Recent posts

BOARD CERTIFICATION IN OPHTHALMOLOGY By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
July 28, 2014

Most patients may not be aware if their doctors are “Board Certified” unless they notice a fancy plaque on the wall. But what does this mean exactly?

In ophthalmology, a “Board Certified” doctor has successfully completed 4 years of medical school and then another 4 years of an Ophthalmology Residency to learn the specifics of medical and surgical eye care. They are then challenged with a series of tests that take a minimum of three years to complete.  The first is an intensive written qualifying exam. This 250 question test has seven sections, each covering a different aspect of eye care. Each question requires knowledge of obscure as well as common eye problems.

Once you make it passed that by doing well in all seven sections (and many don’t), it is on to the oral exam a year or so later. Wisconsin doctors are tested in San Francisco.  Imagine the scene: scores of anxious young doctors sitting in the hallway of an upscale hotel. They are individually called into regular hotel rooms where an examiner shows them photos of eye problems and gives them some history. You are asked what you see, what you are going to do. “Are you sure? Is that so?” are common responses just to throw you off. The oral exam has 6 sections, again you must do well on all of them.

Dr. Martha F. Jay

Martha F. Jay, Ph.D., M.D.

I am very proud to say that all three Ophthalmologists at Lakeshore Eye Care (Dr. Jay, Cueto and Costakos) are Board Certified! But the certification only lasts 10 years. During that time, we keep informed about new aspects of care by attending medical education meetings and reading professional journals. The testing the first time is the most challenging, however. You can be proud of our doctors here, we sure are!

Dr. Martha Jay has been board certified in ophthalmology since 1994 and successfully re-certified twice since then.  She specializes in medical and surgical eye care including LASIK vision correction and small incision cataract surgery.

For more eye care information, visit www.LakeShoreVision.com or call 262-241-1919.


SUMMER AND BACK TO SCHOOL EYE CARE By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
July 24, 2014

Summer has finally arrived!  The children are out of school.  We’re spending our time outdoors at picnics, swimming, boating, camping, biking, playing baseball and taking long walks.  During the summer we can plan vacations with the family to either view local sites or far-away places.  We look forward to July 4th celebrations and fireworks displays.

Shortly after we celebrate the birth of the United States, however, the department stores remind us that summer will end soon and ‘back to school’ sales become the topic of conversation.  The list of school supplies for each school and grade gets printed and parents flock to the stores to purchase them before the supplies run out.

Missing from this to-do list is the annual eye exam.  Since children continually grow, a yearly eye exam is recommended.  Glasses prescriptions change as fast as outgrowing last year’s school clothes.  If you are considering contact lenses for your child, summer is a good time for them to learn insertion and removal of the lenses since they are under no pressure to get to school on time.

Dr. Mark E. GermanCollege bound students tend to have a shortened summer as they head off to school by mid August.  Have they updated their prescriptions?  For contact lens wearers, are their backup glasses up- to-date?  We hope back to school sales should get parents thinking about back to school eye exams.  Call us now to schedule those important appointments.  Be sure your children are primed for success with clear vision at the start the new school year.

Dr. Mark German is an optometrist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. He welcomes patients of all ages into his practice and accepts most insurance plans. Call 262-241-1919 or visit www.LakeShoreVision.com for appointments or more eye care information.


NIGHT VISION AND AGING By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
June 3, 2014

Is your night vision not what it used to be? If so, you are not alone. Night vision worsens with age due to a number of factors: pupil size, retinal changes and cataracts. Next time you are in a mixed age group, take a look at the pupils of the children compared to the older adults. Pupils gradually get smaller with age. This is not noticeable on bright days but in the dark the smaller pupils limit the amount of light that reaches the back of the eye called the retina.

Another reason night vision declines with age has to do with the retina itself which contains rods and cones. We depend on the cones for color vision and reading small print while the rods are critical for seeing in low light. As time goes on, we have fewer and fewer rods. Not only is that a problem, but the rods we do have take longer to adjust to dark environments.

