Recent posts

HOW LONG SHOULD I SCHEDULE FOR MY EYE EXAM? By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care - formally known as Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
January 15, 2018

A complete eye examination at Madison Medical Eye Care is a thorough medical evaluation of your eyes. It starts with a review of your medical and surgical history along with your current medications and any prior allergic reactions to medications. Your family medical history is also reviewed as many medical conditions affecting the eyes run in families.

We then move on to any specific problems you may be having with your vision and your eyes. We need to determine how long the problem has been bothering you, what makes it worse or better, how it impacts your daily activities and other important factors relating to your visual well-being.   Then we measure your current glasses and your vision with those glasses; check your eye movements, pupils and side vision; see if we can improve your vision with a different glasses prescription (refraction); and measure your eye pressure.

At that point drops are put in your eyes to open the pupils so our doctors can further evaluate the health of your eyes.  These drops take some time to work so that gives you a little break before the doctor comes in.  Our doctors then recheck your refraction, review the data gathered by the technicians, and view the eyes through the microscope (slit lamp) for cataracts or retinal problems like macular degeneration.

Dr. James Ivanoski

They then explain any problems you may have and formulate a plan for relief. If surgery is in order, the actual procedure is discussed along with the risks and benefits. That leaves plenty of time for your questions so you can fully understand your options.  How long should you schedule for your eye exam? All this takes time, generally at least 1 to 1-1/2 hours.  Your vision is precious; you don’t want us to miss anything by rushing.

Dr. James Ivanoski practices with Dr. Martha Jay and Dr. Mark German at Madison Medical Eye Care, formally known as Lakeshore Eye Care Professionals. 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.


GET OFF THE COUCH AND SEE THE DIFFERENCE By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
January 12, 2018

Winter is upon us but don’t take that as an excuse to hibernate! Staying active has been shown in a recent study to decrease your chances of developing macular degeneration. Macular degeneration is an aging change affecting the back of your eye. It is the leading cause of legal blindness for those over age 65 years of age. Previously known risk factors include age, smoking, ultraviolet exposure (not wearing sunglasses) and a diet deficient in leafy green vegetables.

The recent study about physical activity and macular degeneration was published in the American Journal of Ophthalmology. The authors looked at scientific articles published through May of 2015 which, in total, involved almost 70,000 patients. The conclusion was that physical activity was protective against developing macular degeneration.  Those with a high level of exercise were at an 8% lower risk of developing mild or “dry” macular degeneration compared to their sedentary cohorts.  The difference was even greater for severe or “wet” macular degeneration. There was a 41% lower risk of developing this type of macular degeneration in the active patients compared to those with a low activity level.

Whether it is going for a walk, joining a gym, participating in a SilverSneakers program or whatever works for you – get off the couch and get moving! Not only will you potentially improve you vision but it will help you maintain a healthy weight, prevent muscle loss and even improve your mood.

While you are at it, don’t forget to treat your eyes to a complete eye examination at least every 1 to 2 years. If you have diabetes, we suggest yearly. If you have glaucoma, we normally recommend that we see you at least twice yearly.

Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist practicing at Madison Medical Eye Care with Drs. Mark German and James Ivanoski. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


LAKESHORE EYE CARE HAS JOINED MADISON MEDICAL AFFILIATES! By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
December 22, 2017

We are very pleased to announce that as of the first of the year, all the doctors and staff of Lakeshore Eye Care Professionals, S.C. have joined Madison Medical Affiliates, Inc.!   Not to worry, very little will change as far as your patient experience is concerned.  We will remain in both our Mequon and Saukville offices, our phone numbers will be unchanged and, most importantly, we will continue to provide you with the most advanced medical and surgical eye care available.

Why did we make the change and why now? For more than 25 years we have maintained a very successful independent practice but the time seemed right to expand.  The trend in health care today is towards consolidation and we did not want to be left behind.

