into every exam. When your exam identifies dry eye that needs treatment, you’re referred to U Dry Eye Institute (UDEI) for advanced treatments (UltraView DEL™, LipiFlow, and BlephEx).

Exam Frequency

How often should I have an eye exam?

The following frequency recommendations are from the Canadian Association of Optometrists (CAO) — the national professional body for optometrists in Canada. Your optometrist may recommend more frequent exams based on your individual risk profile.

Age BandCAO Recommendation
6–9 monthsFirst comprehensive eye exam
2–5 yearsAt least one exam during preschool years
6–19 yearsAnnually — visual demand is high and prescriptions change rapidly
20–39 yearsEvery 2–3 years if low risk; annually if high risk
40–64 yearsEvery 2 years — this is when age-related conditions begin to appear
65 years and olderAnnually

More frequent exams are recommended if you have

  • Diabetes — annual dilated exam minimum, per Diabetes Canada guidelines
  • Glaucoma, ocular hypertension, or a first-degree relative with glaucoma
  • Progressing myopia — especially children and teens
  • High blood pressure or cardiovascular disease
  • Retinal disease, prior retinal tear, or retinal detachment history
  • Autoimmune conditions (rheumatoid arthritis, Sjögren’s, lupus)
  • Medications requiring ocular monitoring — see the OHIP qualifying-conditions list above
  • Recent eye surgery — follow the post-operative schedule set by your surgeon
Urgent Eye Care

When to book a same-day appointment

Certain symptoms are potential emergencies and should be evaluated the same day — not at your next routine visit. Call U Optical, call your nearest UVG clinic, or go to an emergency department if you experience any of the following:

  • Sudden flashes of light, new floaters, or a “curtain” across your vision — possible retinal tear or detachment
  • Sudden loss of vision in one or both eyes — possible vascular or retinal emergency
  • Severe eye pain with nausea, vomiting, or a red eye — possible acute angle-closure glaucoma
  • Chemical splash to the eye — flush immediately with water and seek care
  • Penetrating injury or foreign body — do not remove it; seek emergency care
  • Sudden double vision not corrected by closing one eye — possible neurological cause
  • Sudden blurred vision with a severe headache — possible neurological or vascular emergency

If you’re not sure, call us

We’d rather see you and rule something out than miss a window when treatment matters most. Most urgent eye conditions have a clinical window measured in hours to days — the earlier we evaluate, the better the outcome.

Preparation

How to prepare for your appointment

A little preparation makes the exam more efficient and more accurate. Allow 45–60 minutes for a comprehensive exam.

Bring your current eyewear

Include your current glasses, contact lenses, reading glasses, and any prescription sunglasses. Bring your most recent prescription if you have a copy.

Bring your health card and benefits card

Your OHIP card (if applicable) and your extended-health benefits card. We verify coverage and, where possible, direct-bill your insurer so you don’t pay and wait for reimbursement.

Bring a list of your medications

Including prescription drugs, over-the-counter medications, drops, and supplements. Several systemic medications affect the eyes — knowing what you take helps us interpret findings correctly.

Write down your symptoms and concerns

When did they start? What makes them worse? What have you already tried? A few sentences helps us focus the exam on what matters to you.

Plan for dilation aftercare

If we dilate your pupils, your eyes will be light-sensitive and your close-up vision will be blurred for 4–6 hours. Please plan to come with a driver — we do not recommend driving after dilation. Wear sunglasses on the way home and avoid fine-detail work right after.

If glasses or contact lenses are recommended

If your refraction shows that glasses or contacts would improve your vision, we’ll talk through options that fit your lifestyle, budget, and prescription — no upsell, no pressure. Contact-lens wearers should also book a contact lens assessment, which covers corneal shape, tear film quality, fitting, and teaching. See the Contact Lenses page for details.

Specialist Network

When your exam reveals something more

A comprehensive exam is designed to find what a specialist should see. When we identify something outside routine optometry, you’re not starting over with a new clinic — you’re already inside the U Vision Group network. Your exam findings, retinal images, and OCT scans travel with you.

Uptown Eye Specialists

Cataract surgery, glaucoma, retina, and oculoplastic procedures — the full range of medical and surgical ophthalmology, including UVG’s research-led ReLACS programme.

Visit Uptown Eye →

U Eye Laser Cosmetic

UltraView FREEDOM laser vision correction, ICL, and cosmetic procedures for patients interested in reducing or eliminating dependence on glasses and contacts.