While there is not much you can do about your pupil size or number of rods, you can potentially improve your night vision if it is affected by the third reason: cataracts. Cataracts are caused by a clouding of the lens in the front part of the eye. When significant, they also limit the amount of light that reaches the retina. Besides blurred vision at night, other common symptoms of cataracts are halos or glare around lights. The good news is that cataract surgery is now a 15 minute out-patient procedure with a 99% satisfaction rating.

Dr. Mark E. German If you are experiencing problems with night or other vision, be sure to have a thorough eye examination to rule-out easily treatable problems like cataracts or an outdated glasses prescription. See you soon!

Dr. Mark German is an Optometrist practicing with Dr. Martha Jay and Dr. Josephine-Liezl Cueto at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. He specializes in comprehensive eye care for all ages and contact lens fitting, especially for those who have had problems with contacts in the past.

For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


NEW BABY AT COLUMBIA-ST. MARY’S By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
June 2, 2014

I might be the one expecting but Columbia-St. Mary’s (CSM) Ozaukee beat me to the punch with a brand new machine for cataract surgery. Their “new baby” is the Alcon Centurion. We at Lakeshore Eye Care are fortunate to have access to the first facility in southeastern Wisconsin with this advanced technology. Just when you think cataract surgery cannot get any faster or safer, along comes another improvement!

Cataracts surgery involves using a tiny ultrasound device called a “phaco” machine to remove the cloudy lens through a small incision. Since last month, the new Alcon Centurion phaco machine has been in use at CSM Ozaukee. The result is faster surgery, improved comfort for our patients during the brief 10-15 minute procedure and quicker visual recovery afterwards.

CSM Ozaukee is the only hospital equipped for eye surgery in Ozaukee County. The improvements to this machine are vast, with the main difference being the way in which the ultrasound works. Since the Centurion machine is more efficient, it uses less energy to remove the cataract. The result is less swelling after surgery and quicker visual improvement. It also has the ability to maintain a steady pressure in the eye during surgery which improves patient comfort during the procedure.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

The bottom line is that anything that makes my job easier as a surgeon and helps my patients see better is progress I can endorse. Welcome to the new baby at CSM Ozaukee!

Dr. Josephine-Liezl Cueto is an Ophthalmologist (Eye Physician & Surgeon) practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Mark German. She specializes in medical and surgical eye care such as small incision cataract surgery, glaucoma care, macular degeneration, dry eyes and much more.

For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


MAY IS HEALTHY VISION MONTH By Dr. Martha Jay at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By lsvadmin
May 20, 2014

The National Eye Institute (NEI) has declared May to be “Healthy Vision Month.” The NEI is the federal agency responsible for most of the funding of vision research in the U.S. This includes everything from basic research about the functioning of the eye to public campaigns to improve vision in our country.

What is their vision health tip? They suggest that you take this month to find an eye care professional for yourself and your family as vision health should be an important aspect of your wellness plan. At least every two years, a complete eye examination with dilating drops to rule-out treatable eye problems is suggested. In children this could be just the need for stronger glasses or something more serious like a wandering eye. In adults we look for evidence of glaucoma, cataracts, macular degeneration and much more.

Another key to healthy vision is wearing sunglasses outside on sunny days. Ultraviolet exposure promotes macular degeneration and cataracts. So don’t stop at the sunscreen, use sunglasses and a hat this summer. Diet is also important. Leafy green vegetables contain valuable nutrients to keep the retina healthy and are especially recommended for those with macular degeneration.

Dr. Martha F. Jay

Martha F. Jay, Ph.D., M.D.

Finally, if you still smoke and have not found a reason to stop yet, think of your eyes. The more aggressive “wet” form of macular degeneration is more common in smokers as is the development of early cataracts.

So do your part: Call us today to schedule eye examinations for everyone in your family!

Dr. Martha Jay is a board certified ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. She specializes in medical and surgical eye care including blade-free LASIK and small incision cataract surgery. She founded Lakeshore Eye Care in 1992 after completing her ophthalmology residency at Northwestern University in Chicago.

For more eye care information call 262-241-1919 or visit www.LakeShoreVision.com.


LASIK OR CONTACTS: WHICH IS SAFER? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
April 29, 2014

Martha F. Jay, Ph.D., M.D.

