Personalized Solutions for Your Eyes

The optometrists at Coastal Vision understand that every eye is different, and no two people have the same needs when it comes to vision care. We focus not only on ensuring clear vision for our patients, but providing the highest quality care to maintain the health of our patient's eyes. 

Our range of services include complete, comprehensive exams, the prescribing of glasses and contact lenses, and the diagnosis and treatment of medical conditions like glaucoma, cataracts, and diabetic retinopathy. We employ only the most up-to-date technology, and ensure every member of our team is educated on the most recent developments in eyecare.

Our 5 locations across Hampton Roads are conveniently located to ensure we meet the needs of as many members of our community as possible. Each office has an extensive selection of designer frames, as well as the best lenses and contact lenses on the market. We cater to all lifestyles, personalities, and price ranges to meet every unique need.

Our number one priority is our doctor-patient relationships. Our doctors are committed to educating their patients on how to maintain healthy vision for a lifetime. You are much more than just your medical data, and this is important in understanding exactly what you want and need. We don't believe in a one size fits all approach to medicine. We get to know our patients so that we may find them a vision solution that fits them perfectly.

Coastal Vision is personalized vision care that is as unique as you are. 

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Vision Therapy

What is Vision Therapy?

There are a few categories of vision related problems that are beyond the standalone scope of glasses or contact lenses. These problems are treated with Vision Therapy.

Vision Therapy or orthoptic training is aimed to enhance and help in the development of visual performances via individualized treatment programs that help build and strengthen neuronal pathways. Vision Therapy, as done during physical therapy, enhances the use of our eye muscles that may be functioning improperly or causing discomfort during prolonged near work by the use of lenses, prisms, 3D activities with different instruments and computers.

How do you know if you need Vision Therapy?

The following are conditions that require Vision Therapy:

  • Amblyopia (lazy eye)
  • Strabismus (crossed, drift, or wandering eye)
  • Convergence Insufficiency or Convergence Excess (binocular eye teaming issues)
  • Focusing problems (intermittent blur not correctable with conventional glasses or contact lenses)
  • Oculomotor Dysfunction (Tracking difficulties/losing one’s place when reading)
  • Visual Perception (perceptual/learning/reading comprehension related) problems
  • Traumatic Brain injury, Post-Concussion Syndrome

Parents or teachers often notice the student(s) skep lines while reading, reverse letters such as b/d/p/q, have short attention span, have difficulty completing assignments or copying information from the board, struggle with reading comprehension, complain of eyestrain or headaches with prolonged near work. While some of these symptoms are related to Attention Deficit Hyperactive Disorder (ADHD), for some, there are vision related problems that can be eliminated or improved by Vision Therapy.

How is Vison Therapy performed?

Prior to starting Vision Therapy, a patient must have a Comprehensive Dilated Eye Exam. The next step involves a thorough evaluation by Dr. Tahmasian of the patient’s binocular and accommodative system via a Binocular Vision Evaluation (BVE), and if necessary a thorough evaluation of the patient’s visual perceptual information processing (VPE).

Vision Therapy is done by a highly trained tech and overseen by Dr. Tahmasian and is individually programed to address the patient’s areas of weakness identified during testing. Vision Therapy is done in-office, at our Salem location, 10-12 sessions which are 30 minutes long, and home therapy is given to be completed 4 times a week for about 15 minutes a day to help reinforce and enhance treatment.

During the in-office portion, specialized equipment are used such as, lenses, prisms, optical filters computer programs designed to challenge out visual dysfunctions, visual-motor-sensory integrated training devices, balance boards to help incorporate our vestibulo-ocular pathways specifically for individuals with concussion, and more. A patient an undergo vision therapy for 3 months to a full year depending on underlying condition and improvement rate. Changes in visual function with Vision Therapy are long-lasting and very rarely show regression signs.

Who is Vision Therapy appropriate for?

Therefore, Vision Therapy is not just for kids under 18, but also is used for adults. Our visual world has become more and more centered around Computers. We live in a digital world which pose eyestrain and other visual problems such as eye teaming, focusing, tracking, double vision, frontal headaches with near work, and pulling sensation around our eyes. When an individual suffers a concussion, their visual world and balance can be affected as well. These issues among the above mentioned are problem areas which are addressed and treated during Vision Therapy.

Call and ask for a BVE or VPE by Dr. Tahmasian if the above mentioned are affecting your daily life and/or child’s academic success.


Research Articles and Information:



Arieneh Tahmasian, OD

Coastal Vision

Primary Care, Pediatric care and Vision Therapy


Comprehensive Eye Examination

The eye exam is the most critical part of your time spent at Coastal Vision. Our doctors take great care to make sure your exam is as complete and thorough as possible. The vision assessment includes determining your new prescription, evaluating your lifestyle in terms of what vision solution you need, and a comprehensive assessment of the health of your eyes. This includes checking eye pressure, pupil dilation, and high definition retinal imaging to screen for diseases like cataracts, glaucoma, and more.

Contact Lens Evaluation

Finding the perfect contact lenses for your eyes can be tricky, as moisture across eyes and lenses varies so much. Comfort is of the utmost importance. The contact lens evaluation accounts for not only your eye health and prescription, but the needs of your lifestyle and comfort levels. Eyes are evaluated for allergies and other causes of dry eyes, and corneal topography is used to map out the cornea for your best lens fit. Trial lenses are fit to assess the visual performance and comfort of the lens. Follow-up evaluations are provided to reassess the day to day lens performance and your satisfaction.

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