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TAKE CARE OF YOUR TEETH FOR BETTER EYE HEALTH By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
February 12, 2017

A recent study in the prestigious medical journal “Ophthalmology” showed a link between poor oral health and glaucoma. The study found that those who had lost a tooth in the last 2 years had a 45% increased risk for developing glaucoma. Even worse numbers were found for those who had lost a tooth in the last 2 years and still had active periodontal disease. Those in that group had an 85% increased risk for developing glaucoma.

What can explain this surprising finding? With poor oral health there is a decrease in the blood flow to the affected area which may also alter the blood flow the eyes, obviously located nearby. With treatment of periodontal disease the blood flow to the jaw area increases back to normal. Then presumably it also does so to the eyes. Treatment for periodontal disease has been shown to decrease glaucoma risk back to the normal incidence of 1% of the population.

Many patients are “doctor avoiders” and I suspect that those same people are also “dentist avoiders.” If this sounds like you or someone you know, bring this important study to their attention. We have long known that poor oral health is associated with heart disease, stroke, respiratory problems, dementia and diabetes. Now you can add eye health to the equation.

The type of glaucoma associated with periodontal disease is the more common “open angle” type which is generally treated with eye drops. It can only be diagnosed with a dilated eye examination. We need to measure your eye pressure and then get a good look at your optic nerve in the back of the eye. If either appear abnormal, then extra testing may be required. The key is early detection because once you lose vision from this condition we can only arrest the loss, not bring back what is gone.

For better health remember to brush, floss and visit both your dentist and eye doctor regularly!

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified Ophthalmologist (Eye Physician & Surgeon) specializing in medical and surgical eye care such as small incision cataract surgery and LASIK Vision Correction. She practices at Lakeshore Eye Care Professionals with Drs. Mark German and James Ivanoski with offices in Mequon & Saukville, Wisconsin.

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


A VERY THOROUGH EYE EXAMINATION By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
February 7, 2017

At Lakeshore Eye Care Professionals we perform a very thorough eye examination. Let’s walk through all of the testing that is done during a routine eye examination.

First, a very comprehensive health history is taken. This includes current vision concerns, eye pain or discomfort problems, current medical conditions, past eye injuries or problems, current medications, past eye or general surgeries, allergies, and a social history. This history helps us to customize our care to your specific needs.

The vision is carefully evaluated during the examination. Vision is checked for distance or reading problems. Color vision is evaluated. Peripheral vision is checked. A careful evaluation for need of glasses or contact lenses is performed (refraction).
Eye alignment is evaluated. We check to make sure the eyes are moving properly. The pupils are checked for abnormalities. These tests are done to make sure the nerves that control the eye muscles are working properly.

A very thorough eye health examination is performed. The eye is evaluated from the outside to the inside. The intraocular pressure is checked to evaluate for glaucoma. Eyelid mechanical function, tears and tear drainage, and the ocular surface are checked with a slit lamp biomicroscope. The lens is evaluated for cataracts. The optic nerve and retina are checked for problems like glaucoma, diabetic retinopathy, or macular degeneration.

Finally, we discuss our findings and any treatment if necessary. Most people would agree that vision is the sense we value the most. Our expertly trained technicians and eye doctors look forward to helping to protect your sight.

Dr. James Ivanoski

Dr. Ivanoski practices comprehensive optometry at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


YOUR LAST EYE EXAM WAS WHEN?? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
January 30, 2017

You probably see your primary care doctor at least every 1-2 years, you most likely visit the dentist every 6-12 months, even your car gets frequent servicing but what about your eyes? Many have the attitude that they do not need an eye examination unless they have blurred vision. Even then they may avoid us when they reach their 40’s and their ‘arms get too short” – they simply pick up a pair of “cheaters” at the drug store and go about their way.

