Complete Guide to Eye Tests in South Africa: What to Expect and Costs

Aug 19, 2025

Understanding Eye Test South Africa Cost

Knowing the eye test in South Africa is an important step in planning your vision care. On average, a basic eye test in South Africa can range from R200 to R450, depending on the practice and location. More advanced or specialised tests may cost upwards of R600 to R800, especially if additional screening is required for glaucoma, retinal conditions, or contact lens fitting.

Some optometry clinics, including Optic Edge, offer promotions such as free eye tests with a purchase of prescription eyewear or discounted bundle deals for families and pensioners. It’s worth checking these options to reduce expenses while maintaining eye health.

Prices may also vary based on the equipment used and whether the test is conducted by an entry-level technician or a fully qualified optometrist. However, all tests should meet clinical standards for accurate results.

Comprehensive Eye Examination: What to Expect

A comprehensive eye examination—what to expect during your visit depends on your age, medical history, and vision needs. The process generally includes several steps:

  1. Pre-screening – Digital tools assess your eye pressure and take images of the retina.
  2. Visual acuity test – Determines how clearly you can see letters or symbols on a chart.
  3. Refraction test – Helps calculate your eyeglass or contact lens prescription.
  4. Eye muscle and movement test – Evaluates how well your eyes track and work together.
  5. Slit lamp examination – Allows the optometrist to examine the structures of the eye for diseases.

A full eye test may take 20 to 40 minutes and should include a detailed discussion about your eye health and lifestyle habits. This helps the optometrist offer tailored recommendations, whether for eyewear, further testing, or referral to an ophthalmologist.

Eye Tests

Optometrist Eye Test Procedure: Step-by-Step Insight

Understanding the optometrist eye test procedure helps reduce anxiety, especially for first-time patients. After an initial welcome and patient history review, the optometrist conducts a series of tests using both manual and digital equipment.

  1. History taking – The optometrist will ask about your vision, health conditions, medication, and family history.
  2. Autorefraction and tonometry – Machines estimate your prescription and measure eye pressure.
  3. Subjective refraction – The optometrist fine-tunes your prescription using a phoropter.
  4. Ocular health check – Slit lamp and retinal imaging are used to check for cataracts, macular degeneration, or signs of diabetes.
  5. Discussion – Based on the findings, the optometrist will discuss treatment or prescription options.

This structured approach ensures both vision correction and early disease detection are addressed in one appointment.

Eye Test Medical Aid Coverage in South Africa

One of the most common concerns patients have is whether eye test medical aid coverage is available. Most major medical aids in South Africa do cover one full eye test per beneficiary annually under optical benefits.

This coverage usually includes the consultation, refraction, and sometimes basic retinal screening. However, specialised tests, contact lens assessments, or advanced imaging may incur additional costs. Patients are advised to confirm benefit details with their provider in advance.

Optic Edge supports a wide range of medical aids and can assist with claim submissions and benefit checks. Some clinics also offer packages for patients not on medical aid, ensuring accessible care for everyone.

Being proactive and understanding your coverage helps you make the most of your medical benefits while safeguarding your vision.

When to Have an Eye Test Done and Why It Matters

Knowing when to have an eye test done is essential for maintaining clear vision and overall health. Most people should have a full eye exam once every two years, or more frequently if they:

  • Wear prescription glasses or contact lenses
  • Are over age 40 (to screen for glaucoma and cataracts)
  • Have diabetes, high blood pressure, or a family history of eye disease
  • Experience symptoms like headaches, blurry vision, or eye strain

Children should have their first eye test before starting school and then annually, especially if they struggle with reading or concentration. Timely testing can detect issues before they affect learning or work performance.

Delaying an eye test may lead to worsening vision and undiagnosed conditions that become more difficult and expensive to treat. Routine testing ensures early intervention, better quality of life, and improved academic or professional performance.

When to have eye testing

Eye Test Frequency Recommendations for Different Age Groups

Following expert eye test frequency recommendations can prevent long-term vision problems. Here’s a general guideline:

  • Children (6 months–5 years): First test at 6–12 months, then again at 3 years and before school.
  • School-aged children: Every year, especially if they show signs of vision issues.
  • Adults (18–39 years): Every 2 years if asymptomatic; annually if wearing glasses or contact lenses.
  • Adults (40–64 years): Annual tests to screen for age-related conditions like presbyopia and glaucoma.
  • Seniors (65+): Annual or bi-annual exams for cataracts, macular degeneration, and diabetic retinopathy.

If you have chronic health conditions, your optometrist may recommend more frequent monitoring. These guidelines serve as a foundation and should be adjusted based on lifestyle and family history.

Frequently Asked Questions about Eye Test South Africa Cost

How much does an eye test cost in South Africa?

The average eye test in South Africa costs ranges between R200 and R450. However, this price may increase for comprehensive assessments that include retinal imaging or contact lens fittings, which can cost R600–R800. Some optometry clinics, like Optic Edge, offer bundle promotions, such as free eye tests with eyewear purchases or student and pensioner discounts. Medical aid members often receive one fully covered eye test annually, depending on their benefit plan. It’s important to confirm pricing with your local optometrist before booking an appointment.

What should I expect during a comprehensive eye examination?

A comprehensive eye examination—what to expect includes pre-screening, visual acuity tests, refraction tests, muscle function checks, and a slit lamp examination. The process takes about 30 minutes and is performed by a qualified optometrist. You’ll be asked about symptoms, general health, and visual needs. If any abnormal findings arise, you may be referred to a specialist. Many patients also receive lifestyle advice related to screen use, UV protection, and contact lens hygiene. The exam aims to catch early signs of conditions like glaucoma, cataracts, or diabetic eye disease.

Is a full optometrist eye test procedure covered by medical aid?

In many cases, yes. Optometrist eye test procedures are included in optical benefits for most South African medical aid plans. Coverage typically includes the consultation and basic testing, but some advanced procedures or contact lens assessments may fall outside of the covered amount. Optic Edge staff can verify your benefits ahead of time and advise on any potential out-of-pocket costs. Patients without medical aid can still access affordable cash packages designed to provide quality care without financial strain.

When is the right time to have an eye test done?

Knowing when to have an eye test done depends on your age, lifestyle, and health status. Children should be tested before starting school, while adults should aim for a test every 2 years. If you wear glasses, experience blurry vision, or have a family history of eye disease, annual tests are advised. Individuals over 40 and those with diabetes or hypertension should have annual screenings. Early detection through routine tests ensures long-term vision preservation and prevents avoidable complications.

How often should you have your eyes tested?

Following eye test frequency recommendations, most adults need an exam every two years. Those with existing prescriptions, chronic health conditions, or vision complaints should schedule annual tests. Children, seniors, and patients with high-risk conditions may require more frequent visits. These guidelines help detect and manage refractive errors and prevent long-term complications. Speak to your optometrist if you’re unsure when to return, as personal factors like screen time, medication, or family history can influence the ideal testing frequency.

See the World With Confidence

Whether it’s your first eye test or a routine check-up, staying on top of your vision health is key to living well. From transparent pricing to advanced technology and professional care, Optic Edge is committed to making eye care easy and affordable.

Book your comprehensive eye exam today and experience peace of mind with every blink.

See more

Book an appointment