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Cedar Bluff
Marion 276-521-4446
Cedar Bluff 276-991-3171
Bristol, TN 423-546-4536
serious man wearing contact lenses

General Eye Doctor or Eye Doctor Trained in Fitting Contact Lenses? —Specialty Contacts in Marion, Virginia

"Hard-To-Fit" Contact Lens Patients

In the world of healthcare, there are many conditions that are treated by a specialized doctor rather than a general practitioner. Eye doctors are no exception. When it comes to certain ocular conditions and complications, the most effective care is delivered by an eye doctor trained in a particular area of eye health. While a general practitioner is typically familiar with the condition, it's still going to be the eye doctor with special training and greater experience who will provide the most effective treatments and solutions.

Hard-To-Fit Contact Lens Patients

Certain individuals with corneal irregularities or other ocular aberrations require custom-made specialty contact lenses. These patients are called “hard-to-fit”, as they cannot wear standard contact lenses and struggle with standard prescription eyeglasses. Fitting specialty contact lenses needs to be done by a contact lens specialist, who will use the latest corneal imaging and topographic technology to customize the lenses to your unique dimensions. At , our eye doctors are experts in fitting specialized and custom contact lenses in Marion. 

Do You Struggle With Contact Lenses?

Do you find wearing traditional contact lenses painful or uncomfortable? You aren't alone. There are many people who fall under the "hard-to-fit" category, whether due to corneal conditions, such as keratoconus or other problems such as sensitivity or chronic dry eye. People in this category are incorrectly told that they can’t wear contact lenses at all. The truth is that most patients can be successfully fitted with scleral contact lenses, which deliver impressive visual clarity and unparalleled comfort.

    Scleral Lenses Can Be Worn By People With These Conditions

    • Astigmatism
    • Dry eyes
    • Giant papillary conjunctivitis (GPC)
    • Keratoconus
    • Post-refractive surgery (LASIK)
    • Corneal irregularity or corneal dystrophy
    • Post-Corneal Transplant

    Any of these problems will typically require eye care beyond the scope of general care optometry.

    Elderly Woman, Wearing Scleral Lenses

    What is an Eye Doctor Trained in Fitting Contact Lenses?

    The eye doctor that fits patients with scleral lenses has extensive training in the techniques and technologies required to create and fit customized contact lenses. At The Scleral Lenses Center At Envision Eye Care, we provide hi-tech contact lens solutions to adults and children alike. Dr. Lucas Spiker will assess your contact lens needs and recommend a contact lens solution that provides the comfort, stability, and clarity you need.

    Close up of woman's eye, ad for contact lens specialist

    When Should I See an Eye Doctor for Scleral Lenses?

    If you have any corneal irregularity or visual disorder that prevents you from wearing regular contact lenses, or if you're seeking to correct your myopia in a non-surgical way, schedule a consultation with Dr. Lucas Spiker. The first step of any treatment is the assessment, which requires specialized diagnostic and digital imaging tools, such as a corneal topography which produces high-resolution corneal imagery. A detailed mapping of the contours of your eyes will allow us to create custom-fit contact lenses uniquely fitted to your eyes. The most common specialty contact lenses used are Scleral lenses. Ortho-K lenses are typically worn by children for myopia control or adults who seek a non-surgical alternative to LASIK.

    Scleral Lenses

    Scleral Lenses are large-diameter gas-permeable contact lenses that rest on the sclera and create a tear-filled vault over the cornea. The lenses, therefore, sit over an irregular cornea and not on it. Sclerals provides a perfectly smooth optical surface to correct refractive errors with tremendous accuracy while retaining maximum comfort. Scleral lenses are also fixed in place to avoid discomfort and remain in place. These specialized Scleral Contact Lenses are often the ideal solution for patients suffering from:

    • keratoconus
    • chronic dry eyes
    • SjÖgren’s syndrome
    • sensitive eyes
    • corneal ectasia
    • Steven-Johnson syndrome
    • neurotrophic keratitis
    • aniridia
    • microphthalmia
    • higher aberration of the eye
    • pellucid degeneration
    • complications from eye surgery
    • sensitive eyes
    Ortho-K Lenses

    Your contact lens specialist may also recommend the use of Orthokeratology (Ortho-k) lenses for your vision. These are rigid gas permeable contact lenses that you wear overnight. They gently reshape the cornea so that you can enjoy corrected, accurate vision during the day.  Orthokeratology is a safe, effective, and non-surgical alternative to  LASIK or similar surgical procedures. The use of Ortho-k has also been demonstrated to effectively manage the progression of myopia in children.

    The corneal reshaping lenses quality of orthokeratology can be used to correct refractive problems such as near-sightedness, astigmatism, and hyperopia. In some cases, it can also be used to correct for presbyopia as well.

    Meet Our Contact Lens Specialist


    Dr. Shannon Howell

    Meet Dr. Shannon Howell O.D., she has recently joined Envision Eye Care as a provider for all three offices. She attended UVA Wise before finishing at the Pennsylvania College of Optometry. She was born and raised in Chilhowie, where she still lives. She enjoys going to church, reading and the...

    Dr. Sarah C. Arnette

    Dr.  Arnette is a graduate of Florida International University with a degree in Biological Sciences with a concentration in forensics. Here she worked as a chemist for an Everglades research lab with diatoms before graduating. She then went on to work several years as a chemist/ microbiologist at Coca- Cola...

    Dr. Shawna Feeley

    A native of Atlanta, Dr. Feeley received her Bachelor’s of Science degree from University of Alabama - Birmingham (UAB) and received residency training in ocular disease and hospital based optometry at the VA Medical Center in Albuquerque, New Mexico. Dr. Shawna Feeley is a doctor of Optometry and received her...