Visit UELC →

U Dry Eye Institute

Advanced treatment for moderate-to-severe dry eye disease — UltraView DEL™, LipiFlow, and BlephEx. The specialist dry-eye centre for Ontario.

Visit UDEI →

U Surgical Centre

Accredited ambulatory surgical facility supporting the clinical teams at Uptown Eye and UELC. Same-day surgical care coordinated through your UVG clinical record.

Visit U Surgical →

You don’t need a family-doctor referral to see a U Vision Group specialist — your U Optical optometrist refers you directly.

Common Questions

Frequently Asked Questions

A full assessment of vision and ocular health: refraction, visual acuity, binocular vision, intraocular pressure, slit-lamp examination of the front of the eye, dilated examination of the optic nerve and retina, and colour vision screening. Advanced imaging — digital retinal photography, OCT, and visual field testing — is available as an optional out-of-pocket add-on when indicated. We explain every finding in plain language and document everything in your chart for year-over-year comparison.

OHIP covers a comprehensive eye exam every 12 months for everyone 19 and under. From age 65, OHIP covers one major exam every 18 months — or every 12 months if you have a qualifying medical condition. Between ages 20 and 64, OHIP covers the exam only if you have a qualifying medical condition — diabetes, glaucoma, cataracts, retinal disease, corneal disease, uveitis, or certain prescribed medications. If you fall outside those categories, most extended-health benefit plans cover routine exams — we can direct-bill most carriers.

If you don’t have coverage, our team will confirm the exam fee when you book. Add-on imaging (OCT, extended visual field testing) may be billed separately when clinically indicated. We’ll discuss any additional fees upfront before the test is performed.

Per the Canadian Association of Optometrists: children 6 to 19 annually, adults 20 to 39 every 2 to 3 years (annually if high risk), adults 40 to 64 every 2 years, and 65+ annually. People with diabetes, glaucoma risk, or a family history of eye disease typically need more frequent exams. Your optometrist will set the right schedule for you.

A vision screening (the kind done at a school, a pharmacy, or a driving centre) checks a single thing — usually visual acuity at distance. A comprehensive eye exam is a medical evaluation of the entire eye: refraction, binocular vision, glaucoma pressure check, dilated retinal examination, OCT imaging when indicated, and screening for systemic conditions. Passing a vision screening does not mean your eyes are healthy.

Dilation drops widen your pupils so we can examine the optic nerve, macula, and peripheral retina in detail. It’s the most important part of the exam and the primary way we screen for retinal disease, diabetic changes, and optic-nerve problems. After dilation, expect 4 to 6 hours of light sensitivity and blurred near vision. We recommend coming with a driver rather than driving yourself. Wear sunglasses for the ride home, and avoid scheduling fine-detail work right after your visit.

The Canadian Association of Optometrists recommends a first eye exam at 6 to 9 months of age, another exam between ages 2 and 5, and annual exams from age 6 through 19. Children often don’t know what “normal” vision looks like, so they rarely complain. Many learning and behavioural issues in school-age children turn out to be uncorrected vision problems. See our Paediatric Eye Care page for details.

Call us the same day for: sudden flashes of light, a rapid increase in floaters, a “curtain” across part of your vision, sudden loss of vision, severe eye pain (especially with nausea or a red eye), a chemical splash, a penetrating injury, sudden double vision, or sudden blurred vision with a severe headache. These can indicate retinal detachment, acute glaucoma, or a neurological emergency. If you’re not sure, call — we’d rather see you and rule it out than miss a treatment window.

Your current glasses and contact lenses (including reading glasses and sunglasses), your most recent prescription, your health card, your extended-health benefits card, a list of your medications and supplements, and a brief list of any symptoms or concerns. If you expect to be dilated and you’re not comfortable driving with glare, arrange a lift home.

U Optical is part of U Vision Group — a coordinated network of specialist eye-care brands across the Greater Toronto Area. If your exam identifies cataract, glaucoma, retinal disease, or oculoplastic concerns, we refer you directly to Uptown Eye Specialists. Interested in laser vision correction? We refer to U Eye Laser Cosmetic (UELC). Moderate-to-severe dry eye goes to U Dry Eye Institute (UDEI). Same-day surgical care is at U Surgical Centre. Your exam findings, retinal images, and OCT scans move with you — no repeat testing, no re-explaining your history, no faxed referral waiting weeks for a first appointment.

Sources cited

Book Your Exam

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A comprehensive eye exam is the foundation of every other decision you’ll make about your eyes — from glasses and contacts to specialist care. Book online or give us a call if you’d like to check your coverage first.

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