Eye Care Services

Dr. Palys and Associates offers a number of cutting-edge vision care services and products at our optometrist office in San Antonio.

To learn more about the specific products we offer and conditions we treat, please select one of the subcategories below and request an appointment with your eye care provider.

COMPREHENSIVE EYE EXAMS

It’s about more than just blurry vision. Eye exams are vital to your overall health.

In addition to assessing your visual acuity, your eye care provider will test for common eye diseases, assess how your eyes are functioning together, and more.

Serious health issues like diabetes and high blood pressure are often first detected during an eye exam.

Don’t put it off — schedule your comprehensive eye exam at Dr. Palys and Associates today.

CONTACT LENSES

Find the right fit for your eyes at Dr. Palys and Associates.

Do you need vision correction but don’t want to wear eyeglasses full time? Contact lenses are a great option for almost anyone.

We offer a wide selection at our San Antonio office, and our experienced team of eye care professionals can help you find the right contacts for you.

Call or click to schedule your appointment.

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What does a comprehensive eye exam include?

Your optometrist will determine what tests are needed based on your medical history.

However, most comprehensive eye exams include the following:

  • Visual acuity to test the sharpness of your vision, usually with an eye chart
  • Visual fields test to check for blind spots in your vision
  • Retinoscopy to estimate your eyeglass prescription
  • Refraction to determine your exact eyeglass prescription
  • Slit lamp to check for common eye diseases and conditions
  • Retinal photo screenings to test for diabetic retinopathy
  • Tonometry to test for glaucoma
  • Ophthalmoscopy to examine the optic nerve, retina, and blood vessels

How often should I get a comprehensive eye exam?

Most eye care professionals recommend yearly eye exams. But it depends on your age, risk factors, and whether you wear corrective lenses.

The American Optometric Association (AOA) recommends children have their eyes examined at 6 months old, three years old, at the start of school, and every two years until age 18.

For adults, the AOA recommends a comprehensive eye exam every two years for ages 18 to 60 at minimum and annual exams for seniors age 61 and older.

What about contact lens exams?

A comprehensive eye exam typically does not include a contact lens fitting. So, you may need to schedule a separate contact lens exam.

Just let us know when you schedule your appointment, and we’ll make sure you are taken care of.

Make healthy vision a priority in your life and in the lives of the ones you love. Schedule a comprehensive eye exam at Dr. Palys and Associates now.

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What are my options?

There are many contact lens options available. Your eye care provider will take your lifestyle and vision correction needs into consideration when helping you select the right lenses for your eyes.

Here are some of the most common contact lens types:

Hard contact lenses – Hard contact lenses are rigid gas permeable. This means that they are porous enough to allow oxygen to enter through to the cornea. Hard contact lenses keep their shape on the eye. As such, they are sometimes recommended to curb the progression of nearsightedness in younger wearers.

Soft contact lenses – Soft contact lenses are popular because they are very comfortable for the wearer. Soft contact lenses don’t “pop out” the way hard lenses occasionally might. Soft lenses are appropriate to correct near and farsightedness and astigmatism.

Disposable soft contact lenses – Intended to be worn for a short time, to help prevent allergic reactions or bacterial infections in sensitive wearers. Disposable lenses are also appropriate for children who might not take excellent care when cleaning their lenses.

Extended wear contact lenses – Extended wear contact lenses are designed to be worn constantly for long periods of time – up to a week. They do need to be deep cleaned weekly, however. Unlike all other lenses, extended wear contacts can be worn while sleeping. The lens type allows sufficient oxygen to reach the eye for health.

Daily wear contact lenses – Most contact lenses are daily wear. That is they are worn all day and then removed at night for cleaning. These lenses generally last until their give expiration date, at which point they must be discarded and replaced because the lens material begins to break down.

Colored contact lenses – These are worn to enhance or completely change the visual color of the iris. They are still prescription contact lenses, however, and need to be treated with the same care you would give to regular lenses. Many — but not all — brands of contact lens companies offer colored lens options.

Need a prescription?
We do that too! Dr. Palys and Associates offers comprehensive eye exams at our San Antonio office. In addition to assessing your visual acuity, your eye care provider will examine your eye health and function.

Schedule a contact lens exam at Dr. Palys and Associates now.

PEDIATRIC EYE CARE

Support your child’s highest potential.

Healthy vision is one of the most important components of your child’s wellness.

Vision develops rapidly starting at birth and is tied to many developmental milestones, such as hand-eye coordination and reading. In the long term, your child’s vision will impact how they learn, play, and interact with the world.

While there may be some obvious signs of visual disorders, many vision problems can only be detected by a qualified eye doctor during a comprehensive eye exam.

Schedule an appointment at Dr. Palys and Associates and give your child the gift of clear vision.