    Stacey Olinger – Patient Relations Specialist

    Stacey joined our team in May of 2013. A native of Smyth County, Stacey is a mother of two and enjoys spending time with her family. “At any given moment you have the power to say, this is not how it is going to end”...

    Haley Posey – Optometric Technician

    Haley is an Optometric Technician who joined our team in October 2015.  She was born and raised in Buchanan County, where she still lives today.  She loves spending time with her family, attending church, being a Sunday School Teacher, and spending her free time at the lake. "For I know...

    Melanie Dotson – Office Manager

    Melanie is our Office Manager.  She joined our team in October 2015.  She moved to Richlands in 2010 with her husband Greg.  She is the proud parent of two children and two step-children.  She also has 2 precious granddaughters. She has a bachelors degree in Business Management and enjoys working...

    Amanda Nelson – Patient Relations Specialist

    Amanda joined our team in July 2015. She is a native of Smyth County and resides in Marion. In her spare time she enjoys spending time with her daughter, Brooke, as well as family and friends. “The secret of getting ahead is getting started.” Mark Twain...

    Stephanie Ashby – Optometric Technician

    Stephanie is a Optometric Assistant who joined our team June 2015. She is a mother of two wonderful children: Carson and Alana. She enjoys working with our patients and making sure their Eye care experience is fun and enjoyable. "If you only do what you can do, you'll never be better than...

    Rachel Burks – Optometric Technician

    Rachel is an optometric assistant who joined our team in July 2014. She was born and raised in Richlands where she currently resides today. In her free time she enjoys spending time with friends and family. She's also an avid reader and movie watcher. "In dreams we enter a world...

    Dena Keith- Optician

    Dena is a licensed optician with over 14 years experience in the optical field. She has been a part of our team since January 2012. Dena truly enjoys meeting and working with people that impact her life, and in turn, she impacts theirs. Her heart especially melts for the child...

    Stacy – Patient Relations Specialist

    Stacy is a patient relations specialist who joined our team in May 2013. She was born and raised in Southwest Virginia. Stacy is a mother of two and loves spending time with her family and friends. "At any given moment you have the power to say 'this is not how...

    Trisha – Patient Relations Specialist

    Trisha is our insurance and billing coordinator who joined our team in August of 2013. She is a graduate of Hollins University with a Bachelor of Arts degree in Biology. In her spare time she loves spending time with her two teenagers and her rescue animals. She is an ardent...

    Jennifer – Patient Relations Specialist

    Jennifer is a patient relations specialist who has been with Envision Eye Care since 2005. Jennifer enjoys working as a team. She is a native of Smyth County and resides in Chilhowie. In her spare time she enjoys spending time with family and friends. She also enjoys teaching the toddlers...

    Janice – Optician

    Janice joined our team in July 2009 as a licensed optician. She has an Associate?s Degree in Opticianry with 14 years? experience in the optical field. Janice enjoys watching football and traveling. She is a Tazewell County native and now resides in Marion with her husband. "Your happiness is intertwined...

    Faye – Optician

    Faye has been with the practice since August 1979 when she was hired as the receptionist. She began assisting the doctors and went back to school and became a licensed optician in 2001. Faye was born and raised in Smyth County and lives here with her husband and children. "Trust...

    Janet – Optometric Technician

    Janet is a certified paraoptometric assistant who has been a part of our team since 2004. She is a native of Smyth County. She enjoys working with patients and giving them a great experience on their eye care visit. In her spare time she enjoys spending time with her family....

    Krystal – Optometric Technician

    Krystal is a certified paraoptometric assistant who joined our team in 1997. She was born and raised in Marion. She enjoys spending time with family and friends....

    Tina – Office Administrator

    Tina is a native of Smyth County and resides in Saltville with her husband and three children. She joined our team in September 2014. In her role as office administrator, Tina is excited to deliver the best possible patient experience. "A goal without a plan is only a wish." -...

    Dr. Susan Keene

    Dr. Susan Keene is originally from southwest Virginia. She graduated from Emory & Henry College with a Bachelors degree in Biology. She received her Doctorate of Optometry from the Pennsylvania College of Optometry. She has been in practice in Marion since 1992. Dr. Keene is a past president of the...

    Dr. Amy Blue

    Dr. Amy Blue is originally from Oneida, Tennessee. She received her Bachelor’s degree in chemistry from East Tennessee State University. She then attended the Southern College of Optometry in Memphis, Tennessee where she obtained her Doctorate in Optometry degree. She completed internships at Bethesda Naval Hospital in Washington D.C. and...

    Dr. Lucas Spiker

    Dr. Lucas Spiker is originally from Kansas. He graduated from Bethany College in Kansas with a Bachelor’s degree in Biology. He obtained his Doctorate in Optometry degree from Southern College of Optometry in Memphis, Tennessee after completing internships at Andrews AFB in Washington, D.C. and Ducklo Eye Care in Nashville,...

    Dr. Amber Hurley

    Dr. Hurley grew up in Southwestern Virginia, spending most of her childhood in Hurley and finishing high school at Lebanon. Dr. Hurley received her undergraduate degree in Biology at Alice Lloyd College in 2008, and obtained her Doctorate in Optometry in 2012 at the University of Alabama in Birmingham School...
    Serving Patients From

    Marion | Cedar Bluff | Bristol | | and the state of Virginia

    If You’re Looking For A Eye Doctor Near Marion, Virginia , Dr. Lucas Spiker Of The Scleral Lenses Center At Envision Eye Care Is The Destination.

    Don’t let discomfort or a corneal condition prevent you from having clear, comfortable vision. Contact us to asses and fit you with the contact lens solution you need.

    Serving Patients From:

    Marion | Cedar Bluff | Bristol | | and the state of Virginia