1) Urgent Care is not the best place to visit for eye emergencies. Over 50% of the time I see emergency patients, the diagnosis/treatment plan by urgent care was incorrect; sometimes even large foreign bodies or ulcers have been missed.
2) The retina is the only place in the body where blood vessels can be easily viewed. Often retinal photos will show the first signs of diabetes, high blood pressure, HIV, brain tumors, and certain cancers.
3) A child's first full eye exam with an EYE DOCTOR is recommended before age 3. The visual system is mostly developed by ~age 7 so if there is a glasses Rx in just one eye (for example) and this isn't caught until age 7, it's actually a bit late. That eye will likely never learn to see well.
This is a retinal vein occlusion, seen in someone who likely has uncontrolled High Cholesterol, HTN, Diabetes (or perhaps something more rare) and is at a higher risk for a stroke or heart attack. This person may likely have no visual symptoms whatsoever and still see 20/20.