For over 100 years, the doctors at Madison Medical have been providing high quality health care in the Milwaukee area. They now have more than 50 physicians in 12 specialties and, with our addition, 8 locations.  Don’t make the mistake of thinking they have anything to do with Madison, Wisconsin however! The practice was started in Milwaukee by Dr. J.D. Madison in 1903 and he was later joined by his nephew, Fred Madison. The rest is history.

Dr. Martha F. Jay

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

All three of our doctors (Dr. Mark German, Dr. James Ivanoski and myself) are thrilled about our new association with this prestigious medical group. We are very grateful to you, our patients, for your tremendous support over the years and look forward to a great 2018 and beyond.  Remember that we still welcome patients of all ages into our practice and accept most insurance plans.  See you soon!

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


Have Cataract Surgery and Live Longer: New York Times article by Jane Brody

By user-admin
December 5, 2017

Click on the drawing on the left for a link to a New York Times article by Jane Brody about the wonders of cataract surgery, it can even prolong your life!


ALLERGIES AFFECTING YOUR EYES? ADD MANDARIN ORANGE YOGURT TO YOUR BREAKFAST! By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care with offices in Mequon & Saukville, Wisconsinl

By user-admin
December 5, 2017

The saying goes that “you are what you eat” so it’s not surprising that many studies look at how diet affects medical conditions. A recent paper published in the “Journal of Investigative Ophthalmology” did just that with allergic conjunctivitis. Allergic conjunctivitis is that problem with the red, irritated eyes affecting many people especially in the spring and the fall.  Specifically, the study found that including mandarin orange yogurt in the diet helped control those annoying symptoms.

The study involved patients who were known to be allergic to cedar pollen.  Different concentrations of the pollen extract were put in the eyes of these brave volunteers and the effects on the eyes measured. Then they consumed mandarin orange yogurt daily for two weeks and returned to repeat the pollen testing.  All patients showed a decrease in redness, itching and irritation when the pollen extract was placed in the eyes after their 2 weeks of yogurt use.

Why might this occur? The oranges contain nobiletin and the yogurt contains beta-lactoglobulin. Together they are thought to inhibit histamines which are the major component of allergic responses.  You may want to store away this important information for next spring if you only have seasonal allergies but for those with year-round problems, this is news you can use right away.

Dr. Martha F. Jay

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

What else can you do for allergic eye problems? Wash around your eyes with mild soap, try over-the-counter anti-histamine drops and or call us about stronger prescription drops. We are here to help.

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care such as small incision cataract surgery and blade-free LASIK. She practices at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin with Drs. Mark German and James Ivanoski.

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


CAN YOU BE AN EYE TECH? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
October 30, 2017

Do you have what it takes to become an ophthalmic or optometric technician?  Are you a "people person" who enjoys learning? Do you have some experience in healthcare? Are you looking for a well-paying job with benefits? Then maybe this is the career move you have been looking for.

Our technicians begin your eye examination and do a number of eye tests before you see the doctor. They measure your current glasses, do an initial check of your glasses prescription to see if your vision can be improved, check your eye pressure and put eye drops in along with a number of other activities.  They assist our ophthalmologist and optometrists every step of the way.

We provide continuing education to obtain certification from JCAHPO which stand for the "Joint Commission on Allied Health Personnel in Ophthalmology" - now you know why we abbreviate it! There are some degree programs for this field but most eye technicians started with on-the-job training and continued on to take outside courses for certification.

Dr. Martha F. Jay

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

This is an interesting and challenging career for someone looking to expand their horizons. Optometry and ophthalmology are ever changing fields so the job never gets stale. If you think this may be the job for you, contact our office manager Linda at Lknapp@LakeShoreVision.com with your resume and a brief letter describing why you think you would make a good eye technician.  And if there are any experienced ophthalmic or optometric techs out there, we'd love to hear from you also!

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

 


‘RUNNY’ EYES By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
October 25, 2017

Our eyes need tears to remain healthy but if they are tearing too much it can be annoying.  Excessive tearing can happen for many reasons, including:  allergies, a scratched eye, infection, getting something in the eye, blocked tear ducts, eyelid problems or dry eye.

