Bowden Eye Care & Health Center

Located on the east-side of San Antonio, the UIW Bowden Eye Care and Health Center is a multidisciplinary teaching environment equipped to provide comprehensive health care to underserved populations of our community. Students will gain experience and insight by serving rotations through the following services:

The Ocular Health Service allows interns to work with a faculty ophthalmologist and two faculty optometrists in the diagnosis, treatment, and management of diseases and injuries of the eye and related structures. The Bowden Center's clientele is at much higher risk for diabetic eye disease and glaucoma. The Ocular Health Service has all state-of-the-art diagnostic and therapeutic instruments including various types of therapeutic lasers.

The Adult Care Services provide primary eye and vision services to the adult population age 18 and older. Our Adult Care Services engage a large volume of complicated, high medical acuity patients, providing the interns with a vast array of clinical presentations. The Adult Care Services also incorporates basic contact lens services, Optical service, and the diagnosis, treatment, and management of acute ocular disease.

The Pediatric Service provides routine and specialized care to patients from newborns up to age 18 years. Third-year interns are provided instruction and perform direct patient care for the pediatric patient population. Interns are exposed to a variety of equipment, techniques, and testing procedures in order to be able to evaluate children of any age and to obtain meaningful clinical data for diagnosis and treatment.

The Cornea and Contact lens Service engages specialized contact lens fits for patients where contact lenses are either the only or best optical corrections. This includes patients suffering from corneal damage secondary to trauma or corneal diseases, dystrophies, and degenerations resulting in an irregular cornea. The Cornea and Contact Lens Service employs all forms of contact lenses in patient management including gas-permeable rigid lenses, scleral lenses, bi-toric lenses, soft toric lenses, and bifocal contact lenses. Additionally, Bowden provides corneal refractive therapy.

The Vision Therapy and Binocular Vision Service provide direct patient care, treatment, and therapy for patients suffering from accommodative and binocular vision disorders such as strabismus and amblyopia. The patients undergo a structured, supervised in-house therapy program for the correction and remediation of these binocular vision problems. The Vision Therapy and Binocular Vision Services contains all state-of-the art technology therapy. This service provides testing and remediation of visual-perceptual disorders frequently found as the root cause of learning disabilities and poor academic performance. Vision Therapy and Binocular Vision diagnostic and treatment techniques have been found to be extremely effective in helping patients with Traumatic Brain Injury (TBI). TBI is quickly becoming a large percentage of patients seen in this service.

The Visual Neurophysiology Service (VNS) uses advanced electrophysiological testing procedures to evaluate the integrity of the visual system from the retinal, through the optic nerves and optic tract, into the lateral geniculate body and optic radiations, to the occipital cortex of the brain. These procedures are extremely valuable in the evaluation of non-verbal patients, patients with retinal and optic nerve disease, and patients with visual complications secondary to neurological disease. The VNS also employs advanced testing procedures for visual acuity, color vision, and amblyopia. The procedures include Electroretinogram (ERG), Visual Evoked Potentials (VEP), and Electrooculogram (EOG).

In addition to the aforementioned services, the UIW Bowden Eye Care and Health Center offers an Ophthalmology Service, Retina Service, and an on-site Glaucoma Center. These additional services provide interns with unique experiences that are central to providing vision care to an underserved community.

The Low Vision Service assists patients with an eye condition that they were born with or have developed that makes it difficult to see or complete simple tasks. The team of residency trained doctors are dedicated to Low Vision, having a combined 50 years of experience in helping people maintain or gain independence. The Low Vision exam focuses on the problems that patients experience on a daily basis due to vision loss. With care and compassion, clinical staff prescribes a vision rehabilitation plan unique to each individual patient's needs. Through a collaborative effort, clinicians work to find devices, aids, and resources and teach independent skills to help achieve personal goals. Additional collaboration can occur with your ophthalmologist and primary care optometrist to provide a team-based approach.