
Eye Test vs Comprehensive Eye Exam – Why You Should Know the Difference
Most people assume an eye test and a comprehensive eye exam mean the same thing—but they don’t.
In fact, understanding the difference between an eye test vs comprehensive eye exam could be the reason you catch a serious eye condition early—or miss it entirely.
Whether you’re checking your sight for glasses, renewing your driver’s license, or ensuring your eyes are healthy overall, here’s what you need to know.
When Mrs. Adebayo came to Soteria Eye Clinic thinking she just needed new reading glasses, she had no idea that our comprehensive examination would reveal early signs of diabetic retinopathy. The quick eye test she’d gotten at a pharmacy in Victoria Island the month before had completely missed it.
Her story illustrates why understanding the difference between an “eye test” and a “comprehensive eye exam” is crucial for every Nigerian. With diabetes rates rising across Nigeria, many people are unknowingly at risk for sight-threatening conditions that only a thorough examination can detect.

What Actually Happens During a Basic Eye Test
Walk into most optical shops around Lagos—whether in Ikeja, Lekki, or Victoria Island—and you’ll typically receive what’s called a basic eye test. These quick screenings focus on one primary question: can you see clearly enough to read or drive?
The process usually involves reading letters from the familiar Snellen chart, checking if you need glasses or contacts, and occasionally testing eye pressure with that uncomfortable puff of air machine.
What this tells you:
- Whether you’re short-sighted, long-sighted, or have astigmatism
- If you need corrective lenses
- Your basic visual sharpness
What it doesn’t reveal:
- Early signs of glaucoma (particularly common in people of African descent)
- Diabetic eye complications
- High blood pressure effects on your retina
- Other serious conditions that could lead to blindness
Think of it like checking your car’s fuel gauge versus getting a full mechanical inspection at your mechanic in Ladipo. Both serve a purpose, but only one can catch problems before they become costly disasters.

Why a Comprehensive Eye Exam Goes Beyond Vision
At Soteria Eye Clinic, our comprehensive eye examinations are designed like detective work for your eyes. We’re not just checking if you can see clearly—we’re investigating whether your eyes are truly healthy.
During a comprehensive exam, we dilate your pupils (temporarily blurring your vision but allowing us to see deep into your eyes), measure the pressure inside your eyes using advanced tonometry, and use specialized equipment to photograph your retina. This is particularly important for Nigerians, as research shows that people of African descent have higher rates of glaucoma and may develop it at younger ages.
Our complete examination process includes:
- Everything from a basic eye test, plus…
- Dilated pupil examination to view the retina and optic nerve
- Advanced glaucoma screening (crucial given the higher prevalence in our population)
- Assessment of eye muscle coordination and peripheral vision
- Digital retinal imaging to document and monitor changes over time
- Evaluation for diabetic retinopathy and hypertensive retinopathy
- Personalized health counseling based on your specific risk factors
Real-world impact:
- Early detection of conditions that could cause blindness
- Monitoring of diabetes and hypertension effects on your eyes
- Treatment plans that go beyond just prescriptions
- Prevention strategies tailored to your lifestyle and health history

When Each Type of Exam Makes Sense
Choose a basic eye test when:
- You simply need updated glasses or contacts
- You’re young, healthy, and have no family history of eye disease
- You’ve had a comprehensive exam at Soteria recently and just need a prescription update
- You’re looking for a quick vision check before renewing your driver’s license
Choose a comprehensive eye exam when:
- You’re over 35 (when age-related eye diseases become more common, especially in our population)
- You have diabetes, high blood pressure, or other health conditions
- There’s a family history of glaucoma, cataracts, or other eye diseases
- You’re experiencing symptoms like flashing lights, sudden vision changes, or eye pain
- It’s been more than 18 months since your last comprehensive exam
- You work long hours on computers (common in tech and financial sectors)

The True Cost of Cutting Corners
Many Lagos residents choose basic eye tests because they seem more affordable—typically costing ₦15,000-30,000 compared to ₦50,000-100,000 for comprehensive exams. However, this cost difference can be misleading when you consider the long-term implications.
Consider this reality: treating glaucoma caught early might cost ₦75,000-150,000 annually in medications. But if glaucoma progresses undetected, you could face hundreds of thousands in surgical costs—not to mention irreversible vision loss that no amount of money can restore.
At Soteria Eye Clinic, we work with various HMOs and insurance providers to make comprehensive eye care accessible. Many health insurance plans available in Lagos now cover annual eye examinations, making the cost difference less significant than it initially appears.
Making the Right Choice for Your Eyes
Both types of exams serve important purposes in maintaining your eye health. A basic eye test works perfectly for updating your prescription when you know your eyes are healthy. But if you’re relying solely on these quick screenings, you’re taking a significant risk with your vision.
Our recommendation at Soteria Eye Clinic? Establish a baseline with a comprehensive eye exam, then use basic eye tests for prescription updates in between your annual check-ups. Think of it like your annual medical check-up versus checking your blood pressure at the pharmacy.
Your eyes deserve the same level of attention you give to the rest of your health. After all, vision loss is often irreversible—making prevention not just the best medicine, but the only medicine that truly works.
Ready to prioritize your eye health? Book a comprehensive eye examination at Soteria Eye Clinic today. Our experienced optometrists understand the unique eye health challenges and are equipped with the latest technology to protect your vision for years to come.
Call us at 08063363506 or visit us any of our branch, to schedule your comprehensive eye exam. Your future self will thank you for catching potential problems while they’re still treatable.