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PUNXSUTAWNEY PHIL SAY IT ISN’T SO! By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
February 18, 2015

The famous groundhog “Punxsutawney Phil” and our own Milwaukee Zoo counterpart “Wynter” both agree: six more weeks of winter. Instead of just bundling up and enduring while you wait for warmer weather, why not spend your winter wisely by having LASIK vision correction to enhance your summer fun?

To set your mind at ease about LASIK, start by selecting an experienced local doctor you can trust. Did you know that I was the very first doctor in the Milwaukee area to perform laser refractive surgery? Then be sure you doctor is using the most advanced precision laser technology available.  We do just that by exclusively offering blade-free LASIK with the IntraLase and VISX lasers. Affordability should not be your top concern but contacts are expensive.  If you are a 30 year-old contact lens wearer, expect to pay $20,000 over your lifetime for contacts and solutions.  With those savings and our financing plan, LASIK is a deal.

Blade-free LASIK in my hands is safe, reliable and pain free. You are in the laser suite for only about 20 minutes with each laser running for a minute or less.  I suggest that you take two days off your regular activities.  After LASIK other restrictions include no contact sports, eye makeup or swimming for 2 weeks and no vigorous eye rubbing for 6 weeks. You can drive the next day as your vision will be remarkably improved but complete healing takes about 3 months.

Dr. Martha F. Jay

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

Don’t let a couple of groundhogs ruin your day, get prepared for summer by calling 262-241-1919 today to arrange your complimentary LASIK screening exam.  You’ll enjoy swimming, biking, boating and all your other summer passions so much more without the hassles of contacts or glasses.

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


THE WHAT AND WHY OF A “CCD” By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
February 14, 2015

If you have been to our office recently, you were probably given information about expecting an email requesting that you to sign onto our secure network. The purpose of this is to view a summary of your examination called a Continuity of Care Document (CCD). Why are we asking you to do this? The reason is to help in the development of our electronic records system.

Almost every health care provider has been making the transition from paper records to using a computer. Electronic medical records provide a more efficient form of care in that they are easier to read, easier to compare changes over time and easier to share with other providers. Medicare recognizes these advantages and has provided a financial incentive to offset the considerable expense of the conversion for doctors and clinics.  They don’t just hand out the money, however. They require that we comply with something called “Meaningful Use.”

One of these Meaningful Use requirements is that we establish a way for patients to have access a brief summary of their visit. That is the purpose of the CCD. All the computer companies, including ours, have been struggling to make this system work efficiently. By signing onto our system you are helping us test and perfect this first stage of the CCD. We realize that it takes a few minutes of your time but really appreciate your assistance in this important investment in the future of electronic medicine.

Dr. Mark E. GermanNow that you know the “What and the Why of a CCD”, don’t forget to respond to our email asking you to click on the MySecureData link to test our system. Remember that in order for your efforts to count, at the end where you must click on “Send a Message” so we know that you have successfully entered the portal. THANK YOU!!

Dr. Mark German is an optometrist practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Josephine-Liezl Cueto. 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.


ALL EYE VITAMINS ARE NOT EQUAL By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
February 7, 2015

AREDS2newFor most of our patients with macular degeneration (AMD), we typically recommend a specific formula of nutritional supplements called AREDS2 vitamins.  This suggestion is based on two important ophthalmologic studies called the Age-Related Eye Disease trials. These studies found that high dosages of antioxidants and zinc slowed down the progression of intermediate AMD.  There are many eye vitamins to choose from but unfortunately not all eye vitamins are created equally!

Recent studies have found that some popular “eye vitamins” do not have the ingredients and dosages that have been proven effective in the trials previously mentioned, in spite of their labels that claim to promote eye health.  Those who are already taking vitamins for their AMD should verify that their eye vitamins have the following ingredients and dosages:  Vitamin C 500 mg, Vitamin E 400 mg, Zinc 80 mg, Copper 2 mg, Lutein 10 mg and Zeaxanthin 2 mg.

In the past, we recommended AREDS supplements instead of the AREDS2.  The reason for the change is that the AREDS2 supplements have been shown to be just as effective as the regular AREDS but with fewer side effects.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

If you have not been diagnosed with AMD, there is no evidence that the use of these nutritional supplements will prevent the condition.   If you have a family history of AMD, we suggest that you be sure to wear sunglasses outside, to eat plenty of leafy green vegetables and NOT so smoke.  We understand that it can be difficult to decide if you should be taking eye vitamins.  Feel free to call or come in should you have any questions about this important topic or any others.

Dr. Cueto is a board certified ophthalmologist specializing in medical and surgical eye care. 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.


