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Our eyesight is precious to all of us, even if we don’t have occasion to think about most of the time. Your regular eye exam appointments with your Total Vision optometrist are the first line of defense for preserving your eyesight and eye health. 

But even with excellent maintenance and care, vision problems may develop. With the capable and compassionate treatment of your Total Vision optometrist, the best possible treatment and management of vision problems can be achieved. 

The most common vision problems are refractive errors, also simply called blurred vision. Refractive errors occur when the shape of the eye does not bend light correctly.

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Types of Refractive Errors Include:

Myopia (nearsightedness) 

For sufferers of myopia, close items are clear, but farther objects are blurry. This condition is often inherited and is usually discovered in childhood. Myopia continues to worsen as the patient ages but often tapers off in early adulthood. 

Hyperopia (farsightedness)

Hyperopia causes faraway items to appear blurry. This condition is also often inherited and discovered during childhood. Hyperopia may improve in adulthood, however very advanced hyperopia can cause objects to appear blurry at any distance.


Presbyopia refers to blurred vision caused by aging, usually occurring in patients over 40. As we age, the lens of the eye can become more rigid, causing the blurriness. This condition can emerge on its own, or in patients who already have myopic or hyperopic vision and/or astigmatism.


Astigmatism is caused by an unusual curvature of the cornea. Rather than a smooth even curve, the cornea is curved more in one direction, causing distortion and blurred vision. 

Refractive errors can be treated with prescription glasses, contact lenses, and, in some cases, with eye surgeries such as Lasik. Your Total Vision optometrist will work with you to find the best solution for your needs and goals.

Other Common Vision Problems Include:

Strabismus (crossed eyes)

Strabismus is a condition that causes the eyes to be out of alignment. It may be present all of the time or just some of the time. 

With early detection and treatment, patients can overcome crossed eyes with the use of glasses, visual prisms, eye muscle surgery, visual therapy, or some combination of these.

Amblyopia (lazy eye)

Amblyopia is a vision disorder caused by a difficulty of communication between one eye and the brain. When the brain cannot properly process inputs from one eye, it begins to favor the other.

Without treatment in childhood, amblyopia can be impossible to significantly improve and vision loss can be permanent. Childhood eye exams are a vital way to ensure vision problems are caught early and treated properly.


A cataract is a cloudiness over the eye’s lens and most commonly develops in adults over 40. Diabetes, hypertension, smoking, and alcoholism can all increase a patient’s likelihood of developing cataracts. Good maintenance of overall health and regular eye exams may be your best defense. 

Without treatment, cataracts can cause blindness. Although cataracts can be very serious, they are often treatable with glasses and, eventually, surgery. 

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Visit your local Total Vision eye care center in Carmel Valley, Rancho Bernardo, Tierrasanta, Solana Beach, University City, Del Mar, or La Jolla to receive the best possible diagnosis and ongoing treatments for these and other vision problems. Early diagnosis and regular eye exams are the best way to preserve your sight and eye health.

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View Updated COVID Policy Charity

COVID-19 Update:

Dear Patient,
We are pleased to announce that the California Department of Public Health has given us permission to resume full scope eye care, including preventative care and postponed exams.

At Total Vision Care, the health of our patients, doctors, and associates is our top priority. We are taking precautions to ensure the safety of our community.

Health and safety protocols we are taking:

  • All visits are by appointment to ensure social distancing. This includes picking up of glasses/contact lenses, adjustments on glasses, and ordering new products.
  • Patients are asked to arrive to their appointment alone and notify us from your vehicle once you arrive (a parent/guardian may accompany a minor and a family member/caretaker may assist a senior). Please call the office and someone will greet you at the door.
  • Prior to your entry a team member will take your temperature, provide you with hand sanitizer and ask you a series of questions regarding your health and possible COVID-19 exposure. Our team members are all subject to these same screening protocols.
  • All doctors, associates, and patients must wear masks.
  • Our team sterilizes all equipment and surfaces after every patient and disinfects all frames prior to placing them back on display.

What we ask of patients:

  • If you have any of the following symptoms, you must reschedule your appointment for a future date: Fever, fatigue, cough, shortness of breath, gastro-intestinal symptoms (diarrhea, vomiting, nausea, or stomach pains), recent loss of smell or taste.
  • Please bring a mask which must be worn in our facilities at all times.
  • Your patience in adhering to new safety protocols.
  • Please feel welcome to communicate any questions that you have to your Total Vision Care practice associates.

In addition, we will continue to monitor CDC, WHO, governmental, and optometric associations guidelines and make changes as appropriate to protect our community. Thank you so much for your continued support of our practices. We appreciate your patience throughout this process and for trusting us with your eyecare needs.

The Total Vision Care Family of Eyecare Professionals