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WHAT CAN YOUR PUPILS TELL US? By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
September 21, 2017

The pupil is a hole in the iris that allows light to transmit to the retina inside of the eye.  Bright light causes the pupils to constrict (get smaller), and darkness causes the pupils to dilate (get larger).  The pupils are constantly changing size to control the amount of light that enters the eye.  This is all controlled by our autonomic nervous system automatically without us having to think about it.  Pupil testing is an important part of the eye examination, and abnormal pupils can indicate eye health or overall health problems.

Some chemicals or drugs can alter pupil size, and make them less reactive to changing light conditions.  Systemic drugs like morphine, codeine, or heroin can make pupils smaller.  Also, exposure to some pet flea/tick products can make pupils smaller.  Medications like scopolamine patches used to treat motion sickness can make pupils larger.  Over the counter allergy eye drops, “get the red out” eye drops, and anti-itch creams may make the pupils larger.

Anisocoria is the condition where one pupil is a different size than the other.  Some people are born with different sized pupils.  Ocular surgical complications or eye injuries can cause a pupil to change size or shape.  If one pupil suddenly becomes larger or smaller than the other, it is important to have an eye examination to determine the cause.  Sometimes a very serious problem like concussion, cerebral aneurysm, cerebral mass, or stroke can alter the size of the pupils.

During routine eye examinations, we carefully evaluate the pupils for abnormalities.  We also dilate the pupils to more carefully evaluate the health of the inside of the eye.  Any sudden changes in pupil size should be evaluated to determine the cause.

Dr. James Ivanoski

Dr. James Ivanoski practices at Lakeshore Eye Care Professionals with Drs. Martha Jay and Mark German. He welcomes patients of all ages into his practice and accepts most insurance plans.

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


“DO I HAVE TO HAVE THOSE DILATING DROPS TODAY?” By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
September 14, 2017

When we prepare to put dilating drops in during a complete eye examination, we often hear “Not today, I have too much to do!”  The problem is that dilation is a major part of the eye examination.  Without it, you have only had the front part of your eyes examined.  Having an eye examination without dilating drops is like going to the gynecologist or primary care doctor without taking your clothes off!

We use the dilating drops to get a better view of the retina in the back of the eye and the blood vessels that overly it.  The eye is the only place in the body where we can directly see these tiny blood vessels which can be affected by high blood pressure, diabetes and many other medical conditions.  We are also looking for retinal tears or masses that cannot be seen through a small pupil.

Most people can go about their regular day after dilation if they have sunglasses.  The problem comes with reading but if you are already in bifocals, your reading should not be too impaired.  Most people are back to normal within 3-4 hours after the exam.

So just plan ahead.  If you are scheduled for a complete eye examination and find it difficult to function with dilating drops, arrange your schedule accordingly.  As long as you are having your eyes examined, you might as well have us evaluate your whole eye and not just the front part. At lease we don’t make you take your clothes off!

Dr. Mark E. GermanDr. Mark German is an Optometrist practicing at Lakeshore Eye Care Professionals with Drs. Martha Jay and James Ivanoski. 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.

 

 


iSTENT: NEW SURGICAL OPTION FOR GLAUCOMA By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsino,

By user-admin
August 28, 2017

iStent

If you have glaucoma and cataracts, there is a new surgical option to tackle both at the time of your cataract surgery called the iStent. This tiny device (1 mm by 0.3 mm) helps control your eye pressure by increasing the outflow of fluid from the front of the eye. The eye is like a small plumbing system: there is fluid constantly entering the eye from behind the pupil and leaving it through a sponge-like meshwork at the edges of the eye in front of the colored iris. By placing the iStent, we bypass this meshwork, allowing the fluid to leave more quickly and with the goal of decreasing eye pressure.

The iStent is part of a new type of glaucoma care called Micro-Invasive Glaucoma Surgery or MIGS.   In the past glaucoma was mainly managed with eye drops, lasers or extensive surgery. This new option is less traumatic to the eye than traditional glaucoma surgery but does need to be done at the time of cataract surgery. Once the cataract procedure is completed and the lens implant in place, we then turn the patient’s head to one side and insert the iStent. You cannot see or feel the stent.

