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GIVE THANKS FOR GOOD VISION By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
November 20, 2014

Most of us pretty much take our vision for granted but maintaining good vision does take some effort on your part. You should be sure to have a complete eye examination with dilating drops at least every two years.  If you have diabetes, then you should come in every year.  We generally see glaucoma patients every six months.  Warning signs that would warrant an immediate eye examination include eye pain, light sensitivity, blurred vision, loss of side vision or an increase in floaters.

You may have good vision but what about your relatives or neighbors?  If you are starting to think about holiday gifts, consider something that would make their lives easier.  They probably have enough “stuff” but could really use a ride to the store, doctor’s appointment or just out for some fun.  There are options, although limited, to get around if you don’t drive in Ozaukee County.  But the loss of freedom is pretty distressing to many seniors who can no longer drive due to vision or other medical problems.

The above is just something to reflect upon during the Thanksgiving holiday.  And while you are at it, don’t forget to schedule those eye appointments for yourself and your family!  Remember that we provide advanced medical and surgical eye care for patients of all ages: everything from complete eye examinations to LASIK vision correction and small incision cataract surgery. We are certainly thankful for all our wonderful patients at Lakeshore Eye Care and wish a happy Thanksgiving holiday to all.

Dr. Mark E. GermanDr. Mark German is an Optometrist at Lakeshore Eye Care Professionals specializing in comprehensive eye care for patients of all ages. He particularly welcomes the challenge of those with hard to fit contact lens problems.

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


LASIK VS CATARACT SURGERY: WHAT’S THE DIFFERENCE? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
November 15, 2014

Confused about the difference between LASIK and cataract surgery? You are not alone. LASIK is a laser procedure intended to eliminate your need for glasses or contact lenses. Cataract surgery is done to remove the cloudy lens in the front of your eye and replace it with a clear plastic implant. If you have cataracts, LASIK is not an option for you because your vision would still be blurred afterwards due to the cloudy cataract.

LASIK is done at an outpatient laser center with mild oral sedation. We begin by using a laser to make a small flap on the surface of the eye. Once this tiny flap is lifted, we use a second laser to alter the shape of the eye to improve you vision without glasses.  Each laser is pain-free and runs for less than a minute per eye.

Cataract surgery takes place in an operating room with I.V. sedation.  We use a tiny ultrasound to liquefy and then remove the cloudy lens inside the eye, behind the colored pupil. We then replace that lens with a clear plastic implant to improve your vision.  There now are a number of implant options, all of which will be thoroughly explained at the time of your cataract evaluation. The procedure takes 10-15 minutes.

How can you tell if LASIK is a possibility for you? Just come in for a free LASIK screening exam. We will evaluate your vision and eyes to see if LASIK is right for you. How can you tell if you have cataracts? Cataract symptoms include blurred distance vision, especially at night, along with seeing halos around lights and glare on sunny days.  However, a complete eye examination is the best way to determine if cataracts are a significant problem for you. See you soon!

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified Ophthalmologist (Eye Physician and Surgeon) specializing in medical and surgical eye care including blade-free iLASIK and small incision cataract surgery.

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


WEB SITE TOUR: WWW.LAKESHOREVISION.COM By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
November 6, 2014

Have you toured our web site lately: www.LakeShoreVision?  We have a new look and the site is filled with important facts about medical and surgical eye care.

Let’s start our tour with the “Welcome” page which is the first tab on the left. Here you will find a link to our Eye Care Blog. This section is updated frequently with timely eye care information and we even put a photo of my new baby there!  There are links to our Facebook page, YouTube channel and Patient Testimonials section. See what your friends and neighbors are saying about Lakeshore Eye Care.

You can also find links to sections explaining eye procedures and problems such as LASIK vision correction, cataract surgery, dry eye therapies, complete eye examinations, contact lens care, diabetic eye care, glaucoma management and macular degeneration treatment options.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

Look at all you have learned just using the first tab on the site! Next browse around other tabs entitled “About Us”, “Our Doctors and Staff” and “Services.”  Be sure to check out the “Patient Information” tab where you can download our patient forms to fill out at home, saving you time on appointment day. If you have always gone to either the Mequon or the Saukville office, the other one may actually be more conveniently located for you.  Many Grafton and Cedarburg patients find that actually the Saukville office is closer for them. Check out our “Maps & Directions” tab to see. Finally, if you have a non-urgent question, use the “Contact Us” tab to send it our way.

Happy browsing!

Dr. Josephine-Liezl Cueto is a board certified ophthalmologist specializing in medical and surgical eye care including cataract surgery, glaucoma treatment, macular degeneration options, dry eyes and much more.

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


REFRACTION EXPLAINED By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
October 27, 2014

What is “Refraction" and why is this service often not covered by Medicare or some private insurance companies?  If you are confused about this topic, you are not alone.  Refraction is the part of the eye exam where you look through a machine called a phoropter at the eye chart.  We than flip different lenses in place and ask, "Which view is clearer, number one or number two?"

