Recent posts

MORE EVIDENCE FOR THE iSTENT By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
August 21, 2019

We have been recommending the iStent at the time of cataract surgery over the last few years for our patients who have both cataracts and glaucoma.  The purpose of the iStent is to increase the flow of fluid out of the eye in order to decrease eye pressure. Glaucoma is a condition where the fluid in the eye is either coming in too fast or leaving too slowly.  The buildup of pressure can cause permanent vision loss so is generally treated with eye drops.

The iStent is a tiny device, in fact it is the smallest implantable device in medicine measuring only 230 microns by 360 microns. As you may remember, there are only 1000 microns in a millimeter so that means it is only around ¼ by 1/3 of a millimeter.  After the cataract is removed and the lens inserted, we have the patient turn their head to one side and then place two of these iStents at the edge of the eye. You cannot see them without special mirrors.

When compared to cataract surgery alone, we know that the iStent does generally result in lower eye pressure. A new study just came out looked at if there was a difference in the number of glaucoma eye drops patients used after cataract surgery and found that those with the iStent had a reduction even if they were using 3 or more drops. In fact, the more the drops used the bigger the drop in the number required. This was reported in the medical journal Ophthalmology in January.  The data came from a managed care network and involved almost 3000 patients.

These results mirror what we have found also with this remarkable device. We can talk about whether the iStent is an option for you at your cataract evaluation.

Dr. Martha Jay is an Eye Physician & Surgeon practicing at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. She specializes in small incision cataract surgery and blade-free LASIK.

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


HOW DO YOU KNOW IF YOUR CATARACTS ARE “RIPE” By Dr. Lisa Bennett, Ophthalmologist at Madison Medical Eye Care with officies in Mequon & Saukville, Wisconsin

By user-admin
August 14, 2019

We get this question about whether a patient’s cataracts are “ripe” on a frequent basis. You too may be wondering about where this comes from and what it means. It is really a holdover from the way cataracts where done in the distant past, back 20 plus years ago. At that time cataract surgery consisted of making a large, almost 180 degree incision along the top part of the eye. The cloudy lens was then gently pushed out of the eye. If it was too soft, or “not ripe,” then it was difficult to remove in one piece.

Thankfully those days are long gone along with the shots around the eye and the patch worn afterwards. Today’s cataract surgery involves a small 2.4 mm incision. The lens is liquefied with sound waves and gently removed with a tiny aspiration probe. Instead of taking up to an hour, it is more like a 10 to 15 minute procedure. Instead of leaving with your eye patched, you go home already being able to see pretty well.

But the “ripe” concept lives on! Today we as doctors don’t use the term but if we did it would concern whether your cataracts were severe enough to warrant surgery. That means that you must be bothered by your vision, such as being frustrated due to the lack of clarity or glare symptoms while driving at night. Then your vison must be worse than a certain level on the eye chart. Finally, an exam must confirm that you have cataracts and that you could benefit from surgery.

All these things can be determined at the time of a comprehensive eye examination. To find out if your cataracts are ‘ripe” call to arrange your appointment today. Remember I am seeing patients in both our Mequon & Saukville offices. See you soon!

Dr. Lisa Bennett is an Eye Physician & Surgeon (Ophthalmologist) specializing in cataract surgery, LASIK vision correction, glaucoma care and more. She practices with Drs. Martha Jay and James Ivanoski at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin.

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

 


METFORMIN MAY DECREASE YOUR RISK FOR MACULAR DEGENERATION By Dr. Lisa Bennett, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
August 13, 2019

No one likes being told that they are now a diabetic and need to take medications. You usually try losing weight first but even then you sometimes just have to face the facts: you need a medication like metformin to bring your blood sugars down. There was a recent study that may make you more enthusiastic about taking the pills: it appears that the use of metformin may decrease the risk of developing age-related macular degeneration, a leading cause of vision loss in those over 65 years-old!

