For many Australians, regular eye exams are just another part of life. But for neurodivergent individuals, a routine trip to the optometrist can come with unexpected challenges.
Eliza*, a late-diagnosed autistic** and ADHD (AuDHD) adult, has been wearing glasses for 25 years and understands firsthand how optometry clinics can better accommodate autistic patients.
The challenges: sensory overload & unnecessary stress
While Eliza finds standard eye exams manageable, certain aspects of the experience are uncomfortable. The “puff of air” glaucoma test and bright lights can be overwhelming, and while she appreciates the pre-warning, she suggests optometry clinics offer more upfront information—ideally during the online booking process—to help autistic patients prepare.
Beyond the exam itself, getting to and from the optometrist can be just as stressful. Shopping centres, with their noise, crowds and bright lights, are major sensory triggers.
“The trip through the shopping centre into the optometrist is challenging for me. It raises my stress levels and affects my ability to process simple things, like finding my way from the parking lot.”
Then there’s the post-exam sales process; Eliza finds the sales pressure after an exam stressful.
“I’d love to be left to my own devices and only helped when I approach staff. It would give me time to adjust to the new environment and process my frame choices.”
What works: calm environments & clear communication
Despite these challenges, Eliza has had positive experiences too. The optometrist she visits has a low-lit, quiet consultation room, which makes a world of difference.
“Once I’m in the consultation room, there’s little to no outside noise, which helps me focus on what’s being said.”
Another game-changer? Online booking systems with calendar reminders and SMS notifications.
“These features help me remember my appointment and make cancellations easier if I need to reschedule.”
When it comes to communication, Eliza prefers a mix of verbal explanations and follow-up emails.
“I like having the information spoken to me during the appointment but also emailed afterward so I can process it in my own time.”
How optometrists can improve accessibility
Eliza believes optometry clinics can take simple steps to make their services more autistic-friendly, including:
- Offering low-sensory appointment times with reduced lighting, minimal background noise, and fragrance-free environments.
- Providing upfront information about the eye exam process, including optional tests, so patients can prepare.
- Asking about sensory and communication preferences at booking and ensuring that information reaches the practitioner.
- Making test results easily accessible so patients can buy glasses from their preferred supplier without extra hassle.
- Reducing unnecessary interactions, such as sales pitches, to allow autistic patients time to adjust post-exam.
Advice for autistic patients navigating eye care
Eliza encourages other autistic individuals to advocate for themselves when it comes to eye care.
“Don’t worry about seeming ‘annoying’ or ‘weird.’ If you have specific needs, call or email the practice ahead of time.”
She also suggests bringing a support person, especially for first-time visits, to help manage unexpected stressors.
Looking ahead: a more inclusive approach to eye care
While awareness of neurodiversity in healthcare is growing, there’s still work to be done.
Eliza hopes to see optometry clinics take a more inclusive approach, treating autistic patients with respect and autonomy.
“Many autistics have medical trauma from not being listened to. Feeling respected and heard is at the core of accessibility.”
*Name has been changed for privacy purposes.
**Amplifying autistic voices is crucial because it ensures that conversations about neurodivergence are led by those with lived experience.
Too often, discussions about autism are dominated by non-Autistic perspectives, which can overlook or misunderstand the real needs and strengths of the community.
Listening to and elevating autistic voices not only helps break down stereotypes but also drives meaningful change in policies, practices and perceptions.
It’s about shifting from a “for them, without them” mindset to a collaborative, inclusive approach that respects neurodivergent experiences.
