Dr. Smith & Associates on First Avenue in downtown San Diego's Bankers Hill has delivered full-scope optometric care since the practice's founding in 1962. The office specializes in complex refractive cases including hard-to-fit prescriptions and specialty contact lenses for bifocal and high-astigmatism corrections, referring surgical candidates to ophthalmologists such as Bishoy O. Said, MD at Sharp Rees-Stealy Downtown. A dedicated vision therapy center treats children and adults with visually related learning difficulties, using structured perceptual-motor exercises to retrain binocular coordination and oculomotor control. Low-vision rehabilitation for patients with macular degeneration involves fitting telescopic and prismatic aids calibrated to each patient's remaining functional acuity, a specialty niche that complements the general optometric services at Optometric Expressions nearby. Advanced contact-lens fittings utilize corneal topography mapping and wavefront aberrometry to design custom toric and multifocal lenses for irregular corneas that standard soft-lens parameters cannot correct.