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How Contact Lenses Can be a Danger to your Eyes

Most people wouldn’t consider contact lenses dangerous. In fact, they...

An Active and Eye Safe Lifestyle

90%! That’s the number of sports eye injuries that studies...

Welcome to Drs. Botts & Botts, Optometrists

Eyes are important indicators of overall health, and comprehensive eye care goes beyond a prescription for glasses or contact lenses. At Drs. Botts & Botts, Optometrists, we take the time to get to know you, your eye care history, and your vision needs. Our optometrists provide the expert care, advice, options, and follow up you need whether you are a new patient or an existing one.

Great Eyewear and Eye Care in Southwest Virginia

From our offices in Big Stone Gap and Pennington Gap, Drs. Botts & Botts, Optometrists serves patients from Southwest Virginia – schedule an appointment today. If you have a moment, please give us your feedback about our site and your experiences with our Practice.


Robert E. Botts, OD

Dr. Bob co-founded Drs. Botts & Botts in Big Stone Gap in 1979.  In 1992, the practice expanded into Lee County with a second office in Pennington Gap. Dr. Bob is a graduate of the Southern College of Optometry in Memphis, TN. He is a member of the Lonesome Pine...

Robert A. Botts, OD

Dr. Andrew Botts initially joined Drs. Botts & Botts during high school, working as a part-time Optometric Assistant.  He returned to the practice and began his own optometric career in 2014.  Dr. Andrew is a graduate of the Southern College of Optometry in Memphis, TN.  He completed clinical internships at...

Q&A with Dr. Botts on Children’s Eyecare

Dr. Botts Answers Your Pediatric Eyecare Questions

Q: We hear a lot about “seeing your eye doctor regularly.” In school aged children, ages 5 through 17, what does regularly mean?

Drs. Botts & Botts recommends yearly eye exams. A child that requires vision correction or monitoring of certain health problems should be evaluated at least on a yearly basis. However, if your child has an eye exam and is found to be doing well from a vision and health standpoint, every two years may be adequate.

Q: Are there signs parents should look for that would indicate a trip the optometrist is necessary?

Some common symptoms that might arise include: squinting, holding objects extremely close, headaches, eye turns, developmental delays, problems at school, avoiding near activities, etc. Children are remarkably adaptable. In many cases, their situation is normal to them so they may be 100% asymptomatic.

Q: Because many children may be too young to read, how is an eye exam conducted if they cannot read a Snellen Chart?

Although there are certain tests that are more difficult with younger children due to communication, an eye exam is not all about the eye chart. We have charts with numbers and pictures that allow younger children to participate. There are many other ways of functionally evaluating a child’s vision. Retinoscopy, for example, is a technique that utilizes the retinal “red” reflex (think red eye in a photo) to evaluate the refractive error with little to no verbal communication. Other testing to evaluate eye health is completely independent of the Snellen chart.

Q: One of the greatest tasks of a school-aged child is learning to read and in older children, the amount of reading required. What should parents be on the lookout for concerning their child’s reading and potential vision problems?

A lot of factors can demonstrate a problem reading. Abnormal reading distances, twisting the book/paper in abnormal directions, facial expressions, low comprehension, re-reading passages multiple times. Writing can also reveal a problem. Letters that are backward or misplaced, overly sloppy handwriting,etc.

Q: We often discuss vision problems as they relate to sitting in a classroom, but what about the playground or vision acuity’s effect on socialization and play?

80% or more of what your child learns is vision related. That includes depth perception and environmental associations, coordination, reading body language and other non-verbal cues.

Q: Today it seems that many children are very quickly diagnosed as learning disabled or dyslexic. How does vision play into the problems and what are the differences?

In many cases, there is a fine line between dyslexia, learning disabilities and even ADHD. Vision related issues are an overlooked cause of underlying dysfunctions that result in these types of diagnoses. Abnormalities in eye muscle movements, focusing ability, and visual perception can greatly impact a child’s ability to learn.

Q: We have many choices today to correct our vision. What do you recommend as the earliest age for contact lenses?

Contact lens use is greatly dependent on the maturity of a child. Contact lens wear is a big responsibility that can have severe visual implications if used incorrectly. Because of that, our optometrists focus on the patient in the chair, in connection with the parents to determine if a child is ready for contact lens wear.

Q: Kids can be hard on glasses. Are there effective glasses for children today that last?

We carry a wide variety of frames for everyone’s taste. Traditional metal and plastic frames can be a sturdy and cost effective option for most children. We also carry Miraflex frames, which are made from rubberized plastic. These frames are practically indestructible in the course of normal glasses usage.

We now carry Miraflex Glasses - great protective eyewear for your kids!

Dry Eye Treatment

Dry eyes result from the chronic lack of lubrication and moisture on the surface of the eye, which can cause minor irritations, an inability to wear contact lenses and an increased risk of corneal inflammation and eye infections.

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Focus Your Attention On These Key Areas

Focus on Eyeglasses

Our staff will help you find the best fit for your specific needs and explain how different lenses and frames will impact your vision.

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Advanced Technology

Learn about the different types of tests and equipment you may experience on a visit to our Practice.

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Comprehensive Eye Exams

Learn about eye exams, what’s involved in a comprehensive exam, and special considerations for kids and contacts.

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Our Vision Is to Maximize Yours!

The doctors and staff of Drs. Botts & Botts, Optometrists are dedicated health care professionals committed to providing quality comprehensive eye care services and eye wear to our patients in a professional, friendly and timely manner.

In the mountains of Southwest Virginia, The Botts family has been providing eye care since the 1920’s. Drs. Botts & Botts, Optometrists was founded in Big Stone Gap, VA in 1979. We love this area and call it our home. We take our charge seriously and strive to provide your family with the best eye care in the region.