Theia Vision Care™



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Our goal is to exceed your expectations with service that is personal and not rushed and products that are fit to you and make you feel like a million bucks.

“We take pride in providing eye care because we care for you and the joy of life”
~Dr. Koeck

Full Scope Vision Exam

At Theia Vision Care TM we treat you with the highest quality friendly care and an individual approach. We continue to incorporate the latest technology along with fashionable and comfortable eye-wear. We will also keep you posted on the latest innovations in contact lenses so that year to year you are assured of the best.

Our single exam price includes all services you would be charged additional fees for elsewhere. For example, retinal Fundus photos which can range from $40 to several hundred dollars elsewhere, just for the photos, are included. Similarly, a thorough screening of your visual field that checks for functioning of both peripheral and central vision deficits can cost anywhere from $15 to over $100. We include it at no extra charge. This thorough, transparent approach to your eye care provides the doctor with additional information on ocular and complete integrative health care. A thorough visual field screening may lead to early detection of blinding diseases such as macular degeneration and glaucoma, as well as signs of stroke, tumor or diabetes, just to name a few. Not only your eye health, but your overall wellness is too vital to leave to chance. Therefore, we make it simple and include everything that is important.

Seeing clearly is only one small part of a comprehensive eye exam. Your eyes do much more than simply read letters. They move in or out depending on how far or close you look, they focus and relax, they track moving objects, they work as a team to provide depth perception, they allow you to perceive colors and much more! Although clarity of vision is important, we check all of these components to provide you with a prescription for products that provide clear, healthy and comfortable vision. Did you know that the muscles in your eyes are the hardest working muscles in your body? Why not set them up for success with great comfort throughout the day! Did you also know that you see with your brain and not with your eyes? Yes! Dr. Koeck likes to call the brain a “big diva” because if the brain is not happy, no one is happy and you may experience fatigue, eye strain, headaches at the end of the day, just to name a few issues.

There are many parts to a comprehensive annual eye exam, and while vision clarity is an important part, we also perform a thorough ocular health exam to detect and prevent long-term vision loss due to eye disease. Even if you and your family seem to be seeing well, we advise that everyone have an annual eye exam to catch any vision problems before they develop into something more serious.

Here’s what to expect when you come in for your exam:

Patient/Family History

This helps us understand your past vision and medical history to help tailor our exam so we provide the best care for you. For example, diabetics can have fluctuating vision with changing blood sugar levels and kids who have focusing issues may be having difficulty in school.  Knowing this history in advance helps us give you the best possible care.

Visual Acuity

We check your vision closely to determine how clearly each eye can see.  This is a starting point to help improve your vision during the refraction portion of the exam.

Entrance Testing

These tests are evaluating for a variety of common eye disorders and include tests for eye movement, eye alignment, peripheral (or outer surrounding) vision testing, and a close check of how your pupils respond to light.

Autorefraction and Keratometry

Autorefraction is used to determine an estimate of the current prescription of each eye, giving the doctor a starting point for your refraction.  Keratometry measures the curvature of the cornea, the front part of the eye. This is used for all contact lens fittings to help determine the most comfortable, breathable and healthiest contact lens choices for you.  This test also is used to detect corneal diseases, such as keratoconus.


This is the portion of the exam where the doctor carefully evaluates your glasses prescription using both objective and subjective measures.  At Theia Vision Care TM, we take this part very seriously because we know that determining an accurate glasses prescription can mean the difference between comfortable, clear vision and tired, fatigued eyes, with eyestrain and headaches.  With all the computer and mobile phone time we have now, it’s especially important to reduce visual strain with an accurate prescription.  Along with a thorough history of how you use your vision, Dr. Koeck will work with you to get you clear and comfortable vision that fits your lifestyle.

Ocular Health Exam

Complete Dilated Eye Exams

At Theia Vision Care TM, we believe in providing the most thorough and informative exam for your whole family’s visual and eye health needs. After assessing the lenses that provide you with the clearest vision and best comfort, the doctor cares about thoroughly examining the health of your eyes from the cornea, the windshield that protects your eye, to the retina, the back of the eye that houses millions of seeing cells.