If you don’t like glasses, your other options are contact lenses or LASIK vision correction. Which is the safer alternative? You’ll be surprised to learn that that actually LASIK is safer than wearing contact lenses. As a comprehensive ophthalmologist, I treat all types of eye problems. It is much more common for a contact lens wearer to come in with a severe eye problem than someone who has had LASIK.

Up to 6% of contact lens wearers per year will experience a severe eye infection, worsening dry eye symptoms or even an allergy to contact lenses themselves. These and other problems are not only painful but can lead to permanent vision loss and an inability to resume contact use.

LASIK safety, however, is not the same everywhere you go. All my patients benefit from blade-free LASIK using two lasers instead of one. It is almost impossible to have a complication during this type of LASIK procedure. Unusual healing is also rare, occurring less than 0.1% of the time. That’s why we call it “LASIK for Chickens.”

If you have been afraid of LASIK in the past, consider your odds of a problem if you stay in contacts. You knew that LASIK would simplify your life and save you money in the long run, and now you can add safety to the list of reasons to have LASIK. All it takes is 20 minutes to turn those contacts into a distant memory.

Dr. Martha F. Jay

Martha F. Jay, Ph.D., M.D.

While taking the blade out of the LASIK equation allows more patients to be good candidates, there are still exceptions. To find out if LASIK is an option for you, call for your personalized screening exam. It’s free, informative and pressure-free.

Dr. Martha Jay is a board certified ophthalm0logist (Eye Physician & Surgeon) specializing in LASIK vision correction, cataract surgery and comprehensive eye care. She welcomes patients of all ages into her practice and accepts most insurance plans.

For more eye care information, call 2620241-1919 or visit www.LakeShoreVision.com.


READING AFTER CATARACT SURGERY By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
April 21, 2014

So your friend had cataract surgery and now she rarely wears glasses. She does, however, pull out reading glasses for small print. Why does she now need glasses for reading but not for distance?

The reason is that during cataract surgery, we not only remove your natural cloudy lens but we replace it with a clear plastic implant. These implants are especially selected for you to generally improve your distance vision. This is wonderful for those who have needed glasses to see far-away since childhood. But if you don’t need glasses for distance, you will need them for reading.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

However, there is an option to avoid the hassles of reading glasses after cataract surgery. We offer special bifocal-like implants that let you see far-away, close-up and intermediate distances after your cataract surgery without glasses. This more closely mimics the vision you had when you were younger and provides relative freedom from glasses. These ReSTOR implants do cost a bit more but if you and glasses don’t get along, they are worth considering.

Not everyone is a candidate for the bifocal implants. For example if you have macular degeneration or considerable astigmatism they are not a good option for you. When you come in for your comprehensive eye examination and we determine that your cataracts are ready for surgery, all the potential lens options will be explained thoroughly.

See you soon!

Dr. Josephine-Liezl Cueto is a comprehensive ophthalmologist (Eye Physician and Surgeon) specializing medical and surgical eye care including cataract surgery, dry eye treatment, macular degeneration management, glaucoma treatment and much more.

For more eye care information, visit www.LakeShoreVision.com or call 262-241-1919.


ALCOHOL AND YOUR EYES By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
March 31, 2014

Moderate drinking has little effect on your vision. However, heavy drinking is another matter. We mentioned last week about the possibility of vitamin A deficiency in alcoholics which actually mimics malnutrition seen in third world countries. The result can be a painless loss of vision in both eyes called optic neuropathy. Color perception and vision clarity can be permanently affected.

Short term vision problems from a bit too much alcohol include blurred vision, double vision, problems with depth perception, decreased peripheral vision, dry eyes, red eyes, migraine headaches and brightness sensitivity. Most of these changes in vision are due to poor coordination of the eyes. There are 6 eye muscles controlling the positioning of each eye, and a considerable portion of your brain stem is involved with keeping the two eyes yoked. Even if they are offset by just a little bit, double vision results. Nystagmus or a jerking back and forth of the eyes is another eye muscle problem used by authorities to judge intoxication.

