Founded in 1984 on University Avenue in La Mesa, Vision Solutions Optometry built its reputation on orthokeratology and myopia control under founding partner Dr. Caroline Guerrero Cauchi, a UC Berkeley School of Optometry graduate and Fellow of the International Academy of Orthokeratology. The ortho-k program reshapes corneal curvature overnight using custom rigid gas-permeable lenses, eliminating daytime lens wear for children whose myopia progression can compound the visual-processing difficulties assessed by Christina Brittain - Intuitive Counseling and other La Mesa behavioral-health providers. Dr. Jamie Starr Peters, a Penn State University graduate who became orthokeratology-certified in 2004, now leads clinical operations as chair of the fellowship program for both the International Academy of Orthokeratology and Myopia Control and its American counterpart. Scleral contact lens fitting for keratoconus and corneal-scar patients expands the specialty scope beyond standard refractive correction, and the cosmetic benefit of invisible vision correction aligns with the appearance-focused treatment goals at providers such as La Mesa Medical Hair Restoration for patients investing in overall self-presentation. The practice's highest-complexity fitting involves custom scleral lenses for post-surgical or keratoconic corneas, where vault clearance, limbal bearing, and sagittal-depth measurements must achieve simultaneous optical correction and corneal protection without compromising tear-film exchange.