Why We Ask You to Have Certain Tests
Catching what you can't feel yourself.
Written & reviewed by
Dr. Atsushi MekadaBoard-certified Ophthalmologist, The Japanese Ophthalmological SocietyLast updated:
"There's nothing really wrong today, though..." — something we often hear during consultations. We understand that feeling well. But some eye diseases progress quietly with almost no symptoms. The reason we ask for careful examinations is precisely to catch that "change you can't feel" before it's too late.
1. Catching invisible disease early
Glaucoma and retinal disease often have almost no symptoms — no vision loss, no pain — in their early stages. Even if you feel "there's nothing wrong," testing frequently reveals an issue for the first time.
- Optical coherence tomography (OCT)Examines cross-sections of the retina and optic nerve to detect early changes.
- Automated visual field testingObjectively measures visual field loss that's hard to notice yourself.
- Slit-lamp microscopeMagnifies and examines the cornea, lens and fundus for changes that symptoms alone wouldn't reveal.
Skipping these tests risks delaying discovery of serious conditions, which could lead to permanent vision loss down the line.
2. Ongoing data to prevent progression and protect your eyes
Your eyes change day by day. Without test data to compare against previous visits, it becomes difficult to properly assess how fast a disease is progressing or how well treatment is working.
- GlaucomaAccumulating visual field and OCT data over time is the only way to detect a subtle rate of progression.
- CataractsRegular checks of vision and lens condition let us recommend the right timing for surgery, based on your symptoms and preferences.
Deciding "it's the same as last time, so testing isn't needed" on your own can cause a worsening condition to go unnoticed.
3. "No abnormality found" is also a valuable result
Sometimes, the result of testing is simply "no abnormality found." At that point, some patients wonder why they went through all that testing for "nothing." But this isn't a wasted test — it's objective confirmation that your current vision and eye health are good. And that data becomes an important baseline for judging "how has this changed since last time" on future visits.
When sharing results, our reception and testing staff make a point of explaining clearly when "no abnormality was found — that's a good result." If you have any concerns about the cost of testing, please feel free to ask on the spot.
In Closing
We want to be a partner in protecting your eyes. If you have any questions about our tests or care, please don't hesitate to ask a doctor or staff member. Our whole team is committed to serving your eye health with care. Thank you for your understanding and cooperation.
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Please note: This page provides general medical information and is not intended for diagnosis or treatment. If you are experiencing symptoms, please consult a doctor.