Dilating your eyes includes instilling eye drops that help the pupil, which is a window into your eye, stay open. Doctor Koeck explains it by comparing the eye to the inside of a room. She looks through a keyhole, which is the pupil to see the parts of the eye that help you see the best, but without dilating, she is not able to see the rest of the room, the walls, ceiling or floor. Without seeing those parts of the eye there is no way to tell if any concerns such as a retinal hole, tear or a freckle are occurring. Since the room is lined with wallpaper, which represents your seeing cells, and the job of the wall paper is to see, they (the seeing cells) do not feel any pain. If there is no pain to alert you that there is something wrong, you do not know. If the doctor was not able to dilate your eyes to look, she does not know. Therefore, at Theia Vision Care TM, we recommend a dilated exam for every patient.  By closely evaluating the health of the eye, we can detect ocular disease before it becomes a problem and take steps to prevent vision loss.  Dr. Koeck looks for not only eye diseases and conditions, including but not limited to, cataracts, glaucoma, and macular degeneration, but also for signs of other issues such as diabetes, hypertension, and cholesterol.  By detecting these problems early and making lifestyle changes, we can help improve your overall wellness, not just your vision!

Contact Lens Fittings and Evaluations

Did you know that contact lenses are a medical device? Choosing the right contact lens for you is important in order to achieve clarity and comfort all day. Do your contact lenses feel just as good as at the end of the day as they did when you put them in? If not, come see us! We pride ourselves on updating you on the latest advances in contact lenses so that we help you choose the best contact lens for your needs. Whether you want to wear contacts once a week for volleyball or for your 12 hour work day, we make sure we listen to your lifestyle, preferences and goals to choose the best options for you.

During our contact lens evaluation we gather additional information that is not part of the regular eye exam. This evaluation is crucial to finding the most comfortable, most proper fitting contact lens to ensure optimal vision and eye health.

Our contact lens evaluations include:
Lifestyle consultation and prescription analysis to help decide which contact lens is best for you.

As many complimentary trial pairs of contact lenses as we will need to find the best fit for you, contact lens solution, and case, if needed and applicable.
Assessment of visual acuity, proper fit, and comfort with your contacts.
Generous manufacturer’s rebates only available through the doctor’s office to help towards purchase of your contact lens supply.

For those patients selecting services no hassle pricing, rather than Direct Concierge Care we will still provide Discounted 60 days of follow-up visits, and any additional contact lens trials to make sure you have the best vision and comfort possible with your contact lenses.

Diabetic Eye Exams and Systemic Health

All diabetics should have a yearly dilated eye exam. What do you think is the leading cause of blindness in the United States? No, not glaucoma, no, not cataracts, no, not macular degeneration. It is diabetes; and an eye exam can be the first clue to detecting diabetes and other hidden health concerns. Finding issues early can give patients a better chance at preventing damage through early treatment and management. In fact, the eye provides not only a window to the soul but a true window into your health. The eye can showcase a myriad of diseases and health conditions, such as hypertension, cancer, stroke, thyroid dysfunction, sleep apnea and arthritis, just to name a few.

Dry Eye Management and Treatment

How much screen time, including your phone, do you spend per day? One hour? Twelve hours? More?

Dryness remains one of the number one ocular symptoms we experience today. Between our contact lenses, technology filled life styles, outdoor activities or other health issues such as sleep apnea, no wonder our eyes feel dry. Dryness can make your eyes feel gritty, itchy, or burning, blurry, and even watery! If any of this sounds familiar please give us a call at 262-361-0022. We are equipped to diagnose, treat and manage dry eye to optimize your comfort and minimize your symptoms.

Ocular Allergies:

How do your eyes feel? Dry? Watery? Itchy? Do you have seasonal allergies? Specific allergies like sulfa, cat dander or dust mites? Do you wear contact lenses?

In addition to dryness, allergies plague many sufferers who may not know that there can be diagnosis, treatment, management and relief. Ask us how we can help. Schedule your appointment today. Call 262-361-0022.

Infant and Pediatric Eye Exams

Do you have or know a minion? No, not the yellow kind, but the ones who are short and maybe do not even talk or walk yet? Did you know that the first eye exam for your child should be between the ages of 6-18 months? Don’t worry, if your 8 month old cannot tell Doctor Koeck, “Which is more clear, one or two?” Dr. Koeck has great tools and tips up her sleeve to check vision, health, eye movements, muscles, tracking and many other vitally important ocular functions. Your pediatric or school screening does not provide this and according to the American Optometric Association this first exam should be followed at least every 2 years by comprehensive exams until school starts and then yearly after that. The child may need to be seen more frequently if the doctor is monitoring a concern or the child needs glasses. This ensures that your baby’s eyes, ocular health and vision are developing properly. Although rare, glaucoma, retinopathy, and even eye cancers can develop in infants, so it is very important to monitor babies’ eyes for all of this.

