Eyecare Services

EYE EXAMS

At Kirkwood Eye Center, our doctors are committed to providing you with the most thorough, personalized eye exams possible. We do this by utilizing state-of-the-art equipment that ranges from obtaining the pressure in your eye with no more “PUFF” to 100% digital refractions, as well as utilization of the Optomap technology, which enables the doctors to view of your retina without dilation.

CONTACT LENSES

Kirkwood Eye Center will help you improve your self-esteem. One study shows that people who wear contact lenses tend to have a higher self-esteem than those who wear eyeglasses. Contact lenses have a positive benefits including promoting healthy eyes, improving convenience, improving peripheral vision, having home delivery options, helping children with myopia, helping astigmatisms, being disposable and comfortable to use, and more.

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EXAMINATIONS
At Kirkwood Eye Center, we strive to provide comprehensive, exceptional eye care for the whole family. The doctors at Kirkwood Eye Center recommend annual medical eye examinations to not only help you see as clearly as possible but, more importantly, to maintain the health of your eyes and your vision for years to come.

Some eye diseases cause symptoms that alert you that something is wrong— symptoms such as blurred vision, eye pain, red eyes, floaters, or flashing lights. Unfortunately, there are also serious, vision-threatening problems that have no warning signs. Proper eye care and medical evaluation of your eyes can help avoid preventable loss of vision in many of these cases. Because a thorough eye examination also allows your doctor to directly view your blood vessels (vessels may be seen in the retina as noted in the picture above), annual eye exams can also help detect diabetes, hypertension, and other important treatable medical conditions. Schedule your comprehensive eye exam now by calling (817) 416.2010 or by booking your exam online here.

EYE HEALTH CONSULTATION
During an eye exam at Kirkwood Eye Center, we will ask you questions about any symptoms you are experiencing, medications your are currently taking, any vision difficulties, your work environment, and your overall health. Family history and previous eye or vision conditions will also be discussed during this part of the examination. We will consider this information when determining any treatments or recommendations.

VISION TESTING
Regular vision testing and evaluations ensure that you always have the clearest vision possible. We measure how each eye is seeing by using state-of-the-art instruments. Depending on the results of your vision test, we may prescribe glasses or contact lenses. We are also happy to answer any questions you may have about procedures that correct vision without glasses such as LASIK or Ortho-K.

EYE FUNCTION TESTING
Healthy vision is much more than just seeing 20/20! In addition to testing vision, our eye health and vision examination includes the evaluation of your binocular vision function, or how your eyes work together as a team. We will perform screening tests to evaluate your depth perception, color vision, eye muscle function, and responsiveness to light. In the event one of the screening tests reveals a deficiency in any of these areas, more in-depth testing may be recommended.

EYE HEALTH
Perhaps the most important part of your evaluation will be the assessment of your eye health. At Kirkwood Eye Center, we pride ourselves on not only helping you see your best, but also protecting the future of your vision and offering the highest quality, patient-centered, medical eye care. For your comfort, and to provide you the best possible eye care, we have the most advanced equipment. Most of our patients are excited to know this means NO MORE AIR PUFF tests! We also have an optomap retinal screening that allows us to assess retinal health without dilation (in most cases). At the completion of your exam, your doctor will make sure to take time to summarize the exam findings, provide a treatment plan when needed, and answer your questions.

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Contact lenses are an excellent alternative to glasses and refractive surgery. Today’s advanced technology in contact lens materials allows millions of patients to wear contact lenses.

The Contact Lens Consultations at Kirkwood Eye Center involve a patient-centered discussion of both lifestyle and contact lens needs to determine your best corrective option. If you suffer from dry eye, allergies, or recurring eye infections, make sure to discuss these items with our staff and doctors so that we can establish the healthiest option for your contact lens wear. For all contact lens patients, we will assess the corneal health and rule out conditions that can complicate contact lens wear. New to contact lens wear? No problem, our staff will gladly walk you through the training for the care, application, and removal of contact lenses so that you are set up for success!