How do you know if the iStent is an option for you?  We will discuss this in more detail at your next eye examination but generally your glaucoma must be mild or moderate. If you have severe glaucoma, for example taking multiple medications for this or have significant vision loss, then other surgical options will be discussed.  If you have already had cataract surgery or your cataracts are not ready yet for surgery, you also would not be a candidate for the iStent at this time.

Regardless of the treatment for glaucoma, close follow-up is important to be sure this condition is well controlled. That generally means seeing you at least every 6 months: one visit with dilating drops and the other with the side vision test along with the scan of the back of the eye. We look forward to sharing this new innovation in glaucoma care with you in the near future.

Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care such as glaucoma care, cataract surgery and blade-free LASIK. 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 user-admin
August 25, 2017

If you don’t like glasses, your alternatives include contact lenses or LASIK vision correction. We know that LASIK is more convenient and saves you money in the long run but 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.

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

Up to 6% of contact lens wearers per year 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 or have LASIK in the future.

As LASIK safety is not the same everywhere you go, select your LASIK surgeon carefully.  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. That’s why we call it “LASIK for Chickens.”

If you have been thinking about LASIK, consider your odds of a problem if you stay in contacts. You knew that LASIK simplifies your life and is more cost effective; now add safety to the list favoring LASIK.  Give us 20 minutes and we can turn those contacts into a distant memory.

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

Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist who has been a leader in refractive surgery in the Milwaukee area for more than 20 years. She was the first doctor in the area to use a laser for vision correction and has continuously offered the most advanced eye care available.  She welcomes patients of all ages into her practice and accepts most insurance plans.

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


27 CONTACT LENSES FOUND IN PATIENT'S EYE: NEW YORK TIMES ARTICLS

By user-admin
July 28, 2017

Click on the image to the left for a link to an New York Times article about a patient in England who kept putting contact lenses in her eye not realizing she had not taken the last one out. She came in when here eyes were irritated and 27 contact lenses were found.


25 years in Practice! By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
July 27, 2017

What happened? It seems like yesterday that I began practicing medical and surgical eye care in Ozaukee County.  I was fresh from my residency in Ophthalmology at Northwestern University in Chicago and St. Mary’s Hospital was soon to relocate to Mequon from Port Washington. The community appeared to be just the right place to make my start.

The tiny 500 square foot office in Mequon was where it all began. We had two examination rooms and one employee besides myself.  I really did not know very many people in the area, besides my husband's colleagues at UWM, but patients started coming in.  It has been gratifying since then to get to know so many wonderful people in Ozaukee County.  I have treated 3 or more generations of many families in the area: the kids for their first eye exam, their parents for LASIK and the grandparents for cataract surgery.  Now even those "kids" are young adults and are having LASIK themselves!

Now our practice has grown to 3 doctors and two offices (both considerably larger than 500 square feet).  The commitment to excellence in patient care that was the cornerstone of my success at the onset is ever-present.  We continue to offer the newest and best medical and surgical eye care available.

Dr. Martha F. Jay

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

If you haven't gotten to know me or my staff yet, we would love the opportunity to show you what quality eye care is all about.  Our offices are in Mequon: 10320 N. Port Washington Road and in Saukville: 620 E. Green Bay Ave (Conservancy Court).

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) who practices with Drs. Mark German & James Ivanoski at Lakeshore Eye Care Professionals.  She specializes in small-incision cataract surgery and blade-free LASIK.

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

 


CONCUSSIONS AND THE EYES By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
July 24, 2017

Football is my favorite sport and the Green Bay Packers are my favorite team.  Football is, however, a violent contact sport.  In the past few years there has been a lot of emphasis on the study traumatic brain injury (TBI) or concussions along with their short and long term effects.   Any of us can get a concussion from a head injury and the symptoms of a concussion can last long after the injury.  Post-concussion syndrome can affect the eyes in many ways.

Concussions can cause light sensitivity, difficulty focusing, double vision, pupils to be different sizes, difficulty reading, poor hand-eye coordination, jerky eye movements, poor depth perception and poor visual recognition memory.  These symptoms can make life difficult and are often very subtle.  A lot of these visual skills are necessary for daily activities like digital device usage, sports performance, reading, walking, and driving.

