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Your Advanced Ocular Surface Disease Center in Fort Worth

Struggling with chronic eye discomfort, redness, or blurred vision? Our expert eye care team specializes in the advanced diagnosis and medical management of ocular surface disease, offering personalized treatment plans to relieve symptoms and restore comfort.

Whether you're dealing with severe dry eye, inflammation, or corneal complications, we utilize cutting-edge technology and evidence-based care to improve your eye health and quality of life. Trust us to help you see clearly and comfortably again.

A woman using a TearLab device on her eye.
Close-up of a person's eye with a tissue being used to wipe away tears.

What is Ocular Surface Disease, and What Causes It?

Ocular Surface Disease (OSD) refers to a group of conditions that affect the surface of the eye, including the cornea, conjunctiva, and tear film. It often results in symptoms like dryness, irritation, redness, blurry vision, and a gritty sensation.

Common causes include dry eye syndrome, meibomian gland dysfunction, allergic reactions, infections, and autoimmune disorders such as Sjögren's syndrome. Environmental factors like prolonged screen time, low humidity, contact lens wear, and certain medications can also contribute to OSD.

Left untreated, it can impact vision and eye comfort significantly, making early diagnosis and management essential.

Offering the Most Advanced Technology Today for Treatment of OSD

At our clinic, we invest in some of the most advanced eye care technology available today to ensure precise diagnosis and effective treatment. These innovations allow us to detect issues earlier, customize care plans, and monitor progress with exceptional accuracy.

By staying at the forefront of eye care advancements, we help our patients achieve the clearest, most comfortable vision possible—supporting their daily lives with healthier eyes and long-term visual wellness.

A doctor is using a pen to point to an eye model

In-Depth Tear Gland and Functional Dry Eye Assessment

We offer advanced testing and assessment of tear gland function and dry eyes, using cutting-edge technology such as:

  • Oculus Keratograph 5M

    This advanced imaging tool evaluates tear film quality, meibomian gland health, and corneal irregularities, allowing for comprehensive, non-invasive diagnosis of dry eye and ocular surface disease.

  • TearLab

    Our team uses this technology to measure tear osmolarity—an essential marker of dry eye disease—providing quick, reliable results that help guide targeted treatment and monitor patient response to therapy over time.

  • Inflammadry

    This tool is used to detect elevated MMP-9 levels, a key marker of inflammation in dry eye disease, enabling early intervention and more effective, personalized treatment strategies for managing ocular surface inflammation.

Dry Eye and Aesthetics Treatments

Treatments we offer at our Fort Worth eye clinic include:

  • IPL (Intense Pulsed Light)

    IPL therapy uses light pulses to reduce inflammation and improve meibomian gland function in dry eye patients. It also enhances skin tone and texture for aesthetic rejuvenation.

  • Radiofrequency

    Radiofrequency gently heats the eyelid area, stimulating collagen production and unclogging meibomian glands. This improves tear flow and tightens skin, offering both dry eye relief and cosmetic benefits.

  • LipiFlow

    LipiFlow combines heat and gentle pressure to clear blocked meibomian glands. This in-office treatment restores natural oil flow to the tear film, providing lasting relief from evaporative dry eye.

  • BlephEx

    BlephEx is a handheld device that exfoliates the eyelid margins, removing bacteria, biofilm, and debris. It treats blepharitis and enhances overall eyelid hygiene, reducing inflammation and improving tear quality.

  • ZEST

    ZEST (Zocular Eyelid System Treatment) uses a natural okra-based gel to deep-clean eyelids, removing oil, debris, and contaminants. It's gentle yet effective for managing dry eye and eyelid inflammation.

Medical Management of Ocular Surface Disease

We offer the following technologies for superior medical management of your OSD:

  • Amniotic Membranes

    Amniotic membranes promote healing of the ocular surface by reducing inflammation and scarring. Used in moderate to severe cases, they support corneal regeneration and enhance patient comfort during recovery.