We offer a wide variety of contact lenses, such as soft contact lenses in daily, biweekly, or monthly replacement options for all types of refractive error including astigmatism and multifocal lenses! Further, our staff is experienced in fitting and managing patients with specialized contact lens needs, such as patients with previous difficulty with contact lenses, contact lens related dryness and ocular allergies. We also offer vision correction for more complex ocular conditions such as keratoconus, irregular corneas or corneal transplants with specialty fit scleral lenses. Whether your eyes and vision conditions are straight-forward or complex, our goal is to work with each patient to determine the best and healthiest contact lens for you!

BENEFITS OF CONTACTS

  1. Healthy eyes
  2. Convenient
  3. Improves peripheral vision
  4. Freedom from reading glasses for patients over 40
  5. Color lenses
  6. Myopia control for kidsv
  7. Home delivery
  8. Helps astigmatism patients
  9. Disposable

HEALTHY EYES
Single-use, daily disposable contact lenses provide the healthiest, most convenient contact-lens-wearing experience. The latest technology is the water gradient lens which is 6 times more breathable than other daily disposable soft contacts. Available for nearsighted and farsighted patients.

CONVENIENT
Wake up to clear vision with FDA-approved continuous-wear lenses. This technology minimizes lens deposits for healthy, comfortable lenses. Available for nearsighted and farsighted patients.

IMPROVES PERIPHERAL VISION
See more of the world around you by eliminating the frame and lenses of eyeglasses. By correcting vision directly at the cornea, many patients experience improved peripheral vision.

FREEDOM FROM READING GLASSES
Near-vision blur on our phones and computers can be frustrating. Bring your world back into focus with multifocal lenses. This advanced contact lens technology can reduce or eliminate the frustration of reading glasses. Ask about how we can help you eliminate the frustration of readers, even if you’re never worn contact lenses.

COLOR LENSES
Beautiful color enhancement lenses make your natural eye color more vibrant or even completely change your eye color just for fun. Subtle effects for enhancing your natural eye color can be achieved even when no prescription is needed. Vibrant effects for a dramatic color change are available with and without prescription.

MYOPIA CONTROL FOR KIDS
Myopia control is our focus for growing kids. We don’t want to see their prescription get higher each year. Many of our pediatric patients are on a program to control their myopia with specially designed lenses. The earlier we begin treatment, the

PEDIATRIC CARE

At Kirkwood Eye Center, our goal is to provide parents the support they need to maximize their child’s visual development. Eye exams for children are incredibly important, and we’re here to help you along the way! Routine exams allow us to catch vision problems early on, preventing possible vision loss in the future. Keep reading to learn about how we address pediatric care for all ages.

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Eyelash Growth

Kirkwood Eye Center isn’t just here to help you see better, we can help you look better too! We offer LATISSE, a prescription treatment that makes your eyelashes longer, thicker, and darker. It is believed to grow eyelashes in two ways: by increasing the length of the eyelash and increasing the number of lashes.

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DESIGNER EYEWEAR

At Kirkwood Eye Center we want you to look and feel your best which is why we carry a wide selection of luxury designer collections. We feature designers like, Sospriri, Nike, Chi State Optical Co., Maui Jim, Burberry, Ray-Ban, Michael Kohrs, Polo Ralph Lauren, Silhouette and more.

Stop in today to browse this season’s best collections from designers like:

Conditions We Treat

ORTHOKERATOLOGY (ORHTO-K)

Imagine getting better vision while you sleep. That’s the idea of Orthokeratology (Ortho-K for short). As an alternative to LASIK surgery, Ortho-K gently reshapes your cornea while you sleep so you can enjoy your active day without glasses, regular contacts, or the need for surgery.

