No Ordinary Eye Exam!
Many eye diseases have no early symptoms, so it’s important to have regular eye examinations whether or not you wear eyeglasses, and even if your vision is clear.

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Medical Eye Examinations
A medical eye examination includes a number of tests and procedures to evaluate the health of your eyes. These tests range from simple ones, like having you read an eye chart, to complex tests, such as using high-powered lenses to examine the inside of your eyes. A complete evaluation is called a comprehensive medical eye examination and includes the following services.

Patient History
Common sense, medicolegal requirements, and insurance company regulations demand a reasonably thorough patient history when the patient begins the examination process.

The level of patient history that is documented is dependent on the clinical judgment of the doctor and the nature of the presenting problem.

General Medical Observation
This is the act of watching the patient carefully and attentively. This service component provides the doctor with a method to identify the presence of ocular or systemic conditions that may exist without symptoms.

Gross Visual Fields
Abnormal visual fields are a clinical sign of eye disease. Our office uses automated and manual examination techniques to evaluate your visual field.

Basic Sensorimotor Evaluation
To have the best vision, it is important for the eyes to work together as a team. We evaluate your sensorimotor system by measuring ocular alignment, extraocular muscle function and your eye’s focusing ability.

When medically necessary, a more comprehensive evalution of the sensorimotor system may be ordered to include tests of sensory function, sensory adaptation, and multiple measurements of ocular alignment.

External Ocular Examination with Biomicroscopy
The biomicroscope is an instrument that produces a magnified view of the of the structures of the eye. The clinical information gained by performing a biomicroscopic examination is used to evaluate the eyes for signs of eye disease.

Tonometry is the name for a variety of tests that measure the intraocular pressure of the eye. Abnormal intraocular pressures are associated with several types of eye diseases and obtaining these measurements is a part of every comprehensive medical eye examination.

A common method used for tonometry is a non-contact procedure the uses a soft puff of air to measure intraocular pressure. Based on your eye’s resistance to the puff of air, the instrument calculates the pressure inside your eye.

Another popular way to measure intraocular pressure is with an instrument called a contact tonometer. Because they touch the front surface of the eye, contact tonometers can sometimes be more accurate than non-contact methods of tonometry.

Modern technology like this I-Care tonometer are gentle enough to obtain a contact measurement without using anesthetic eyedrops.

Since glaucoma and other eye diseases are often associatd with increased intraocular pressure, accurate intraocular pressure measurements are required to make sure your eyes are really healthy.

Prescribe a Treatment Program
Your treatment plan should parallel the primary diagnosis. In other words, you should get treament for the problems you complained about.

These are the service components of a comprehensive medical eye examination at Total Eyecare. Depending on your particular needs, your doctor may perform additional diagnostic tests on the day of your examination or schedule you for future follow-up examinations.


According to the American Optometric Association, infants should have their first eye examination at 6 months of age. Children then should receive additional eye exams at 3 years of age, and just before they enter kindergarten or the first grade at about age 5 or 6.

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For school-aged children who have good vision, an eye examination every two years is recommended. Children who wear eyeglasses or contact lenses should be examined annually or according to their eye doctor’s recommendations.

Early eye exams also are important because children need the following basic visual skills for learning:

  • Near vision
  • Distance vision
  • Eye teaming (binocularity) skills
  • Eye movement skills
  • Focusing skills
  • Peripheral awareness
  • Eye/hand coordination
  • Because of the importance of good vision for learning, some states require an eye exam for all children entering school for the first time.

Eye examinations for infants
It takes some time for a baby’s vision skills to develop. To assess whether your infant’s eyes are developing normally, your eye doctor may use one or more of the following tests:

Eye examinations for pre-school children
Pre-school children can have their eyes thoroughly tested even if they don’t yet know the alphabet or are too young or too shy to answer the doctor’s questions. Some common eye tests used specifically for young children include:

Eye health and vision problems that affect children
Besides looking for nearsightedness, farsightedness and astigmatism (refractive errors), your eye doctor will be examining your child’s eyes for signs of these eye and vision problems commonly found in young children:

  • Amblyopia. Also commonly called “lazy eye,” this is decreased vision in one or both eyes despite the absence of any eye health problem or damage. Common causes of amblyopia include strabismus (see below) and a significant difference in the refractive errors of the two eyes. Treatment of amblyopia may include patching the dominant eye to strengthen the weaker eye.
  • Strabismus. This is misalignment of the eyes, often caused by a congenital defect in the positioning or strength of muscles that are attached to the eye and which control eye positioning and movement. Left untreated, strabismus can cause amblyopia in the misaligned eye. Depending on its cause and severity, surgery may be required to treat strabismus.
  • Convergence insufficiency. This is the inability to keep the eye comfortably aligned for reading and other near tasks. Convergence insufficiency can often be successfully treated with vision therapy, a specific program of eye exercises.
  • Focusing problems. Children with focusing problems (also called accommodation problems) may have trouble changing focus from distance to near and back again (accommodative infacility) or have problems maintaining adequate focus for reading (accommodative insufficiency). These problems often can be successfully treated with vision therapy.
  • Eye teaming problems. Many eye teaming (binocularity) problems are more subtle than strabismus. Deficiencies in eye teaming skills can cause problems with depth perception and coordination.

