Should You Squint During an Eye Exam?

When sitting in the eye doctor’s chair, looking through the phoropter, you are participating in a refraction test that determines your precise lens prescription. When the letters blur, the instinctive reaction is often to narrow your eyes, hoping to sharpen the image. While squinting offers a fleeting moment of clarity, it interferes directly with the goal of the exam: measuring your eye’s natural, unassisted focusing power. Understanding why this happens and how to avoid it is important for ensuring the accuracy of your new glasses or contact lenses.

Why Squinting Offers Temporary Clarity

The temporary improvement in vision when you squint is due to a phenomenon called the pinhole effect. This action involves partially closing your eyelids, which significantly narrows the aperture through which light enters the eye. By reducing the size of this opening, you effectively block the peripheral light rays that are not properly focused by the cornea and lens.

These blocked rays cause optical aberrations, contributing to blurry vision. Only the more focused, central light rays reach the retina, creating a sharper image. This process is similar to how a camera lens with a small aperture increases the depth of field. While the pinhole effect confirms a refractive error, it provides an artificially enhanced view.

The Impact of Squinting on Your Prescription

Squinting is counterproductive because it prevents the optometrist from measuring your eye’s true, relaxed state. Eyelid pressure can subtly alter the shape of the cornea and lens, momentarily changing the eye’s natural optics. This physical change, combined with the pinhole effect, makes the letters appear clearer without the full required lens correction.

Relying on feedback from this artificially clear view can lead to an over-correction in your prescription. The measurement may be based on visual acuity achieved through muscular effort rather than a resting state. This frequently results in a prescription that is too strong, often called “over-minusing.” An overly strong prescription can cause symptoms like eye strain, headaches, and general discomfort when wearing the new lenses.

How to Ensure the Most Accurate Vision Test

To achieve the best prescription, keep your eyes wide open and your facial muscles relaxed throughout the test. When the doctor asks, “Which is better, one or two?” actively resist the urge to strain or squint to find a difference. The goal is not to force the highest level of clarity but to find the point of first clear vision with the least amount of lens power.

Clear and honest communication with the eye care professional is important. If the lenses shown appear exactly the same, or if you cannot distinguish a difference, you must tell the doctor. Guessing or straining to choose a slightly sharper image can introduce errors into the final measurement. Maintaining a relaxed gaze allows the doctor to accurately determine the specific lens power needed to correct your refractive error.