EMERGENCY EYE EXAMS

In an emergency, every second counts. Dr. Palys and Associates is here to help.

If you need emergency eye care or know someone who does, call now for immediate assistance.

Is it an emergency?

If you think you have an emergency, it is best to trust your instinct and get immediate help.

Here are some common situations that should be considered urgent:

  • Eye infections
  • Foreign objects in the eye, such as small shards of glass or metal
  • Cuts or punctures of the eye or eyelid
  • Chemical exposure causing pain or vision problems
  • Sudden vision loss or change in your vision
  • Scratches caused by foreign objects
  • Sudden onset of floaters or flashes of light
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Is your child having trouble seeing? It is not always easy to spot vision problems in kids.

Some symptoms are more obvious, like squinting or holding reading materials very close. But often the early signs are subtle and can even be misdiagnosed.

Your child may be experiencing a vision problem if he or she does any of the following:

  • Avoids reading and close-up work like coloring or doing puzzles
  • Seems to work slow or not understand the task
  • Complains of fatigue or headaches
  • Has a short attention span or seems distracted
  • Covers one eye or tilts head when focusing on something
  • Shows sensitivity to light
  • Exhibits difficulty with coordination
  • Common eye disorders in children
  • Vision can be affected by many things, including the shape of the eyeball, how the eyes and brain work together, and by other diseases or medical conditions. The good news is that many eye disorders can be successfully identified and treated.

The most common eye disorders are caused by the shape and alignment of the eyes, including:

Strabismus is when the eyes do not align properly. This is often referred to as “crossed eyes.”

Amblyopia is poor vision in one eye and is sometimes referred to as “lazy eye.” It usually occurs before the age of eight. Infants born prematurely or with low birth weight are at greater risk.

Refractive errors cause blurry images due to the shape of the eyeball or lens. These common conditions are easily treated with glasses or contact lenses. There are three types of refractive errors:

  • Myopia or nearsightedness is good close vision but poor distance vision.
  • Hyperopia or farsightedness is poor up-close vision. Distant objects can easily be seen.
  • Astigmatism is imperfect vision at any distance.
  • Eye exam schedule for kids
  • Routine eye exams are a crucial part of your child’s wellbeing and readiness for learning. Many parents do not know that school screenings are not the same as eye exams. Even with 20/20 vision, your child can still have problems that only an eye doctor can detect.

Newborns have their eyes checked before leaving the hospital. And leading medical organizations recommend comprehensive eye exams for health, vision development, and alignment at these ages:

  • Between 6 and 12 months
  • 3 years of age
  • Every other year throughout the school years
  • Support your child’s highest potential — schedule an appointment at Dr. Palys and Associates today.
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Can I do basic first aid at home?

In an emergency, there is no substitution for experienced medical care. But here are a few guidelines you can follow in specific emergencies:

  • If you have chemicals in your eyes, flush your eyes with water for 15 minutes and don’t cover the affected eye.
  • If there is a foreign body in the eye, avoid rubbing and try to gently rinse away the debris.
  • If you have sustained a major blow to your eye, use a cold compress to prevent swelling.
  • If your eye or eyelid has been punctured, try to cover the eye. For instance, if you have an elongated object stuck in your eye, use the bottom of a foam cup to stabilize the puncturing object. Do not rinse.
  • The best way to protect yourself from eye emergencies is to educate yourself about the risks and act accordingly.

Make sure you wear protective goggles in situations where your eyes are at risk. Keep a first aid kit that includes a rigid eye shield, eyewash, and sterile gauze in any area where your eye could be exposed to damage.

Acting quickly during an emergency eye situation is critical. If you need emergency help, call Dr. Palys and Associates for immediate assistance.

DESIGNER FRAMES & PRECISION LENSES

Find your perfect match at Dr. Palys and Associates.

The right eyewear balances form and function. You want to look great, feel great, and see clearly in every condition. Dr. Palys and Associates can help you find your match.

Our optical studio features a curated collection of designer frames and precision lenses. Your eyes deserve the best, and our experienced team can help you find it.

Call or click to schedule your appointment

Conditions We Treat

ORTHOKERATOLOGY (ORHTO-K)

Clear vision without surgery, glasses, or daytime contacts.
What if you could correct your eyesight and reduce your dependence on corrective lenses, all while you sleep?

It may sound impossible. But for many, it’s a reality with orthokeratology (ortho-k).

Interested? Schedule an appointment with your eye care provider to learn more.

EYE DISEASE DIAGNOSIS & TREATMENT

Help for glaucoma, cataracts, diabetic retinopathy, and more.
The surprising truth about eye disease is that there are often no symptoms early on.

Only your eye doctor can detect eye diseases at an early stage when there is a better chance to develop an effective disease management plan.

Don’t delay — early detection is key. Schedule an appointment at Dr. Palys and Associates today.

