A healthy older adult male has just had a normal yearly physical. What advice should the practitioner give regarding eye examinations?

Encouraging a healthy older adult male to undergo a dilated funduscopic examination every 1-2 years aligns with best practices in preventive healthcare for this population. As individuals age, they become increasingly susceptible to eye conditions such as glaucoma, cataracts, and macular degeneration. A dilated funduscopic examination allows the healthcare provider to thoroughly inspect the retina and optic nerve for signs of these diseases, even in the absence of symptoms, necessitating regular monitoring.

Regular eye examinations are crucial, as some eye diseases can progress without noticeable symptoms until significant damage has occurred. Early detection through examinations can lead to timely interventions and treatment, potentially preventing vision loss. Given the risks associated with aging, the recommendation for a dilated examination every 1-2 years is a proactive approach that can help maintain eye health in older adults.

Choosing to delay examination or deeming it unnecessary does not consider the increased risk factors associated with aging and the critical role of early detection in preserving vision health. Additionally, while evaluating for presbyopia is important in older adults, it is just one aspect of a comprehensive eye examination, which is why the broader recommendation is preferred.