Hosea Fitch
Doctor of Optometry, medical director
- Doctor of Optometry · TX License no. 000000
Dry eye center in The Woodlands, Texas
Dry eyes, measured before they are treated
Four optometrists test the tear film, the oil glands in your eyelids and the surface of your eye. Then they explain each result and what could help, before anything is suggested.
The tests
Six tests, and what each one measures
Your doctor chooses the tests that fit your symptoms. Most take only a few minutes each, and the results are explained the same day.
- Tear film stability
Tear breakup time
How many seconds the tear film holds after a blink before dry spots show on the surface.
- Tear balance
Tear osmolarity
How concentrated your tears are. Tears that are too salty are one sign that the tear film is out of balance.
- Meibomian glands
Eyelid gland imaging
A picture of the oil glands inside the eyelids, which keep tears from evaporating. It shows whether they are open, short or missing.
- Eye surface
Surface staining
A harmless dye and a blue light show dry patches on the cornea and the white of the eye.
- Tear production
Tear volume
A thin strip or a close look at the tear pool along the lid measures how much fluid your eyes make.
- Blink and lids
Blink and lid check
How often and how fully you blink, and how the lids close and meet the eye.
Your evaluation
From the first question to the follow-up
- 01
Step 1: Questions
A short talk about when your eyes feel dry, what you do at work and at home, and what you have already tried.
- 02
Step 2: Tests
Some of the six tests, in an order that is easy on the eyes. You sit at the instruments and the assistant tells you what comes next.
- 03
Step 3: Results
The doctor shows you each result and says what it means in plain words, including what is normal and what is not.
- 04
Step 4: A plan and a return visit
You leave with the plan in writing and a date to come back, so the doctor can repeat the same tests and compare.
For referring doctors
Sending us a patient
Send the referral form and our referral coordinator calls your patient to book. After the evaluation we send you a written summary: the tests we ran, what they showed and the plan we agreed with the patient.
For anything outside an optometrist's care, we refer the patient back to you or on to another doctor.
The people
Four optometrists, and the team beside them
Each doctor's license is listed at the foot of every page, with the state board's lookup.
Milagros Guerrero
Doctor of Optometry
- Doctor of Optometry · TX License no. 000000
Thy Luu
Doctor of Optometry
- Doctor of Optometry · TX License no. 000000
Sona Kazanjian
Doctor of Optometry
- Doctor of Optometry · TX License no. 000000
Kojo Appiah
Ophthalmic assistant
Chioma Emenike
Ophthalmic assistant
Rohit Verma
Ophthalmic assistant
Lisa Hargreaves
Practice manager
Isael Galindo
Patient coordinator
Lawanda Dancy
Patient coordinator
Mirlande Desir
Billing and benefits
Juliana Cardoso
Referral coordinator
Billing
Which visits a vision plan pays, and which medical insurance pays
A routine eye exam
Billed to a vision plan, with glasses and contact lenses.
A dry eye evaluation or follow-up
Billed to medical insurance, because it looks into a problem with your eyes.
What you pay yourself
Some treatments and lens options are not covered by every plan. We agree on them with you in writing first.
Prefer a call back?
Send the office a message
Leave your name and number and someone from the front desk calls you.
Phone(281) 555-0103
Questions patients ask first
I see fine. Can my eyes still be dry?
Yes. Dry eye is about the tears, not about how sharp your vision is. Scratchy, tired or watery eyes, and vision that blurs and clears when you blink, are reasons to have the tears tested.
Do I need a referral?
No. You can book directly. Many patients come from another doctor, and with your permission we send that doctor a summary after the visit.
Does insurance cover the evaluation?
A visit for a dry eye problem is usually billed to medical insurance, and a routine exam to a vision plan. Plans differ, so we check your benefits before the visit. How fees work has the details.
What should I do about my contact lenses?
Tell us when you book. The doctor may ask you to wear your glasses on the day, and to bring your lens case and your lens prescription.
Will a treatment help my dry eyes?
Treatments can help many people feel better, and results vary. The doctor explains what is known about each option, and how it is billed, before you decide.
What if something is wrong with my eye right now?
Sudden vision loss, a curtain over your vision, a sudden shower of floaters, an eye injury or a chemical splash needs care now. Call us right away or go to the nearest emergency room. In a life-threatening emergency, call 911.