Why is Refraction necessary?  Many think that refraction is only necessary if you want to purchase new glasses.  While we do need the refraction information to write a glasses prescription, this is not the main reason our doctors want this portion of the exam completed.

Refraction is a key part of a comprehensive eye examination and should be done at each and every complete eye exam. Without this testing, our doctors cannot determine your best possible vision. Many patients think their vision is just fine but then a change is noted during the exam. Without doing the refraction, we have no way of knowing if the change is simply due to an outdated glasses prescription or if something more serious has occurred like progression of cataracts or macular degeneration.

Dr. Mark E. GermanWhy does Medicare generally not cover refraction? Medicare and many private insurance companies do not cover aspects of your medical care that they deem as “routine.”  While this aspect of your eye exam is routine, that does not mean it is not vital in allowing our doctors to optimize your vision.

Still confused? Ask any member of our staff at your next appointment.

Dr. Mark German is an optometrist specializing in general eye care and hart-to-fit contact lens patients. He accepts patients of all ages into his practice and most insurance plans. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


WHAT IS A SECONDARY CATARACT? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care in Mequon & Saukville, Wisconsin

By editor
October 21, 2014

A common question from patients is, “Do cataracts come back?” The answer is yes and no. Once you have cataract surgery, you do not have to go back to the operating room at a later date to repeat the procedure. What can happen is that you may develop a secondary cataract. This is a clouding behind the implant and is easily treated with a quick laser procedure.

The lens in the eye is shaped like a tiny pillow, rounded on the edges and flattened on the front and back. It is covered with a thin membrane, measuring less than 5 microns thick. At the time of cataract surgery, we carefully remove a circular area from the front of this membrane and gently vacuum out your cloudy lens. We then use this remaining membrane, known as “the bag,” to support the plastic intraocular lens which allows you to see clearly after surgery.

In about 10% of cases, this membrane becomes cloudy over time and we call it a secondary cataract.  It usually takes 3-5 years for this to happen and the symptoms are very similar to those noticed prior to the original surgery: blurred distance vision, glare and halos around lights.

Dr. Martha F. Jay

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

As previously mentioned, the treatment is a quick laser. You wear street clothes and put your chin on something that looks just like what we use in the office during your eye exam. Afterwards there are no activity restrictions and the potential risk for complications is minimal. So if you start to notice that your vision has become blurred several years after cataract surgery, come in and we will determine if this is your problem.  If so, you are just a quick laser away from resuming your clear vision.

Dr. Martha Jay is a board certified ophthalmologist specializing in medical and surgical eye care including small incision cataract surgery and blade-free LASIK vision correction.

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


HALLOWEEN HOLIDAY HAZARDS By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By editor
October 16, 2014

Halloween is such a great time of the year…the beautiful fall colors, the crispness in the air, the endless supply of candy and of course the cute children in Halloween costumes.  However, Halloween festivities can cause an increased risk for potential eye hazards. Therefore, it is important to be aware of these risks before planning your celebrations.

A popular costume trend is the decorative contact lens. Because people can buy them over the counter or on the internet, it is believed that contact lens fitting or proper care is not necessary. This is WRONG.  Unfortunately, these “one size fits all” novelty contacts are not professionally fitted and could cause pain, infections, scratches or even permanent corneal scarring and vision loss.  It is important to realize that these costume products are being sold illegally and are not FDA-approved. By federal law ALL contact lenses are considered a medical device, only to be distributed by a licensed eye care professional after determining the proper fit and prescription.

Other Halloween activities can also lead to eye injuries.  Unfortunately, what may seem like a harmless traditional game, like apple bobbing, could lead to scratches on the surface of the eye and infections from dirty water.  Lanterns and glow sticks can also cause dangerous but avoidable accidents. Hitting the edge of a lantern may lead to a corneal abrasion or the chemicals within a broken glow stick could damage the eye.  Last of all, be sure your children’s costumes do not obstruct their side vision because they need to be on the lookout for cars coming when out trick or treating.

This holiday just take a little bit of extra care while having fun!  Happy Halloween from all of us at Lakeshore Eye Care!

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

Dr. Josephine-Liezl Cueto is a board certified ophthalmologist specializing in medical and surgical eye care including cataract surgery, glaucoma treatment and much more.

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


IT'S A BOY! By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By editor
October 7, 2014

My new baby son Benjamin arrived two weeks ago Saturday!  Already a self-starter, he decided to come several weeks ahead of schedule.  He is very sorry to have inconvenienced those patients who had their appointments delayed or switched to Dr. Jay or Dr. German.  He just wanted to get out and meet his big sister Isabella! He knew the nice patients at Lakeshore Eye Care would understand.

I am taking a little time off for this big adjustment but look forward to coming back to Lakeshore Eye Care in early January. In the mean time, you are in good hands with my colleagues Dr. Martha Jay and Dr. Mark German. They have added extra hours to accommodate my patients and for emergency eye problems.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

For routine eye care, it is not too soon to call for your appointment with me in January or later.  I'll be getting right back to treating medical and surgical eye problems such as cataracts, glaucoma, diabetic eye disease, dry eyes, macular degeneration and much more.

