Surprising Conditions That Eye Doctors Find First

Did you know that an eye exam can be as effective as a physical in determining your health? Unfortunately, many Americans put off going to the eye doctor if they feel like their vision has not changed. Comprehensive eye exams are important for many reasons. Your eyesight may change very gradually over time, and you may not even know that you need a stronger prescription. Your eye doctor will also perform several tests during the eye examination that will rule out eye disorders such as glaucoma, cataracts or retinal problems.CONDITIONS THAT EYE DOCTORS FIND FIRST

Hosts of the hit TV show ‘The Doctors’ share surprising information about what your eye doctor might discover about your blood pressure, cancer and more.

The importance of regular eye exams

Blood pressure? Check. Weight? Check. Pee in a cup? Check. Seeing an eye doctor regularly?

Along with eye-related concerns, eye doctors may even be able to detect other health issues during a comprehensive eye exam. In fact, you may even find yourself leaving the eye doctor with a referral to another specialist because of a specific test that your ophthalmologist performed during your comprehensive eye exam. Here are just a few health issues that may be discovered during an eye exam:


An eye exam may save your life. We can find everything from brain tumors to breast and lung cancers that have spread to the eye, says Joseph Pizzimenti, an optometrist and associate professor at Nova Southeastern University College of Optometry Eye Care Institute in Fort Lauderdale, Florida. Certain types of bleeding in the retina can signal leukemia. Eye doctors can diagnose brain tumors based on changes in a patient’s field of vision. Malignant melanoma can strike in back of the eye, and patients often don’t know it is there unless the cancer is in the very center of their field of vision, Pizzimenti says.


One of the first clues for type 2 diabetes may be a small amount of bleeding in the retina, which is a symptom of diabetic retinopathy. “I see patients every day who have this damage and who haven’t yet been diagnosed with diabetes,” says Pizzimenti. Left untreated, the condition can lead to blindness, but managing it cuts this risk in half. When diabetic retinopathy is detected early, lifestyle changes such as eating healthier and losing weight can help prevent further damage.

High blood pressure

Blood vessel damage, including weakening and narrowing of the arteries, can signal high blood pressure, says Jessica Ciralsky, MD, assistant professor of ophthalmology at Weill Cornell Medical College in New York City. Multiple large-scale studies have found links between heart disease and narrowing of small blood vessels in the retina, according to a paper in the American Journal of Medicine. These connections are particularly strong in people without traditional heart disease risk factors. When it comes to other body parts, these are the 10 surprising conditions your hands might predict.

Multiple sclerosis

Optic neuritis—inflammation of the optic nerve—can be a harbinger of MS, a degenerative disease of the nervous system, says Mitchell Munson, president of the American Optometric Association. Optic neuritis occurs in 75 percent of patients with MS and is the first symptom of the disease in up to 25 percent of cases. (A diagnosis of optic neuritis doesn’t automatically mean you have MS; it could also be the result of an infection or other causes.) “Patients with optic neuritis often have blurred vision, but I have diagnosed this in some people with no symptoms at all,” Munson says.

Rheumatoid arthritis

About 25 percent of RA patients have eye issues; dry eye is the most common. Another clue: “If a patient has two bouts of iritis—painful inflammation of the iris, or the colored part—in a year, or three in 18 months, we suspect rheumatoid arthritis,” Munson says. People with RA, an inflammatory disease that affects small joints in the hands and feet, have high levels of inflammatory chemicals in their blood.


  1. 6 Shocking Diseases That Eye Doctors Find First, Apr. 30, 2019
  2. 7 Health Problems Eye Exams Can Detect

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Due to COVID-19 safety protocols, all eyewear services are currently by appointment only. Please call to make an appointment.

At Golden Eye Optometry, we view good vision care as front line protection at every age. A routine eye exam can detect more than poor vision. It can shed early light on glaucoma, macular degeneration, cataracts and diabetes.

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