What about when you are “under the limit”? A recent study in Australia measured the visual functioning of volunteers who were still able to legally drive and found that they had decreased contrast sensitivity. This means that they were less able to detect a pattern as it stood out from the background, a key visual factor in seeing a pedestrian along the side of the road. They also experienced light sensitivity because their pupils did not appropriately constrict with bright lights used to mimic oncoming headlights.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

In order to maintain healthy vision, use alcohol only in moderation and walk to the pub or bring along a designated driver!

Dr. Josephine-Liezl Cueto is an Ophthalmologist (Eye Physician & Surgeon) practicing at Lakeshore Eye Care Professionals with Drs. Martha Jay and Mark German. She welcomes patients of all ages to her practice and accepts most insurance plans.

To learn more about eye care, call 262-241-1919 or visit www.LakeShoreVision.com.


MYTH BUSTER: CARROTS HELP YOUR VISION By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
March 24, 2014

Sorry if you heard this from your mother, but eating more carrots will probably not have much of an effect on your night vision. Carrots, broccoli, sweet potatoes, pumpkin and leafy green vegetables all contain beta-carotene which is a carotenoid. That means that they contain a pro-vitamin that is converted to vitamin A in the body but on an as-needed basis. So if you already have a balanced diet, the excessive consumption of carrots won’t have much effect on your vitamin A levels.

Another source of vitamin A is from liver, cod-liver oil, fish oil and butter. They contain retinoids which, when consumed in excess, directly increase your vitamin A levels. So as is the advice on most dietary factors, balance is the key.

Vitamin A deficiency is rare in the US but, in keeping with our last column about worldwide eye care, is seen with malnutrition in developing countries. Especially susceptible are pregnant women and small children. In fact, 1/3 of all children under 5 worldwide have a vitamin A deficiency. The result can be night vision problems and poor resistance to infection. One place where we do see vitamin A deficiency in the US is with alcohol abuse. Alcoholics tend to have a poor diet and the retinoids they do consume are broken down faster.

Dr. Mark E. German They bottom line is eat your vegetables, don’t smoke or quit if you do, and wear sunglasses on a regular basis. These are your best strategies for maintaining good vision. Also important is regular eye care. That means a complete, dilated eye exam at least every two years or more frequently if you have diabetes, macular degeneration or glaucoma.

Dr. Mark German is an Optometrist at Lakeshore Eye Care Professionals practicing with Dr. Martha Jay and Dr. Josephine-Liezl Cueto. He welcomes patients of all ages into his practice and accepts most insurance plans.

For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com


EYE PROBLEMS AROUND THE WORLD By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
March 17, 2014

The World Health Organization (WHO) recently released a fact sheet about visual impairment worldwide. Not surprisingly, of the 285 million people with some type of visual impairment worldwide, 90% are in developing countries.

However, 80% of all vision problems can be prevented or cured. Remarkably, lack of appropriate glasses accounts for 43% of those with vision problems alone. Another 33% struggle with visual impairment stemming from cataracts and could benefit from access to surgery.

What are the WHO and other organizations doing about these problems? One success story concerns onchocerciasis related blindness. This parasite is carried by black flies which breed near rivers earning the moniker “river blindness”. Treatment programs in Sub-Saharan Africa and South America have considerably reduced this condition by providing anti-parasitic medication twice yearly to those in susceptible areas. Untreated, this condition causes intense itching and inflammation of the eyelids along with severe glaucoma.

Another success story is with Trachoma. This eyelid infection is caused by Chlamydia from flies or contact with others who are infected. If left untreated, the result is severe scarring of the eyelids and damage to the cornea causing blindness. A single dose of Azithromycin antibiotic is effective for this condition and is part of many worldwide health projects.

Dr. Martha F. Jay

Martha F. Jay, Ph.D., M.D.

Other projects include children’s clinics to provide glasses and surgical access for underserved populations in remote locations. All these worthwhile endeavors still have a way to go before the good vision we all take for granted is more widely available.

Dr. Martha Jay is a board certified Ophthalmologist (Eye Physician & Surgeon) practicing at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.

For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.



Stay Connected


We want to hear from you