The study appeared in the medical journal Investigative Ophthalmology in April. The medical records of almost 8000 patients over the age of 55 year-old in Florida with newly diagnosed dry macular degeneration were analyzed.  They all had at least 3 complete eye examinations without evidence of macular degeneration before starting the metformin.  They were compared against a control group with 4 consecutive examinations without evidence of macular degeneration. Those taking metformin were 32% less likely to be diagnosed with macular degeneration.

Of course this does not mean that those who do not need metformin for diabetes should start taking it. It also does not establish cause and effect as the data is what we call “retrospective” or looking back. It is very interesting, however, and gives those reluctant diabetics out there cause for a little joy.

Macular degeneration is an aging change affecting the back of the eye known as the retina. It has both a mild “dry” and more aggressive “wet” form. Besides taking metformin if you doctor recommends it, other protective measures include eating plenty of leafy green vegetables, wearing sunglasses outside and not smoking.

Dr. Lisa Bennett is an ophthalmologist specializing in medical and surgical eye care. She practices with Drs. James Ivanoski and Martha Jay at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.


SLEEP IMPROVES DRY EYES By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
August 13, 2019

Sleep problems affect many: either not being able to get to sleep, not being able to stay asleep, being sleepy during the day, and/or breathing problems such as sleep apnea during the night. They affect how you feel the next day and how productive you can be.  Dry eyes are an even more common annoyance. The symptoms of dry eyes generally include a sandy sensation or the feeling that there is something in your eyes.  Blurred near vision, especially towards the end of the day or with computer use, is also frequently noticed.  A new study has now linked the two.

Published in the medical journal Investigative Ophthalmology in May, a study out of Singapore found that insomnia, sleep apnea and reduced hours of sleep per night were all associated with an increase in the severity of dry eye symptoms.  They used a number of well-known questionnaires to assess the sleep patterns of over 3 thousand people and then obtained a detailed history of their dry eye symptoms. Most of the sleep issues noted above were associated with at least a 70% increase in dry eye symptoms.

Dr. James Ivanoski

What can you do about it? You can consult your primary care physician about further evaluation and treatment of your sleep issues. They can determine if further testing is indicated or if changes in your medications are recommended. In the mean time you can treat your dry eyes with artificial tears. If you are using the tears more than 4 times per day be sure to use the preservative-free type that come in individual vials so as not to cause more eye irritation. There are prescription medications for dry eyes if tears do not work. We can discuss those and other options at your next eye examination. Call for a sooner appointment if your symptoms of dry eyes are not improving.

Dr. Ivanoski is an optometrist practicing at Madison Medical Eye Care with Drs. Martha Jay and Lisa Bennett.  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.MadisonMedicalEyeCare.com.


WELCOME DR. BENNETT! By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
June 28, 2019

I am so pleased, along with Dr. Ivanoski and our entire staff at Madison Medical Eye care, that the day has almost come for Dr. Lisa Bennett to join our team! She is an Eye Physician and Surgeon specializing in medical and surgical eye care such as cataract surgery, LASIK vision correction, glaucoma care, macular degeneration management, dry eye treatments and more. She is scheduling appointments for August so now is the perfect time to call for your next eye examination with her.

Dr. Bennett is moving to the Milwaukee area after completing her ophthalmology training at St. Louis University. She graduated summa cum laude from the University of Minnesota with a B.S. in Biochemistry and then completed her M.D. degree at the Chicago Medical School.  Up next was a transitional year in Internal Medicine at the University of Chicago. This is required of all ophthalmologists to be sure they are well grounded in general medicine before specializing in eye care.

She very much enjoys teaching and has instructed part of the cataract surgery courses at Saint Louis University.  Her greatest passion is to be able to offer her patients the newest and most advanced medical and surgical eye care technologies available.  She has a personal experience with LASIK, having had the procedure herself. She is pleased to offer astigmatism correction and multifocal implants with cataract surgery, as well as blade-free LASIK and PRK.