EMERGENCY EYE CARE

At Kirkwood Eye Center we are here to help with ALL of your emergency eye needs. During normal business hours, we accept emergencies on a walk-in basis, or you can simply call our office and we can set you up with a same-day appointment. For your convenience, we are on call 24 hours, seven days per week to provide emergency eye care after hours.

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WHAT IS ORTHO-K?
Easy” is a great description of Ortho-K. Enjoy clear vision during the day without the hassle and inconvenience of glasses, soft contacts, or the risks of surgery. Ortho-K has been proven both safe and effective by the FDA and multiple studies. Stop worrying about whether your eyes or your child’s eyes will get worse and control their myopia. Ortho-K provides patients and parents with the results they want.

Myopia control, corneal reshaping, orthokeratology, Ortho-K, and corneal refractive therapy are all names for the same non-surgical treatment aimed at clear vision without glasses or daytime contacts while controlling myopic degeneration. Eye doctors have been prescribing Ortho-K for over four decades. Since 2005, patients have been able to choose FDA-approved accelerated-overnight orthokeratology to reach their vision goals. The lengthy FDA approval process ensures patients are receiving safe, effective treatment while minimizing health risks.

Teenagers and kids benefit from Ortho-K due to the easy treatment schedule. Parents oversee the whole process which is done at home. The treatment takes place during sleeping hours, so the reshaping lenses are applied just before bedtime. Upon waking, the reshaping lenses are removed and placed in a sterile storage case. Contrast the ease of Ortho-K with broken glasses and scratched or smudged lenses which are such a hassle.

THE SCIENCE BEHIND ORTHO-K
Vision is clear when light is focused accurately onto the retina. Blurry vision results when light is focused in front of or behind the retina by even a fraction of a millimeter. The cornea is flexible and responds quickly to the reshaping process, causing light to focus accurately onto the retina. The cornea can be changed by very small amounts resulting in dramatic improvements in vision. Ortho-K improves vision by accurately reshaping the cornea much like braces reposition the teeth. The clear front of the eye (the cornea) is comprised of layers. Over 90% of the thickness of the cornea is a tough, elastic tissue called the stroma. The surface covered in tears is called the epithelium, and is about 10% of the total thickness. Both of these tissue layers change during the Ortho-K treatment process overnight. Rapid improvements in vision can be achieved due to the eye’s elasticity. Our patients will typically see improvements in vision after the first night’s treatment, with continued improvement over the next two weeks. Once the vision is clear, the results are maintained by using retainer lenses (much like how teeth remain straight after wearing braces through continued use of a retainer).

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EMERGENCY EYE CARE
At Kirkwood Eye Center we are here to help with ALL your emergency eye needs. We encourage all our current and future patients to begin at our office for all emergency eye care as we are uniquely equipped as eye doctors to accurately and quickly diagnose, treat, and triage your condition. Baylor ER currently has no optometrist or ophthalmologist on call. If you begin there, you will typically be triaged to an optometrist/ophthalmologist group in Hurst. So, if you are in need of emergency eye care, why not start with the physicians who specialize in the eyes?

EMERGENCY EYE CARE INCLUDES:

  1. Sudden vision loss
  2. Sudden onset of double vision
  3. Flashing lights or floaters
  4. Trauma to the eye
  5. Eye pain
  6. Red eyes
  7. Foreign bodies to the eyes
  8. Ocular burns

Red Eyes
Red eyes are one of the more common emergencies we see on a daily basis and can have many different etiologies. A red eye due to herpetic infections is often misdiagnosed at most urgent care ER’s.

FOREIGN BODIES TO THE EYES
Another area our doctors are skilled in is the removal of ocular foreign bodies. It is important to flush your eye immediately should something blow up into your eye. Leaving bits of metal on the cornea can lead to rust forming around the object in the corneal tissue. If the metal sits in the cornea too long once before the object is removed, many times the doctor will have to debride or polish the ocular surface with a drill called an Alger Brush. The sooner we can remove the offending object, the less likely the doctors will have to perform this additional step.