Vision and learning
Experts say that 80% of what your child learns in school is presented visually. Undetected vision problems can put them at a significant disadvantage. Be sure to schedule an eye examination for your child prior to the start of


Our opticians make sure that your child selects a comfortable, secure frame that will suit whatever needs he or she has. Our goal is that your child be involved in the frame selection process and that he or she leaves happy with their choice.

Best Value in Eyeglasses

  • Great lenses – polycarbonate available for maximum safety
  • Great frames – spring hinges for maximum durability
  • Great selection – popular name brands
  • Great warranty – one year on frame defects and lens scratches


We have an extensive selection of eyewear including the latest styles in designer sunglasses and prescription eyeglasses. Here are just some of the lines we offer: Christian Dior, Coach, Etnia Q Barcelona, FENDI, IZOD, Jimmy Choo, Kate Spade, Maui Jim, Nike Vision, Oakley, Ray Ban, Silhouette, Spy, Tiffany&Co., Tom Ford, Vera Bradley and more!


Our doctors are dedicated to finding the right contact lens for your eyes. Including offering a special contact lens examination.

Our doctors prescribe all types of contact lenses

  • Daily wear lenses
  • Daily disposable lenses
  • Extended wear lenses
  • Astigmatism-correcting lenses
  • Cosmetic tinted lenses
  • Cosmetic masking lenses
  • Bifocal lenses
  • Keratoconus lenses
  • Scleral lenses
  • Hybrid lenses
  • Gas permeable lenses

We also offer contact lens for Kids!

Click below to learn more about how we can help you find the best fit.

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We Also Offer:


Our in-office surgical services include the following:

  • Corneal foreign body removal
  • Conjunctival foreign body removal
  • Eyelash epilation
  • Punctual dilation
  • Canalicular probing
  • Lacrimal duct closure
  • Removal of foreign body from the lacrimal passages
Foreign Body Removal
We provide same-day emergency treatment for foreign bodies. The removal of superficial or embedded foreign bodies may be necessary in the following circumstances

  • Superficial injury of the cornea
  • Foreign body in the cornea
  • Other injuries of the eye
  • Foreign body in other sites on external eye

The cornea was inspected microscopically and the corneal foreign body removed

Laser Vision Correction

LASIK is a surgical procedure intended to reduce a person’s dependency on glasses or contact lenses. The goal of the FDA Web site is to provide objective information to the public about LASIK surgery.

Dilation of the Lacrimal Punctum
Punctal dilation is an effective treatment for several types of ocular infection and excessive watering. Dilation of the lacrimal punctum is a useful treatment when mechanical, inflammatory, or infectious processes cause or contribute to obstruction of normal tear drainage resulting in excessive tearing or persistent ocular infection.

Important functions of punctal dilation include

  • Alleviate symptoms of excessive tearing
  • Reduce likelihood of damage or infection to the nasolacrimal drainage system

Closed lacrimal punctum being dilated with a lacrimal probe

Closure of the Lacrimal Punctum
Closure of the lacrimal punctum also known as punctal occlusion is indicated in the treatment of various forms of ocular surface disease The goal of the procedure is to occlude the nasolacrimal drainage system with a lacrimal duct implant in order to decrease the outflow of tears from the surface of the eye.

Clinical Indications

  • Dry eye syndrome
  • Keratitis
  • Sjogren’s syndrome
  • Recurrent erosion of the cornea

Lacrimal duct implant being placed into the lower punctum


We offer a variety of diagnostic tests to rule out common eye issues. Our services range from Corneal Totpogrphy to Reinal Scanning, Optos Retinal Exam and more!

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Eye Diseases

Total Eyecare and Eyewear Gallery can diagnosis and treats a variety of eye diseases including cataracts, allergies, conjunctivitis and more. To see all of our treatments click below.

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Each practice in the EyeCare Specialties network is focused on the eyes of North Texas. Our family of practices have been caring for North Texas' communities for decades. Learn More.