She is not all work, however, she enjoys being active and has completed two marathons.  She and her husband also enjoy hiking, traveling and of course Wisconsin cheese.  You will be please to know that she will be seeing patients at both the Mequon and Saukville offices.

Give her a try, you will be very impressed.

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


‘I THINK I HAVE A RETINAL DETACHMENT” By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care/Mequon with offices in Mequon & Saukville, Wisconsin

By user-admin
June 14, 2019

If you experience an abrupt increase in floaters or start seeing flashing lights in your peripheral vision, you might immediately assume that you are experiencing a retinal detachment. While this may be the case, the only way to diagnose a retinal tear or detachment is with a thorough dilated eye examination with an eye care professional.  While it may seem tempting to go to an emergency room, they will most likely refer you to an ophthalmologist or optometrist. You can save time and money by calling us first.

When should you call? If you notice a significant increase in floaters, new onset of flashing lights in your peripheral vision and certainly if you notice some loss of side vision, call right away. If it is in the middle of the night, you can easily wait until the morning to call. If it on a weekend, we are available with an option to reach the on- call doctor on our answering machine. We generally recommend the examination be performed within 24 to 48 hours of the onset of symptoms.

The eye is filled with a gelatin-like material called vitreous.  Over time, it breaks down - becoming more liquid with small collagen particles casting a shadow on the retina.  The result is the appearance of small spots, squiggly lines, clouds or spider webs moving across your vision.  Flashes of light occur when the fluid shifts within the eye, tugging on the retina (the light-sensitive tissue lining the back of the eye).

Dr. James Ivanoski

The reason it is important to diagnose a retinal detachment is that it may require laser treatment or even surgery to preserve you vision. Early detection is the key to optimal outcome from either procedure. Realize that we are here for you if need be.

Dr. James Ivanoski works with Dr. Martha Jay and soon will be welcoming Dr. Lisa Bennett to Madison Medical Eye Care/Mequon. He is an Optometrist specializing in comprehensive eye care for the whole family including contact lens fitting. For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.

 


SEEING DOUBLE? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 16, 2019

Double vision, known as diplopia, is fortunately a relatively rare problem.  There are 6 muscles around each eye and they have to be well coordinated or double vision results.  If double vision occurs, it can be very aggravating.  It can result from a range of complex medical problems that cause misalignment of the eyes or it can be due to a simple optical problem, such as incorrectly made glasses or a need for glasses.

If double vision persists when one eye is closed, the cause can be either the glasses, dry eyes, a cataract, or a problem with the retina.  If the double is eliminated when one eye is closed, the problem may be due to the tissues around the eyes, the muscles that move the eyes, the brain or the central nervous system.  It could also be a recurrence of a childhood problem.

If you experience double vision, a complete eye examination is the place to start.  Sometimes further testing such as a CT scan or MRI may be needed to help determine the cause of the double vision. Blood tests may also be needed. Treatments for double vision range from just changing the glasses prescription to surgery, depending on the cause.  In any case, double vision can be a serious symptom and should be evaluated.

Are you or a member of your family having an eye problem?  Our doctors at Madison Medical Eye Care are here to help.  We provide comprehensive medical and surgical eye care for the whole family including blade-free LASIK vision correction, no-stitch cataract surgery, glaucoma treatment, diabetic eye care, macular degeneration care, contact lens fitting and more.

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) specializing in medical and surgical eye care such as blade-free LASIK and small incision cataract surgery. She practices at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.


SWIMMING AND CONTACT LENSES By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 1, 2019

You can’t see without your glasses so why not swim in your contact lenses?  The “why not” has to do with safety: swimming in contact lenses significantly increases your risk of developing eye problems that range from mild to quite severe. Most contact lenses are at least 50% water.  This means that chlorinated water penetrates your contacts and stays in contact with the surface of your eye for up to an hour after swimming.  The result is an irritation to the surface of your eye and an increased risk of infection.