Often children do not complain of visual concerns. They assume their vision is normal and like everyone else’s because it is normal to them and they do not know any different! Children also may want to fit in with their friends and inadvertently may hide a condition such as amblyopia (lazy eye), where one eye is weaker than the other. In this case, when both eyes are open the child cannot tell that he or she is only seeing well out of one eye! This is detrimental to development because the brain starts to dominantly use the “good” eye and does not develop neurological connections as well for the “other” eye. This can absolutely be treated, and the sooner it is detected the more effective and quicker the treatment! Furthermore, strabismus (a drifting eye, or “crossed eye”) usually develops before the age of four. Therefore it is vital to monitor your child for this, and have the alignment of your child’s eyes measured yearly. Both amblyopia and strabismus can be treated if detected early enough.

Because Doctor Koeck feels so strongly about the best eye health she will provide a Discounted First Eye Exam for your child, no matter what your child’s age. If you have a munchkin who is 6-18 months call us today for your Discounted Eye Exam. But, do not worry if you missed the 6-18 month window and call us for an appointment today anyway 262-361-0022. If your child is not complaining but has never had an eye exam, simply let us know and we will see your child for that first exam a reduced rate.

Eye Emergencies

If you are experiencing any of the following, it is important to be seen with us or another eye doctor as soon as possible: contact-lens-related infections, scratched cornea, sudden loss of vision, sudden flashes and floaters. If you cannot get an appointment immediately, go to the emergency room.

Advanced Diagnostic Equipment

At Theia Vision Care TM, we pride ourselves in staying up to date with the latest technologies proven to detect diseases earlier, and monitor changes more closely. These advanced techniques allow Dr. Koeck to make decisions quickly and accurately to ensure your eye health is preserved. We will also provide all appropriate services for you for each and every exam. Rather than asking what you think is needed because your insurance may or may not cover it, we do not put that burden on you and do everything we can to take the best care of you. Period. We are proud to offer these advanced technologies:

Oculus Visual Field Testing – Whether we are looking for glaucoma, migraines, or driver’s license testing, the automated visual field machine lets us measure BOTH your central and peripheral or “side” vision and relate it to any condition you may have. This high-tech instrument is valuable in the detection of neurological disorders such as tumors, strokes and aneurysms, as well as monitoring toxic side effects from some medications. This technology is often an additional cost elsewhere and varies in price depending on whether the billing is refractive (vision exam), medical (ocular/overall health exam), or whether insurance would cover it at all. It is included here as a part of your exam.

Sphygmomanometer (Blood Pressure) – Whether you are 10 or 100 years old, we will check your blood pressure to screen for risks of stroke. Hypertension (High Blood Pressure) is known as “the silent killer”, because it has NO symptoms until the damage is done. The eye is the only place where we can non-invasively see changes in your blood vessels, and we can diagnose hypertension in a patient who feels and even looks perfectly healthy and normal.

iCare Tonometer – We are so sorry to tell you that there will be no torture with an air puff machine. Measuring the intraocular pressure (IOP), or “fluid pressure” is one of the most important tests for glaucoma, which painlessly steals your peripheral vision. Instead of using the “puff test” which startles the patient by blowing air into his or her eye, the iCare Tonometer requires no drops or air to get an accurate measurement of your eye pressure. It’s quick and easy and the kids love to have a “staring contest” to get this simple measurement.

Retinal Imaging– At Theia Vision Care TM, we take a digital photo of the back of your eye, the retina. In additional the dilated exam this is crucial in visualizing the structures in the back of the eye that lead to the brain and to monitor your eye and overall health. Photos allow the doctor to monitor yearly changes to any structures in the back of the eye and have a record, as well as comparison over time. This technology is often an additional cost elsewhere that can range anywhere from $40 to hundreds of dollars. It is included as a part of your exam.

Lensometer – The lensometer is the instrument we use to measure the prescription in your old glasses, and to also ensure that your new prescription in your lenses is accurate. By bringing your old glasses to your appointment, we can compare and contrast the new prescription to your previous pair so that you can appreciate the difference!