COMPLICATIONS WITH CONTACTS
One of the more common conditions we note are complications associated with contact lens wearers. While sleeping in your contact lenses might be FDA-approved, it also can lead to many more complications with the eyes. One of the most serious of these is a corneal ulcer. In most cases, we can treat these with topical antibiotics and steroids you can get from your local pharmacy. The more advanced cases require fortified antibiotics specially made for the infection, and these can be costly and can only be done at a few select pharmacies in the area. As with everything else, the earlier we can catch and begin treatment on these conditions, the less likely they are to lead to long-term damage and scarring.

One of the most common causes of red eyes is a viral conjunctivitis. Our office uses a state-of-the-art test called AdenoPlus which quickly identifies in-office whether the infection is viral or bacterial in nature and helps us more accurately formulate a treatment for the condition. Remember we’re here to help and do not want you to needlessly suffer.

DIABETIC EYECARE

The eye is one place we see diabetes effecting the body and therefore necessitates a yearly thorough eye exam. In patients with diabetes, we see a weakening of the walls of the retinal blood vessels. At Kirkwood Eye Center we are committed to providing the most advanced equipment available in the industry which aide us in the ability to identify retinal changes.

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GLAUCOMA MANAGEMENT

The American Glaucoma Society states that there are at least 3 million Americans who suffer from glaucoma and it is the leading cause of worldwide preventable blindness. Kirkwood Eye Center has invested in the most advanced equipment available to accurately diagnose and manage this treatable disease.

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DRY EYE THERAPY

Dry eye is a condition in which a person doesn’t have enough tears to lubricate and nourish the front surface of the eye. Tears are necessary for maintaining the comfort and health of the ocular surface and for providing clear vision. Chronic dry eye is a common problem, particularly in older adults, and typically affects women more than men.

BLEPHARTIS MANAGEMENT

Blepharitis is one of the more common ocular disorders we see on a day-in-and-day-out basis at Kirkwood Eye Center. While we diagnose it daily, a majority of the time when we mention to a patient that they are suffering from this condition, they commonly tell us they have never heard that before. We have found it to be one of the most under-diagnosed ocular conditions.

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WHAT IS DRY EYE?
Dry eye is a condition in which a person doesn’t have enough tears to lubricate and nourish the front surface of the eye. Tears are necessary for maintaining the comfort and health of the ocular surface and for providing clear vision. Chronic dry eye is a common problem, particularly in older adults, and typically affects women more than men.

SYMPTOMS OF DRY EYE

  1. Burning, itching or irritation
  2. Redness
  3. Foreign body sensation / a feeling of grittiness
  4. Blurred vision or fluctuating vision
  5. Light sensitivity
  6. Reflex tearing / watery eyes
  7. Contact lens intolerance

QUANITITY OF TEARS
Tear production tends to decrease with age due to changes in the glands in the eyelids that are responsible for producing tears. Hormonal changes, medications, and certain medical conditions can also contribute to a decrease in tear production. Environmental conditions such as excessive computer use, dry air, and wind can cause increased evaporative rates of tears, resulting in decreased tear volume.

POOR QUALITY OF TEARS
Our tears are made up of three layers; oil, water, and mucin. These three layers must remain in proper balance for the tear film to remain stable and coat the surface of the eye. Some conditions, particularly ones that affect the meibomian glands (oil producing glands of the eyelids) like ocular rosacea, blepharitis, and demodex, will disrupt the biochemical balance of the tear film resulting in dry eye.EVALUATE PATIENT
In order to properly treat dry eye, we must first determine which type of dry eye each patient is experiencing. At Kirkwood Eye Center, we have the capability to evaluate the quality and quantity of one’s tear film which allows us to determine the best treatment plan for each individual case.

