For my eye doc appointment here, they did all the vision checks, plus that thing where they blow air into your eye. They didn't do the dilation drops, but as my ocular pressure was reading a little high on the blow-air thingie - my eye doc has a specialist camera that takes a picture of the back of your eye & and the optic nerve, etc. So I opted for having that done - it was an extra fee (not outrageous though). I don't remember how much the exam cost in itself because I paid for it & my new glasses all together (and my new glasses cost the bomb - extra thin compressed lenses, designer frames, varifocals - so the cost of the eye exam paled far by comparison). If you have to get glasses, I'd say wait & get them in the US if you need something beyond basic glasses - they are just so freaking expensive here! A year of my contact lenses, however, were half the price of my glasses!