The $53-million Waterloo Eye Institute spans 68,000 square feet and will equip the University of Waterloo’s strong research network with innovative optometric tools and technologies.Supplied/HOK
A new, leading-edge vision health facility that‘s home to Canada’s only English-speaking optometry school is taking shape to help address the gap in eye care across the country.
Spanning 68,000 square feet, Ontario’s Waterloo Eye Institute (WEI) brings vision research, education and patient care under one roof alongside innovative technologies, such as tele-optometry and virtual reality, at a time when Canada needs it most.
Currently, one in five Canadians are at risk of losing their sight due to a variety of eye conditions, such as glaucoma and cataracts, according to Fighting Blindness Canada, a national non-profit. This dovetails with two growing trends: Canada’s aging population — projected to increase the number of seniors by 68 per cent over the next 20 years — and a rise in screen time, as more Canadians report spending more than four hours a day on digital devices.
“The Waterloo Eye Institute is needed now more than ever as we face a national and global vision crisis,” says Dr. Stanley Woo, director of the School of Optometry and Vision Science at the University of Waterloo (UW).
Possible optometrist shortage looms
With only two optometry schools across the country, Canada has struggled to train enough eye doctors to meet primary and specialized vision care needs. As a result, many aspiring optometrists study abroad, and the federal government projects a significant optometry labour shortage through 2033.
Across the country, access to vision care remains an issue, especially in rural and remote communities. A recent report published by the Canadian Association of Optometrists cited a “notable shortage” of optometrists outside urban areas in every province, with First Nations and certain urban populations experiencing difficulties accessing care.
“Canada is a big country, and a lot of rural, remote and Indigenous communities have struggled to get access to local vision care,” says Dr. Woo. “With this new Eye Institute, we are looking to the future and recognizing how we can help serve some of these underserved populations.”
To improve access to vision care, the WEI will establish a tele-optometry centre that delivers UW’s world-class eye care to remote communities for both initial diagnoses and the monitoring of chronic eye diseases.
Modernizing eye care
Since UW’s School of Optometry was established in 1967, it has undergone several renovations every 10 to 20 years. However, these renovations never addressed the modern needs of the school’s patrons, which include students, professors, researchers and about 28,000 patients annually.
“One of the core challenges we presented to the winning design firm was to try to build an addition that somehow integrated with the previous generations of the building,” says Rob Hunsperger, UW’s senior director of planning, design and construction.
HOK designed the WEI to accommodate people with vision impairment and limited mobility. This included wide corridors in its design and making the exam rooms wheelchair accessible.Supplied/HOK
Projected to open in the latter half of 2026, the WEI harnesses the university’s already-strong research network to bring new optometric techniques and technologies, including specialized care in areas such as myopia control and vision therapy, an ocular imaging research centre to study the eye-brain connection and new treatments for vision loss.
“The new building not only gives the community the most amazing eye care facility in North America, but it allows the university to train optometrists to the next level through greater access to care and an ability to see more patients,” says Dr. Alan Ulsifer, chair and chief executive officer of FYihealth Group, a major donor to the $35-million campaign that helped make the WEI a reality.
Inclusive and accessible design
When designing the $53-million WEI, project architect HOK made sure it would be built to accommodate those with vision impairment and limited mobility. “We went beyond the minimum code requirements,” says Zaid Saleh, HOK’s senior associate – project architect.
HOK made all the WEI’s corridors wide enough so they’re fully accessible and designed the exam rooms so they could accommodate people in wheelchairs. The firm also added notches to the reception desk so vision-impaired clients can feel them to identify where they are in the room.
“This project provided a really interesting platform for ways we can design spaces with accessibility at the forefront – almost in a radical way – since many of the patients who come to this building will typically have some degree of sight impairment,” says Paul Harrison, design principal of HOK’s Canadian practice.
To help guide the building’s accessible design, HOK relied on fellow architect and consultant Chris Downey, who lost his sight in 2008. “Chris provided a lot of thought leadership around how you make spaces more inclusive for people struggling with their sight,” Mr. Harrison adds.
An eye on the future of ocular research
The WEI will also expand the UW optometry faculty’s research through a proposed lab, the Canadian Vision Imaging Centre, which is intended to attract global talent and encourage interdisciplinary collaboration.
The discoveries made in this lab could lead to bringing new treatments to the clinic and to classrooms.
Once it opens in 2026, the WEI will feature a teleoptometry centre that will deliver remote eye care to rural and remote communities for diagnoses and the monitoring of chronic conditions.Supplied/HOK
“With his new research centre, we are moving to the forefront of ocular research that uses the eye as the window to the brain and the body,” says Dr. Woo. “We can unlock the potential to create an increased capacity to innovate and find not just new treatments but also translate research into practice more quickly.”
Like most modern sciences, ocular research has embraced interdisciplinary collaboration and is moving away from individual study. This is reflected in the new lab spaces that are designed to encourage “accidental collisions” – chance meetings among researchers.
“By bringing people together in a shared space model, we not only make the best use of our limited resources, but we unlock the potential to create new opportunities and new avenues for scientific investigation,” Dr. Woo explains.
The latest tech to match the space
The WEI is equipped with the most advanced eye imaging technology to encourage research and innovation.
A new, immersive virtual reality suite will help assess the real-world impacts of conditions such as concussions and amblyopia – often referred to as “lazy eye.”
Just this past February, the FDC Foundation, which donates to the health care field, gave four new pieces of optometric equipment to the WEI. The equipment is currently being held at the institute’s temporary location while the new building is under construction.
“If you’re not seeing well, you have eye co-ordination problems or eye health problems … you get more tired, you get more headaches and you just can’t produce at the same level as if everything’s working as it should,” says Dr. Ulsifer. “The point is that we are discovering more each day how crucial eye care and vision health is than we ever knew or understood before.”