While a mild eye irritation may go away in a day or so, a severe eye infection can result in permanent vision loss.  Even in the best maintained pool or spa, bacteria can be present.  In lake water, a severe pathogen called acanthamoeba may be present that causes a difficult to treat corneal ulcer.  This protozoa penetrates the cornea rapidly and often requires specially formulated eye drops to save the eye.  Beaches may also present the possibility of a fusarium fungal infection.

Those glasses may be bulky but they are your better choice over contacts in the water.  Another alternative is LASIK vision correction.  With LASIK you can free yourself of the hassles of glasses in the water and still safely enjoy the outdoors.  LASIK is actually safer than contact lenses on dry land too!  Our Dr. Martha Jay is a leader in blade-free LASIK vision correction so one call to our office is all you need to get started on improving your vision safely.

Call for a free LASIK screening exam today, you won’t regret it. In the meantime, don’t wear those contacts in the water!

Dr. James Ivanoski

Dr. James Ivanoski practices with Dr. Martha Jay and soon with Dr. Lisa Bennett at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. He specializes in comprehensive eye care for the whole family, including contact lens fitting.

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

 


OOPS! YOU FORGOT TO GO TO YOUR DOCTOR’S APPOINTMENT By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 23, 2019

No one is perfect, we get that, but forgetting to go to your doctor’s appointment is making healthcare more expensive for everyone else.  It is estimated that “no-shows” (as we call them) cost the health care system in the U.S. up to $150 billion each year!  Not to mention the fact that, had those patients called to cancel the appointment, someone on our cancellation list could have been contacted to get in sooner than otherwise.  It’s disrespectful to the doctors, staff and fellow patients.

We do all sorts of things to help patients remember to come to their appointment: we give them a reminder card when the appointment is made, mail them reminders and call them several days before the appointment.  But patients need to do their part by remembering to come on that day and at that time. Everyone should have some kind of calendar, whether the old fashioned wall version or an electronic version, to keep track of important appointments.

Another repercussion of a “no-show” patient is that we then have to sandwich them in at a later date into a full schedule. Those with medical eye problems such as glaucoma or diabetes cannot just be put off for months, they need to be seen. Unfortunately it is often those same patients who forgot to come for their initial appointment, and then have to be rescheduled, who complain about the wait of the day of their new appointment.

While many of the “no-shows” represent just a rare lapse in memory on their part, there are some patients who make appointment after appointment and consistently fail to show up.  You know who you are!  You can do better!  Get a calendar, frequently look at the calendar and kindly call us if you cannot come at least several days ahead of time so we can fill that time slot with someone who really wants to be seen.

Dr. James Ivanoski

Dr. James Ivanoski practices Optometry at Madison Medical Eye care. He specializes in comprehensive eye care for the whole family including contact lens fitting. His practice complements his associate, Dr. Martha Jay, who specialized in medical and surgical eye care such as blade-free LASIK and small incision cataract surgery.

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

 


IMAGINE… A NEW OUTLOOK ON SUMMER WITH LASIK By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 15, 2019

There is no other way to put it, our Wisconsin winter this year was brutal.  We all cannot wait put it behind us and to embrace summer by enjoying our favorite activities such as biking, golf, baseball, swimming, camping or boating.  Imagine… a new outlook on all those activities with LASIK vision correction.  It can happen in just seconds: your whole world will change, not to mention your golf game!

You still have plenty of time for LASIK before summer gets going. To begin the process, just call for a free screening exam. Don’t worry, we are very low pressure. Our goal is to educate you about the procedure and answer each and every question so you feel comfortable with your decision. Patients are amazed at the difference between a LASIK evaluation with us and what happens elsewhere. No one has ever compared us to an experience with a used car salesman!

It’s not just the screening that is a step above at Madison Medical Eye Care. You have the confidence of a local doctor you can trust with over 20 years of experience in refractive surgery. You will see me at each and every appointment from the first screening, the procedure and all the post-operative care.  You literally see the difference with latest, fastest and most precise laser vision technology available with our WaveLight system.

Let’s make this happen! Your summer fun will be even better than you imagined.

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


Stay Connected


We want to hear from you