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What is orthokeratology?
Ortho-k uses specially designed, gas permeable contact lenses to temporarily reshape your cornea while you sleep.

The result is clear vision when you wake up and remove the lenses the following day. And that effect should last throughout the day.

The change in the shape of the cornea, as well as the vision correction you experience, will revert when you stop using the lenses.

What visual problems can ortho-k correct?
Ortho-K is most commonly used to temporarily correct myopia (nearsightedness).

In some cases, it can be used to correct lesser degrees of astigmatism and farsightedness.
To find out if ortho-k is right for you, get in touch with your eye care provider.

Am I a good candidate for ortho-k?
Only your eye care provider can answer that question.
However, most people with mild to moderate myopia are good candidates.

The treatment is highly preferred for people who have issues wearing eyeglasses or contact lenses.

Want to learn more about your options? Schedule an appointment at Dr. Palys and Associates to see if orthokeratology is right for you.

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What are the most common ocular diseases?
There is a large range of eye diseases and conditions. But the most common include glaucoma, cataracts, and diabetic retinopathy.

Glaucoma
Glaucoma is an eye disease resulting in increased pressure inside the eye. This increased pressure can lead to vision loss and impairment.

While glaucoma is considered a progressive eye disease, there are treatments that can slow the progression of the disease.

Cataracts
A cataract is a clouding of the eye’s internal lens structures. The cataract blocks light, making it difficult to see, and can get worse over time.

In the early stages, you may be able to improve your vision with corrective lenses. When your vision is seriously impaired, you may need to consider surgery.

Diabetic Retinopathy
Diabetes affects all of your bodily systems and organs and including your eyes.

Diabetic retinopathy is the most common type of diabetic eye disease. With diabetic retinopathy, the blood vessels in the retina do not sense light as they normally would because they are constricted or damaged.

People who have diabetes are also more prone to cataracts and glaucoma.

Only your optometrist can detect eye diseases at an early stage when there is a better chance to develop an effective disease management plan. Schedule an appointment at Dr. Palys and Associates today.

DRY EYE TREATMENT

Find relief from dry, itchy, irritated eyes.
Dry eyes affect millions of people in the United States. It is estimated that as many as 4.88 million Americans over the age of 50 suffer from this uncomfortable condition.

If you need help, book an appointment at Dr. Palys and Associates. We’ll help you find a treatment option that brings you the relief you’re searching for.

MYOPIA CONTROL

Myopia or nearsightedness has become an epidemic in the U.S. and around the world. It now affects well over 40% of the population between ages 12-52.

Although there is no cure for myopia, recent research has shown there are several options that can slow down its progression. Once your child becomes myopic, it usually gets worse – especially during the teen years. Why is this a concern? When your child becomes more myopic, this increases their risk of developing other eye problems later in life. These serious eye problems include: cataracts, retinal detachment and glaucoma.

If you need help, book an appointment at Dr. Palys and Associates. We’ll help you find a treatment option that brings you the relief you’re searching for.

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What are the common symptoms of dry eye?
Everyone experiences dry eye differently because there are so many potential underlying causes.

Typical symptoms include:

  • Redness or eyes that appear irritated and bloodshot
  • Consistent burning or tingling sensations in the eyes
  • Eyes that feel itchy or as if they have something in them
  • Increased sensitivity to bright lights or sunlight
  • Excessive tearing, or eyes that always appear watery

What causes dry eye?
There are many potential causes of dry eye.

In some cases, the cause is obvious, such as environmental irritants or short-term inflammation.

Some of the other causes of chronic dry eye problems include:

  • Disease of the meibomian glands
  • Blepharitis
  • Allergies
  • Defects that affect the eyelid or shape of the eye
  • Certain medications
  • Abnormal eye pressure
  • Deficiency of aqueous fluids
  • Because the underlying causes vary, treatment methods after diagnosis will also vary according to the patient. It is also not uncommon for there to be more than one cause for dry eye.

How is dry eye diagnosed and treated?
Through imaging of the meibomian glands, measuring osmolarity of the tear film, and screening for certain conditions, we are able to diagnose and provide treatment for the condition.

Some of the typical treatments include:

  • Prescription eye drops to combat inflammation
  • Treating oil glands
  • Blinking exercises or proper eyelid hygiene
  • If an infection is causing the issue, low-dose antibiotics may also be prescribed.

Dry eyes are not only uncomfortable — they can also be bad for the health of your eyes. Book an appointment at Dr. Palys and Associates to find relief.

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The good news is that we can now offer a number of treatments that can slow the progression of myopia. These include: multifocal contact lenses, orthokeratology (corneal re-shaping), atropine eyedrops and multifocal eyeglasses. Here at Hill Country Vision Center, our doctors will gladly discuss these treatment options and help you develop a personalized treatment plan to meet your child’s needs.

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