Dr. James Spangler
 Dr. Jeffrey Moore

213 West Third Avenue
  Warren, PA  16365


 814-723-5413 fax
INFANTS - InfantSEE providers offering a one time, no-charge vision and eye health assessment

PRESCHOOLERS - Eye health and vision skills development examinations.

SCHOOL-AGE - Eye health examinations, eyeglasses, contact lenses, vision related learning issues, dyslexia testing, sports vision. 

"Good scholastic performance, good athletic performance, it all begins with vision"

ADULTS AND SENIORS - Eye health and vision examinations, eyeglasses, contact lenses.

SPECIAL SERVICES - Treatment of eye infections, foreign body removal, glaucoma treament, cataract assessment and referral, macular degeneration assessment and nutritional recommendations, dry eye assessment and treatment, home and office based vision therapy programs.
A picture is worth a thousand words, or so it is said.  So we use every opportunity to use photography to help our patients understand their vision problems.  We use the RICK camera for examining infants and non-verbal patients, assessing eye alignment, near- and farsightedness, external eye health, and pupil function, and digital slit lamp cameras for external and internal eye health.  These images are shown to the patient and family to better understand vision disorders.
How can you examine the vision of an infant?  Good question - and thanks for asking!  From this image we
can assess eye alignment, risk for amblyopia, eye health,
and pupil size.  This young fellow is farsighted - and he
seems to be enjoying his eye exam!!!
Dr. Spangler is introduced as guest lecturer by West Virginia InfantSEE State Leader Dr. Gary
Veronneau kicking off the state's participation in the nationwide public health effort.
Why does a cataract make my vision so fuzzy?  Take a look.  Compare the clear lens
of a healthy eye to the
clouded lens of an eye with a "cataract." 
Glaucoma is a disease caused by an increased pressure in the eye.  Damage occurs to the weakest part of the globe -
where the optic nerve leaves the eye.  Cupping of the optic nerve head results in damage that reduces vision - to blindness if not treated.  Compare the normal nerve to a damaged nerve with
80% cupping.

Systemic diseases are associated with eye and vision problems.  Hemorrhage within the eye
can be due to high blood pressure as seen in image 1 with a vein occlusion and as seen in a diabetic patient in image 2.  A choroidal nevus in image 3 and a  vitreal lesion of a neurofibromatosis patient in image 4 are compared to a healthy retina in image 5.  Careful assessment of the optic nerve head is essential in care of MS patients (image 6).


Emergency eye conditions
require immediate attention,
including foreign body such as rust embedded on the cornea,
anterior chamber hemorrhage, or retinal detachment.

We accept most third party insurance plans including: Medicare, Blue Shield, Health America, Davis Vision, Unison, VSP, VBA, and NVA.
Click here to learn
about the RICK
Warren Times Observer
Readers Choice Award
Favorite Optometrist 2007, 2008
Macular degeneration is a disease of the central part of the retina.  It is the leading cause of irreversible vision loss in adults over the age of 60.  Drusen represent yellowish pockets of deposited material between the underlying choroid (network of blood vessels) and the overlying retina (nerve tissue).  These small areas are "blind spots."  Vision decreases as these small spots increase in size and number.  Vision loss tends to be central vision with peripheral vision usually remaining.

Certain retinal diseases cause loss of peripheral vision, usually starting with inability to see at night - "night blindness."  Black "spicules" highlight defective areas of retina.

Dry eye conditions can be more than a nuisance.  Severe dry eye can lead to corneal defects and even corneal scarring which can substantially decrease vision, just as a cataract can.  Treatments involve reduction of inflammation and frequent lubrication using eyedrops to improve the protective tear film layer.  Although dry eye is common in an older population, sypmtoms can worsen for patients taking certain prescription and over the counter medications, for patients prone to seasonal allergies, or patients subjected to dry environments such as homes with certain air conditioning or heating systems. 
To read more about Age Related Macular Degeneration and the nutritional supplements we recommend to help preserve vision from this disease, click on the link to the right.

Our doctors have achieved dramatic results with a new eye drop for dry eye conditions.  To learn more about FRESH KOTE click on the link to the right.