TREATMENT OF DRY EYES

ADDING TEARS
Mild cases of dry eyes can often be managed using artificial tears. We recommend Oasis Tears or Retaine Tears and have them available for purchase in the office of our patients’ convenience. Both are preservative-free and specially formulated to provide longer-lasting comfort than over-the-counter drops available in stores. People with dry eyes that don’t respond to artificial tears alone will need to take additional steps to treat their dry eyes.

CONSERVING TEARS
We can keep natural tears on the surface of the eyes longer by blocking the puncta (tear duct) through which the tears normally drain. A small silicone plug is inserted into the opening of the puncta and acts like a drain stopper in a sink. The goal is to keep the available tears in the eye longer and reduce the need for adding tears with drops.

INCREASING TEAR PRODUCTION
Restasis is the only prescription drop that has been shown to increase one’s own production of tears. We can work with you to determine if you are a candidate for treatment with Restasis. Taking an Omega-3 fatty acid nutritional supplement may also help.

TREATING EYELID
Please see further information about blepharitis and meibomian glad dysfunction.

AMNIOTIC MEMBRANE THERAPY
In severe cases of dry eye in which the cornea is becoming damaged or is not able to heal with the aforementioned therapies, we can use bandage lenses with amniotic membrane. These biologic tissues have natural therapeutic properties that help promote healing and new healthy cell growth in damaged tissue.

CONSERVING TEARS
We can keep natural tears on the surface of the eyes longer by blocking the puncta (tear duct) through which the tears normally drain. A small silicone plug is inserted into the opening of the puncta and acts like a drain stopper in a sink. The goal is to keep the available tears in the eye lon.

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WHAT IS BLEPHARITIS?
Blepharitis is one of the more common ocular disorders we see on a day-in-and-day-out basis at Kirkwood Eye Center. While we diagnose it daily, a majority of the time when we mention to a patient that they are suffering from this condition, they commonly tell us they have never heard that before. We have found it to be one of the most under-diagnosed ocular conditions.

Blepharitis are tiny collarettes of bacterial excretion (staphylococcus) that sit on the eyelid margin. Left untreated, this can progress and lead to chalazions (styes), corneal ulcers, and meibomian gland atrophy and lid loss. It is also a culprit in many cases of chronic red eyes and dry eye patients.

BLEPHEX PROCEDURE
The Blephex procedure is performed by one of our trained technicians and is a painless process which usually takes about 5-10 minutes to perform for each eye. We use a scale to grade the extent of the blepharitis and demodex. This ranges from a trace amount to a substantial amount (or a grade 4). Once the patient progresses to the point past what we would consider a grade 1 (mild amount), we begin to recommend blephex treatments on a 6-month basis. For patients suffering from trace or grade 1 levels, pharmaceutical management is typically effective.

DEMODEX & BLEPHARITIS
Demodex is another lid disorder which appears similar in nature to blepharitis. It is due to the demodex mite and also leads to collarettes along the eyelid margin. Treatments for demodex vary, but typically we use products which have a component that utilizes tea tree oil. Wiping the treatment on and allowing it to air-dry on the surface of the eyelids does a wonderful job for keeping the mite under control and maintaining a clean eyelid surface. Some studies have shown nearly a 100% prevalence rate of this mite and collarettes in patients above the age of 80. As the above video references, the Blephex device does an absolutely fantastic job of cleaning the biofilm from the ocular surface as well as aiding in the killing of the demodex mite.

The good news for both blepharitis and demodex is that there have been significant advancements in the past few years which have aided us in the diagnosis, treatment, and management of these conditions. These range from topical antibiotics, oral antibiotics, lid scrubs such as Avenova and Cliradex as well as topical anti-inflammatory drops, and, most importantly, the Blephex device. The Blephex is similar to having your teeth cleaned and performing this procedure every six months does a great job of helping to maintain the integrity of the lid environment.

Blepharitis collarettes tend to be quite small and are often very difficult for patients to see without magnification. If you are concerned for yourself, or if you believe a loved one may be suffering from this manageable condition, please set up an appointment to be seen by one of our doctors.

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