Believe it or not, dry eyes are one of the main reasons that our eyes get watery.  This happens because of something called reflex tearing.  If the eyes are too dry, sometimes the tear glands kick into overdrive to moisturize the eyes.  This is very common when it is cold and windy.   Some people have chronic dry eyes so they need artificial tear eye drops or prescription eye drops to help alleviate the excessive tearing.

We have glands that are constantly producing tears.  These tears drain through little holes (puncta) in our upper and lower eyelids and then into the back of your nose and throat.  Sometimes the drainage system can get clogged, causing an overflow of tears or very watery eyes.   Ectropion is a condition where the eyelids are pulled out, away from the eyeball.  This makes it difficult for the tears to reach the puncta and again resulting in an overflow of tears.  Either of these conditions may require surgical treatment.

Allergies, colds, foreign objects and eye infections can also cause watery eyes.  The eyes reflexively tear to protect the eye by rinsing out bacteria, foreign objects, viruses and things we are allergic to.  Treating the underlying condition in critical to improving the tearing.

Watery eyes are very common and can occur for many reasons.  While tearing is important for the health of your eyes, excessive tearing or “runny” eyes can be annoying. Should this be a problem for you, schedule an appointment so we identify the source and select the appropriate treatment.

Dr. James Ivanoski

Dr. James Ivanoski practices optometry 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.


TOP 10 CONTACT LENS DO’S AND DON’TS By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
October 6, 2017
  1. Do not wear them when your eyes are red or irritated.  Wearing contacts with irritated eyes will most likely make things worse.
  2. Try not to swim with them in.  Wearing contacts while swimming can make it easier to get an eye infection or have irritation from chlorine.
  3. Take them out every night unless you are told that it is ok to sleep with them in by your eye doctor.  Leaving contacts in overnight increases likelihood for infection.
  4. Replace your disinfecting solution in the case daily.
  5. Rinse your contact lens case with hot water, let it air dry daily, and thoroughly clean your contact lens case weekly.
  6. Replace your contact lens case quarterly.  Serious eye infections can result from old dirty contact lens cases.
  7. Replace soft disposable contact lenses on a schedule prescribed by your eye doctor.  Wearing older dirty contacts increases risk of infection or inflammation.
  8. Get an eye exam yearly.  The eye health has to be assessed to make sure the contact lens is not causing any problems.
  9. Never store them in tap water.
  10. 10.  Always handle the contacts with clean hands.

Most of the time contact lenses provide excellent vision, and if they are worn like your eye doctor prescribed should provide a healthy alternative to glasses.

 

Dr. James Ivanoski

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

 


ASTIGMATISM EXPLAINED By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
September 28, 2017

Astigmatism refers to the curvature of the surface of your eye.  If your eye is round like a baseball, you do not have astigmatism and can quit reading now!  But if the front of your eye has a curvature, making it shaped more like a football than a baseball, then you have astigmatism.

Generally patients don’t realize they have astigmatism.  We may mention it when we determine your glasses prescription but often we just write the prescription to compensate for it.

Serious discussions of astigmatism generally start when a patient is considering cataract surgery, LASIK vision correction or contact lenses.  There are special Toric contacts available for those with astigmatism and often they work quite well.  Many, however, find that toric contacts don’t provide consistent vision as they tend to rotate on the eye with blinking.

There is a common misconception that you cannot have LASIK if you have astigmatism but this is absolutely not true.  In fact this is actually a frequent reason for patients to elect to have LASIK as they are unhappy with their vision in glasses or contact lenses.

If you have astigmatism and cataracts, we can insert Toric implants at the time of surgery to improve your vision. More recently, Bifocal Toric implants have become available, now making bifocal implants an option for those with astigmatism.

Still confused?  Call for a complete eye examination and we will determine if you have significant astigmatism and how best to compensate for it.

Dr. Martha Jay is a Board Certified Ophthalmologist specializing 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.LakeShoreVision.com.

 


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.


Stay Connected


We want to hear from you