What’s wrong with this picture? There is more to an eye exam than just checking to see if you need glasses. The big risk is glaucoma which is a leading cause of blindness and vision loss. Unfortunately glaucoma has no symptoms until you have lost about 40% of your vision. Treatment can then start but only to arrest the vision loss, not to bring back what has been lost. Just in the last few months I have seen two patients with significant vision loss from glaucoma – both had neglected having regular eye care for a number of years.

Those who have had refractive surgery like LASIK are particularly at risk. This is because their eye pressure appears lower than it really is due to the thinning of the cornea from LASIK. We measure eye pressure by pushing on the eye with a tiny device, if the cornea is thin then the eye pressure appears lower than it really is. They only way to adequately evaluate a patient for glaucoma is with a comprehensive dilated eye exam by a trained professional.

Our three doctors in both our Ozaukee County locations are here to help. Call today if you have been neglecting your eyes. Also spread the word to family and friends as they may not be aware of the importance of regular eye care. Realize that glaucoma is generally treated with just eye drops once the diagnosis is made and early detection is the key to preserving your vision into the future. See you soon!

Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) practicing with Drs. Mark German & James Ivanoski at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin.
For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


PRE-ECLAMPSIA RELATED TO RETINAL DETACHMENTS LATER IN LIFE

By user-admin
January 11, 2017

Click on the image to the left for a link to a New York Times articles reporting on a recent study linking pre-eclampsia during pregnancy to eye problems, such as retinal detachments, and other medical problems later in life.


WINTER IS LASIK SEASON By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
January 10, 2017

January in Wisconsin leaves us dreaming of our favorite summer activities that seem so far away: enjoying our lakes and pools, blasting out on that Harley, biking the Interurban trail and much more. While you cannot make winter disappear, there is something you can do now to enhance your summer fun – improve your outlook on life with LASIK Vision Correction! Winter is always our busiest time for LASIK because this is a procedure for active people, not couch potatoes. Most prefer to take advantage of this down time to finally get free of their contacts and glasses.

We have been using our new Wavelight blade-free LASIK laser system for a little over a year now and have been very impressed with the results. The lasers are not just faster than prior technology, they are also more precise. The improvement in vision, especially for those with more extreme prescriptions, is even better than before. They also open up LASIK to many who may not have been candidates in the past because they can treat the widest range of prescriptions of any laser available.
Patients love the improved comfort and potential to see even better than they did with glasses or contacts. I appreciate the precise automation with the smallest laser spot size in the industry and fastest eye tracking system available: 20 times faster than natural eye movements!

Dr. Martha F. Jay

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

Don’t just dream of summer, have LASIK now so when it does arrive you will be ready to fully embrace it. Get started by calling for your complementary LASIK screening exam today to determine if LASIK is for you.

Dr. Martha Jay is a board certified Eye Physician and Surgeon specializing in LASIK Vision Correction and small incision cataract surgery.

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


WHY ARE CORNEAL ABRASIONS SO PAINFUL? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
January 2, 2017
This may have happened to you: A sudden onset of intense pain in one eye, light sensitivity and copious tearing. It may even feel like there is something in your eye. You go in for an evaluation with your eye care professional and find out that you have a tiny scratch on the surface of your eye. Why should such a tiny injury hurt so much? The answer is that the cornea, or clear part of the front of your eye, has the highest density of sensory nerve fibers of any part of the body. The pain from a huge abrasion may not feel that much worse than a little scratch. The pain will persist until the injury has become initially healed.
The cornea is a layered structure. The outer layer is called the epithelium and this is the layer that is usually affected by an abrasion. Abrasions can be caused by dryness, accidental injury (baby fingernails are a common culprit), removing a contact lens too roughly or from a small particle flying in your eye. We generally treat them with lubrication in the form of artificial tears and antibiotic drops to prevent infection. We usually recommend NOT wearing contact lenses until the injury has healed. An exception would be if the abrasion is particularly large, then a bandage contact lens may be applied and left on day and night for several days.
Once the pain resolves, you are still not completely healed as the surface epithelium has to lay “footplates” down to the layer below. This can take up to 6 weeks so eye rubbing is strictly forbidden during that time or you risk the problems starting all over again. Most abrasions heal well but can be quite miserable in the meantime. Remember we are here to help should this happen to you.
Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in small incision cataract surgery and blade-free LASIK vision correction. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


