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The optometric team at Pack and Bianes Vision Care Optometry has one primary objective — protecting and preserving your vision and optimal eye health. While most eye conditions are treatable, detecting and diagnosing them at an early stage is crucial. As your eye conditions worsen, they become increasingly difficult to treat. As a part of the Total Vision network of optometric clinics, our exceptional optometrists use cutting-edge theologies to identify and treat eye conditions at their nascent stage. We take a proactive approach to eye care — instead of waiting for symptoms to develop, we provide routine eye examinations to help you prevent eye conditions altogether.

Common Eye Conditions

Below are some of the common eye conditions we treat at Terra Nova and what our optometrists do to treat such conditions.


Glaucoma is an eye condition that occurs because of high intraocular pressure, i.e., high pressure within the eyes. If left untreated, glaucoma may eventually destroy the optic nerve responsible for vision. While glaucoma is most common in older patients over 60, it can also occur because of high blood pressure, diabetes, nearsightedness, and other risk factors. Pack and Bianes Vision Care Optometry provides regular glaucoma screenings to identify its early signs at a nascent stage and treat it with a combination of medications, laser treatments, or surgeries.

patient happy with his eye care in Terra Nova

Diabetic Retinopathy

Diabetic retinopathy is a side-effect or complication associated with type-1 or type-2 diabetes. It occurs when blood and fluids leak into the back of the eye due to damage to the retinal blood vessels. By the time you start noticing diabetic retinopathy symptoms, such as blurry vision, fluctuating vision, spots or dark strings in your vision, etc., it may already be quite advanced. As such, individuals with diabetes must go for regular eye exams to identify the disease at the earliest stage possible, when it can be treated with lasers, injections, or vitrectomy surgery.


Keratoconus is a vision problem that causes a progressive thinning of the cornea, leading to blurry vision, nearsightedness, light sensitivity, irregular astigmatism, and double vision. If detected at an early stage, our optometrists can correct the problem with glasses or contact lenses. However, keratoconus is a dangerous chronic condition — if allowed to progress unchecked, you may eventually need aggressive intervention in the form of corneal transplant surgery. As such, you should go for regular eye exams to detect and treat keratoconus at the earliest stage possible.

Dry Eye Syndrome

Dry eye syndrome is a condition that causes chronically dry eyes. It happens when your eyes don’t produce enough tears, or you’re incapable of keeping them lubricated with a layer of tears. Dry eye syndrome may also lead to bacterial infections and surface inflammation in the corneas. Some of the early signs of dry eye syndrome are burning, redness, pain, watery tearing, stringy mucus secretion, and blurry vision. Your optometrist in Terra Nova identifies the root cause of your dry eye syndrome to curate the ideal treatment plan, which may include artificial tears or minor surgery.

Retinal Detachment

Retinal detachment is a dangerous eye condition wherein the retina, a thin tissue at the back of the eye, moves away from its normal position. Consequently, the retina is detached from the blood vessels that facilitate blood and oxygen circulation to your eyes. Without blood and oxygen circulation, you may eventually suffer from permanent loss of vision. As such, retinal detachment is an emergency situation necessitating immediate optometric attention. The moment you notice signs of retinal detachment, such as flashes of light or floaters in your vision, you must immediately contact our optometrists in Terra Nova.

Schedule Your Eye Care in Terra Nova Today

At Pack and Bianes Vision Care Optometry, we strongly believe in taking a proactive rather than a reactive approach to eye care. Our optometrists recommend regular eye examinations that allow us to observe warning signs and symptoms of eye conditions at the earliest stage possible. Treating nascent eye conditions with early intervention is the best way to maintain optimal eye health. Schedule your comprehensive exam today.

Pack and Bianes Vision Care Optometry

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View Updated COVID Policy

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