Can Your Eyes Pass a Test from Your Couch?

man holding his glasses above his eyes and squinting at his phone while he takes and online vision test

Booking an eye exam can feel like just another chore on your already busy list. And with all the tech we have today, it’s natural to wonder: Why can’t I just do this on my computer? It sure would be easier.

After all, you can order groceries online, jump into virtual meetings—and yes, even take a vision test from your couch. But that last one should make you pause.

Can you trust an online vision test to check your eyesight and more importantly your eye health and more?

What is an online vision test and how does it work?

There are a few terms that often get mixed up when people talk about non-traditional vision testing, especially remote eye exams and online vision test. A remote eye exam is still a comprehensive eye exam, but instead of the doctor being physically in the room, you come into the clinic, and the eye doctor joins the exam virtually on a screen.

Online vision tests, on the other hand, are done entirely on your own. You sign in on your smartphone or computer, answer a few questions and read letters or shapes from a set distance. These tests mainly check how clearly you can see and are usually used to confirm your current prescription or possibly renew it.

Are online vision tests reliable?

While they can be helpful in a pinch to quickly confirm your prescription or your visual acuity with your current prescription, online vision tests are not a substitute for regular eye doctor visits. Those in-person comprehensive exams check your eye health, how your eye muscles work and even provide clues about your overall health.

What is a remote doctor exam and how does it work?

Alternatively, remote doctor exams, also called remote eye exams or tele-optometry, are becoming a helpful choice—especially for people in rural areas. In this setup, you go to a local eye clinic but connect with a doctor on a screen in real time. The doctor guides the exam remotely, working with clinic staff and controlling the equipment from their location.

Are remote doctor exams reliable?

This approach, like the one offered by DeltaVision, works well for routine checkups in generally healthy people. But it has its limits. Examining the eyes closely to spot diseases, which is a key part of in-person visits, is harder to do remotely. Virtual exams can’t fully replace regular in-person visits, and people at higher risk should stick to seeing an eye doctor in person.

Why do in-person eye exams matter?

An eye exam isn’t just about how well you see—it’s also a check on your overall health. Eye doctors can catch early signs of eye problems like glaucoma or cataracts, and even spot warning signs of health issues such as high blood pressure, diabetes or high cholesterol.

Online vision tests and remote doctor exams can be convenient, but they work best alongside regular, in-person checkups. Making comprehensive eye exams a priority is key to keeping your eyes and your health on track.

What’s the difference?

It can be confusing, so let’s break it down.

 Online Vision TestRemote Doctor ExamIn-Person Eye Exam
Also known as:
  • Online vision exam
  • Online vision screening
  • Virtual eye exam
  • At-home vision test
  • Remote eye exam
  • Comprehensive eye exam
  • Tele-optometry
  • ,
  • Comprehensive eye exam
Who it’s best for:
  • Your prescription is stable, and you just need confirmation of vision with your current prescription
  • Your eyes are generally healthy
  • People who live far from an eye doctor or clinic and can’t travel easily
  • Your prescription is stable.
  • Your eyes are generally healthy
  • Children
  • First-time patients
  • Anyone with symptoms like blurry vision, flashes, floaters or eye pain
  • People with diabetes or a family history of eye disease
How it works:
  • May collect basic eye and health info
  • Tests vision using letters, numbers or shapes
  • Checks for astigmatism with special patterns
  • Confirms your current prescription
  • Generates a report for prescription updates
  • Measures distance and near vision with charts or screens
  • Checks for astigmatism and basic eye alignment
  • Technician captures images or scans of your eyes for the doctor to review
  • Doctor guides the exam remotely in real time
  • Can detect some eye health issues, but not as thoroughly as a full in-person exam
  • Confirms or updates your prescription
  • Measures distance and near vision with eye charts
  • Checks for astigmatism, focusing and eye alignment
  • Examines the health of your eyes
  • Screens for eye diseases
  • Detects signs of other health issues
  • Updates or prescribes glasses or contact lenses based on results

1 In-person vision screenings, like those offered in schools, are also not the same as a comprehensive eye exam. It’s important to understand the difference, especially for parents keeping an eye on their kids’ vision.

Final Verdict

Online vision tests and remote doctor exams can be convenient and helpful, especially for quick prescription checks or routine follow-ups. But they can’t replace a comprehensive, in-person eye exam, which is essential for checking your eye health and catching problems early. So, the next time you’re due for an eye check, think about what you need. Whether virtually or in person, the key is to stay on top of your eye health. That way you can see clearly and keep your vision in focus for years to come.

Sarah Sharits
Sarah is the Corporate Communications Manager with Delta Dental of Arizona. She earned a Bachelor of Arts in Integrative Studies from Arizona State University and a Master of Science in Management, with an emphasis in Marketing, from University of Maryland Global Campus. Known for talking about her dogs (Pepper & Miles) incessantly, Sarah also enjoys running, being an Auntie, and obsessively researching purchases before she makes them.