HOLIDAY LIGHT HALOS By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
December 20, 2016

Holiday season is here, and the beautiful lights are outside everywhere. It is a great time to be thankful for good vision. Sometimes the holiday lights can alert us that something may not be right with our vision.
Starbursts are a common vision complaint when looking at lights. This makes the small pinpoint lights look like they have streaks of light coming off of them. Uncorrected or under corrected glasses or contact lens prescriptions may be the culprit for this. Astigmatism is caused by the irregular curvature of the cornea or the lens in the eye, and is a cause for starburst appearance of lights. Astigmatism symptoms may be alleviated with glasses, contact lenses, or surgery like LASIK.
Cataracts are the clouding of the crystalline lens inside of the eye. Cataracts can cause lights to appear dim, to cause more glare, or for the colors to appear more dull. Cataracts are removed with cataract surgery. Cataract surgery usually includes replacing the cloudy lens with a clear plastic lens implant. This usually greatly improves vision again, and makes those holiday light colors more vibrant.
Halos around lights can be caused by many things including dry eye, cornea problems, cataracts or glaucoma. Some of these problems may require urgent attention.
Take time this holiday season to enjoy the wonderful light displays. If the light displays are looking a little different, consider getting an eye examination. Have a very happy holiday season!

Dr. James Ivanoski

Dr. Ivanoski practices comprehensive optometry 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, call 262-241-1919 or visit www.LakeShoreVision.com.


Older Adults Still Skipping Vaccinations, Especially for Shingles

By user-admin
December 14, 2016

Click on the image to the left to read a New York Times article about the importance of vaccinations in older adults, especially for shingles.  If you are over 50 years-old, ask you doctor about the shingles vaccine and possible save yourself from this unpleasant condition that commonly affects the eye area.


WHAT’S NEW IN GLAUCOMA TREATMENT? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
November 28, 2016

Glaucoma is a leading cause of vision loss and is generally managed with eye drops. Now there is good news for those of you who are contemplating cataract surgery and also have glaucoma: The iStent. This tiny device can be placed in the eye at the time of cataract surgery to better control eye pressure. The eye is like a tiny plumbing system.  There is a small amount of fluid constantly entering the eye from behind the pupil and then leaving it at the edges of the eye, in front of the colored iris. This fluid is called “aqueous humour” and it is completely replenished every one to two hours.

Eye drops are the most common treatment for glaucoma. The eye drops either decrease how fast the fluid enters the eye or increase how quickly it leaves. Common eye drops that decrease the inflow are Timolol, Brimonidine and Dorzolamide. The most commonly prescribed eye drop that increases the outflow is Latanoprost.  The iStent is a tiny tube (measuring only 1 mm by 0.3 mm) that is placed in front of the iris at the edge of the eye to allow the aqueous humour to leave faster. It is the smallest implantable device in medicine.

The iStent can only be placed at the time of cataract surgery so you need to have both cataracts and mild to moderate glaucoma. If your glaucoma is very severe, you might need more extensive surgery than the iStent provides. It is made of titanium and is not magnetic so won’t interfere with your ability to have a MRI later in life.

Dr. Martha F. Jay

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

Sounds confusing? We can talk about this more at your next eye examination. The goal of the iStent is to get you off some or all of your glaucoma medications. In the meantime, keep taking your drops as we have prescribed them and continue to have regular follow-up examinations.

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


Bonobos Could Sure Use Some Glasses!

By user-admin
November 10, 2016

Click on the photo below to see a video from the New York Times about older Bonobo Apes pulling away as they get older to find those lice on their friends! Why don't they just get some reading glasses??


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