  • Punctal Plugs

    Punctal plugs are tiny inserts placed in the tear ducts to retain moisture on the eye's surface. They help relieve dryness by preventing tear drainage, improving hydration and comfort.

  • Rx Drops

    Prescription eye drops, including anti-inflammatories and immunomodulators, target the root causes of ocular surface disease. These medications help reduce symptoms, control inflammation, and support long-term eye health and comfort.

  • Serum Tears

    Serum tears are custom-made eye drops derived from a patient's own blood serum. Rich in growth factors and nutrients, they promote healing and relief in severe dry eye and ocular damage.

  • At-Home Therapies

    At-home treatments like warm compresses, lid scrubs, omega-3 supplements, and humidifiers support daily management of ocular surface disease, helping maintain tear stability and reduce flare-ups between office visits.

Ocular Surface Disease FAQs

Meet our Eye Doctors

Corey Giammarco
Corey Giammarco O.D.
Language: English
  • Accepting New Patients
  • Family Friendly
  • In Person Appointments

Corey Giammarco, O.D., received his Doctor of Optometry from the University of Houston College of Optometry, graduating summa cum laude. He earned his Bachelor of Science in Human Biology from the University of Texas at Austin. During his…

Joe Broadway
Joe Broadway O.D.
Languages: English, Spanish, Hindi
  • Accepting New Patients
  • Family Friendly
  • In Person Appointments

Joe Broadway, O.D., completed his Doctor of Optometry from the University of Houston. He earned his Bachelor of Science in Biology and Business Administration Minor from Baylor University in 2017. Dr. Broadway developed a special interest…

Georgia Spangenberg
Georgia Spangenberg O.D.
Language: Spanish
  • Family Friendly

Georgia Spangenberg, O.D. received her Doctor of Optometry from the University of California, Berkeley's School of Optometry. She earned her Bachelor of Arts in Anatomy & Physiology at the University of California, Berkeley as well.…

William L. Aston II
William L. Aston II O.D.
Language: English
  • Accepting New Patients
  • Family Friendly
  • In Person Appointments

William Aston, O.D. received his Doctor of Optometry at the University of Houston College of Optometry in 2002. He earned his Bachelor of Science in Biology from the University of North Texas in 1997. Dr. Aston is a therapeutic optometrist…

Lori L. Russo
Lori L. Russo O.D.
Language: English
  • Accepting New Patients
  • Family Friendly

Lori Russo, O.D. received her Doctor of Optometry from the University of Houston College of Optometry in 2003. Prior to that, she graduated from the University of North Texas in 1998 with a Bachelor of Science in Biology. Dr. Russo is a…

Zane A. Vandiver
Zane A. Vandiver O.D.
Language: English
  • Accepting New Patients
  • Family Friendly
  • In Person Appointments

Zane A. Vandiver, O.D. received his Doctor of Optometry at the University of Houston in 1977. Dr. Vandiver graduated from Memorial High School in Tulsa, Oklahoma, and earned his undergraduate degree at the University of Oklahoma. After…

Patient Reviews

4.9
1258 Reviews
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William S. - Jun 19, 2026
Professional and friendly.
K V. - Jun 18, 2026
Staff is amazing! Doctors are super detailed and answer any questions. They also price match on cont... acts from Costco or Sam’s Club

Your Ocular Surface Disease Doctor in Fort Worth

Outside Eagle Ranch Vision
Photograph of Corey Giammarco
Hours
  • Monday 8:00 am - 6:00 pm
  • Tuesday 8:00 am - 6:00 pm
  • Wednesday 8:00 am - 6:00 pm
  • Thursday 8:00 am - 6:00 pm
  • Friday 8:00 am - 5:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • VSP
  • Medicare
  • Spectera
  • EyeMed
  • Tricare
  • Superior Vision
Close-up of a person's eye with a red and irritated sclera.

Ready to see the world more clearly?

Contact us to schedule your eye exam!