Light sensitivity can be helped with tinted lenses.  Sometimes the light sensitivity after a concussion can even make indoor lighting unbearable.  Using a visor, wearing light tinted lenses, and bi-nasal occlusion (putting small strips of tape on glasses close to the nose) can help with light sensitivity.  Sometimes a doctor’s excuse is needed to wear tinted lenses or a visor indoors at school or work.

Headaches from post-concussion syndrome can be worsened due to eyestrain from focusing and eye movement problems.  Sometimes weak reading glasses to help focusing can help reduce eye strain.  Occasionally something called prisms needs to be added to glasses to help the eyes work better together.  Optometrists and ophthalmologists can be an important part of your medical team to help manage post-concussion syndrome, on or off the football field.

Dr. James Ivanoski

Dr. James Ivanoski is an optometrist practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Mark German. 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.


New Surgical option for Glaucoma the iStent By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
July 21, 2017

iStent

Do you have glaucoma and cataracts? Perhaps you are a candidate for placement of an iStent at the time of your cataract surgery. Click on the image to the right for an informative video about this new innovation.  This is the smallest implantable device in medicine as you can see with it's comparison to the size of a penny. We can discuss if the iStent is an option for you at your next eye examination.

Dr. Martha Jay is a Board Certified ophthalmologist specializing in medical and surgical eye care including small incision cataract surgery, glaucoma surgery and blade-free LASIK.

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


WHAT DOES 20/20 MEAN? By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
July 17, 2017
What does 20/20 vision actually mean?  The measurement of visual acuity is usually stated as 20 with some other number.  20/20 is considered normal vision.  If the bottom number is larger than 20, the visual acuity is worse.  For example, a person with 20/200 visual acuity has worse visual acuity than somebody with 20/30 visual acuity.  A lot of fortunate people can see better than 20/20 (20/15 or even 20/10).  The best visual acuity thought achievable by a human is 20/8. 

The minimum separation the average person can see between two lines is 1 second of arc or 1/60 of a degree.  Using a mathematical formula, it can be calculated that this translates to a letter size of 8.75 mm or 0.35 inches high is what the average person should be able to see 20 feet away.  So a person that can see 20/20 can see as small as a 0.35 inch letter at 20 feet.  A person that sees 20/100 can only distinguish a 1.75 inch or larger letter 20 feet away.  In other words, what a 20/20 seeing individual can see at 100 feet, a 20/100 seeing individual would have to be 20 feet away (5 times closer) to see the same thing.

The visual acuity charts that we use are all based on these letter sizing calculations.  Herman Snellen was the ophthalmologist that invented the first standardized eye chart in 1862.  We still use similar charts to measure vision today.  Our vision charts are projected or digital, and we use a mirror to simulate a 20 foot long room.  At Lakeshore Eye Professionals our passion is to try to keep everybody seeing as close to 20/20 as possible for their entire life, especially now that you know what it means!

Dr. James Ivanoski

Dr. James Ivanoski is an Optometrist practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Mark German. 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


WHAT HAPPENS ON LASIK DAY? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
July 10, 2017

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

Admit it, you are interested in having LASIK done but are worried about going through the actual procedure.  Fear no more, read below to see how easy it is.

I meet you at the laser center in Brookfield. You have brought along a driver for getting home afterwards. We give you a mild oral sedative (Ativan) to relax you. The intake nurse explains what to do when you get home (take a nap, start eye drops). Once in the laser suite, you lay down on your back between the two lasers.

For the first laser, you look into a dark tunnel and then feel a slight pressure sensation. The laser takes 6 seconds to generate the flap on the surface of your eye. We do the right eye first and then the left. While this pressure is not too tough to tolerate, it’s as bad as it gets. From then on you are home free.

For the second laser, you look at a tiny blinking green light while I gently retract the small flap and apply the laser to the surface of the eye. This laser runs a different durations depending on your prescription but generally about 30 seconds. I then reposition the flap and dry it in place for 30 seconds.

You sit up and can already see the clock at the end of the room but you vision is still slightly cloudy. You go home and take a nap, with the aid of an Ambien sleeping pill. When you wake up your vision is even better and this again happens the next morning. Most (90%) of the vision improvement occurs in the first day. There is a slower improvement over the next week. Most patients can easily drive themselves to their appointment the next day.

Doesn’t sound so bad, does it? What are you waiting for? See you soon.

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in blade-free LASIK and small incision cataract surgery.

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


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