Being a parent is a very special privilege.  I would like to thank you, my patients, and my colleagues at Lakeshore Eye Care for providing me with the time to adjust to this monumental life change.  See you in January!

Dr. Cueto is a board certified ophthalmologist specializing in medical and surgical eye care. For more eye care information call 262-241-1919 or visit www.LakeShoreVision.com.


WHAT HAPPENS WHEN YOU COMBINE CHICKENS, LASIK AND FLEX PLANS? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care with offices in Mequon & Saukville, Wisconsin

By editor
September 30, 2014

Each fall these three factors combine, motivating those “chickens” to arrange LASIK for the coming year. They have wanted LASIK for years but were frankly a little afraid of the procedure. They then did their research and calmed down when they realized that our blade-free LASIK is extremely safe, making it almost impossible to have a complication during this pain-free procedure.

Those “chickens” also insist on a well respected, experienced local doctor they can trust. They know that I was the first doctor in the Milwaukee area to perform laser refractive surgery and thus have consistently offered the safest and most precise technology available. That includes the exclusive use of blade-free LASIK since 2005.

When you combine the “LASIK for Chickens” concept with the annual Flex Plan enrollment period, you have a perfect mix.  Whether the goal is to spend down your 2014 funds or you are planning for 2015, be sure to include LASIK in your calculations.

Don’t despair if a Flex Plan is not available to you, you can still take advantage of our other finance options. We offer interest-free financing through CareCredit and accept most major credit cards.  LASIK is a sure investment in your future and over time represents a considerable savings over the expenses associated with contact lenses.

Dr. Martha F. Jay

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

Motivated now? Then call today to arrange your complimentary LASIK screening exam before your Flex Plan enrollment period expires. See you soon!

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care.  For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


HOW TO AVOID TROUBLE WITH CONTACTS By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By editor
September 18, 2014

Contact lenses are a great alternative to glasses for sports and everyday wear. You can avoid fogged up glasses, expand your peripheral or side vision, wear off-the-rack sunglasses or non-prescription sports goggles, and avoid the annoying “slide down the nose” syndrome.  Contacts, however, do take a bit more care than just throwing on a pair of glasses each morning.

Staying out of trouble with contacts starts with being sure you have an accurate fit and prescription by having a complete eye exam every one to two years. If your eyes hurt, become red or your vision changes suddenly then an emergent appointment is indicated as something more serious may be occurring.

As for daily care, start by making sure that your lens case is very clean. Wash it out daily and let it air dry in a clean place. Change the solutions every day. Be sure you are not just using saline to clean your contacts.  You need a product that disinfects as well as cleans the contacts to prevent eye infections.  In addition, discard the contacts according to the schedule advised by your eye doctor. Finally, NEVER sleep in your contacts as this greatly increases your risk of developing a severe infection called a corneal ulcer.

Dr. Mark E. GermanIf your goal is to wake up with clear vision in the morning and avoid taking the time to properly care for your contacts, then you might want to consider seeing my colleague Dr. Martha Jay about LASIK vision correction. As for avoiding problems such as infections and injuries, you may be surprised to learn that we see far more problems in contact lens patients than in those who have had LASIK.

Dr. Mark German is an Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin. He specializes in first time contact lens fits and those with challenges such as astigmatism or exploring bifocal contact lens options. For more eye care information, visit www.LakeShoreVision.com or call 262-241-1919.


PUPILS ARE REVEALING By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By editor
September 11, 2014

The pupil is the opening in the center of the iris which is colored part of the eye. Light passes through the pupil to reach the retina in the back of the eye. Pupils become larger in the dark (dilate) and smaller in bright light (constrict).  When you come in for a complete eye examination, we pay close attention to your pupils. The reason is that they tell us a lot about how your eyes and even your brain are functioning.

The nerves that control you pupils travel a long way.  They start in the eye detecting brightness, go back into the brain, down to the spinal cord, back over your lungs and again back into eye to control the small muscles in the iris. Any problem in the eye or anywhere along that pathway (such as a tumor, stroke or head trauma) can affect how your pupils function.  How do we check your pupils?  We take a small light and swing it from one eye to the other.  We then record the size, shape and how quickly each pupil responds to light.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

Up to 20% of people have pupils that are not the same size so this is generally not of concern.  However, a new change in your pupils is different story especially if it is associated with of the following: a recent head injury, blurred vision in one eye or a new drooping eyelid. If any of these situations apply, you should come in right away for a thorough eye examination.

The evaluation of the pupils is just one of the many components of a complete eye examination which is a thorough medical evaluation of your eyes and how your brain processes visual information. See you soon!

Dr. Josephine-Liezl Cueto is a board certified ophthalmologist specializing in medical and surgical eye care such as cataract surgery, glaucoma treatment, macular degeneration, dry eyes and much more.

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

 


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