IS LATTISE FOR YOU? BY DR. JOSEPHINE-LIEZL CUETO, OPHTHALMOLOGIST AT LAKESHORE EYE CARE PROFESSIONALS WITH OFFICES IN MEQUON & SAUKVILLE, WISCONSIN

By editor
February 2, 2015

For those who are not blessed with long and full eyelashes, current beauty trends can be very tempting.  Every few weeks I have a patient ask, “I’ve heard about Latisse on television, could I try that?”  While this product may give you your desired beautiful eyelashes, there are some considerations and side effects that are important to be aware of before getting started.

Latisse (bimatoprost ophthalmic solution) has been approved by the US Food and Drug Administration to help lengthen, thicken and darken eyelashes. Surprisingly Latisse was developed from a commonly used glaucoma medication called Lumigan. Those patients who were using Lumigan to treat their glaucoma found that their eyelashes often became thicker and longer! As a result, Latisse was created for cosmetic purposes.

Although this medication is very effective, it does come with possible side effects which include redness of the eye, darkening of the skin of the eyelids (which reverses after discontinuation) and darkening of the iris (the colored portion of the eye) which is usually permanent.  Latisse should not be used by anyone under the age of 18 years old, pregnant women or women who are breastfeeding.

If you have any desire to start Latisse, it is important to consult your eye doctor first to see if it is a good fit for you.  This is especially true if you have a history of ocular infections, glaucoma, macular edema or eye inflammation.  Remember, we are always here to answer any questions you may have about the health and care of your eyes!

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, dry eye treatments, macular degeneration, glaucoma and more.

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


GLAUCOMA AWARENESS MONTH by Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
January 11, 2015

Eye ChartJanuary is National Glaucoma Awareness Month. The purpose of these various medical awareness months is to increase the public’s understanding of serious medical conditions. While many have heard of glaucoma, most really don’t know what it is, how it is diagnosed and what treatment options are available.

Glaucoma is an eye condition caused by damage to the optic nerve in the back of the eye.  It is often but not always associated with increased eye pressure.  The optic nerve is like a cable, carrying visual information from the eye to the brain.  If it is damaged, permanent vision loss may occur.  Unfortunately, glaucoma has no symptoms until up to 40% of the side or peripheral vision has been lost.

Over 2.2 million Americans have glaucoma but unfortunately up to 50% of them are unaware of it. Glaucoma is a leading cause of preventable blindness which is why early diagnosis is so important. It is most commonly treated with eye drops but more severe cases may require lasers or surgery. Glaucoma risks include: increased age, diabetes, high blood pressure, heart disease, or a family member with the disease.

How is it diagnosed?  As there are no symptoms, the key to diagnosis is to have regular eye examinations with dilating drops at least every one to two years.  The reason dilation is so important is that it allows us to look at the optic nerve in the back of the eye. If the eye pressure is elevated or optic nerves are abnormal, extra testing is done to evaluate side vision and the health of the optic nerves.

Dr. Mark E. GermanDon't become a statistic! Call for your complete eye examination today.

Dr. Mark German practices comprehensive optometry at Lakeshore Eye Care Professionals with Drs. Martha Jay and Josephine-Liezl Cueto. For more eye care information call 262-241-1919 or visit www.LakeShoreVision.com.


WHEN IS A VISUAL HALLUCINATION NOT A CAUSE FOR ALARM? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
January 5, 2015

I once had a patient state very calmly that there was an army in her backyard filming a movie. Her family was quite concerned and worried that she was developing dementia or a serious mental illness. Fortunately neither was the case.  These “hallucinations” were caused by a condition called the Charles Bonnet Syndrome.

This syndrome occurs in those with limited vision.  In my experience, it is generally seen in patients with severe macular degeneration. Macular degeneration is the leading cause of legal blindness for people over 65, but only 10-40% of those with severe vision loss experience the syndrome. Charles Bonnet was a Swiss philosopher who first described these visual hallucinations in 1760 after observing his grandfather who was going blind from cataracts.

The mechanism is thought to be due to the brain filling in for the reduced visual input from the eye. The episodes can last from seconds to minutes, occur rarely or be more frequent. Usually about 18 months after the onset they just gradually disappear. The most common type of hallucination involves faces of people but animals or plants may also be seen. The images appear smaller than in real life.  Another hallmark is that vision is the only sense involved so there are no associated abnormal sounds or smells.

What to do if you yourself or a family member are experiencing this syndrome? First be sure to have a thorough eye examination to see if there are any treatment options for the vision loss. If none are available, then reassurance from family and friends about what is real and what is not is helpful for the patient involved.  As with the patient who “saw” the army in her backyard, the images rarely concern the patient but are worrisome to their family members.  Hopefully the above explanation will set all involved at ease.

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 including blade-free iLASIK and small incision cataract surgery with premium lens implants.

For more eye care informati0n, call 262-241-1919 or visit www.LakeShoreVision.com


I'M BACK By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
December 29, 2014
Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

I’ve missed you these last three months when I have been off for maternity leave!  My new baby boy and his older sister are settling in well so now it’s time to get back to work. Much as I love being a mother, I also love my job. Ophthalmology is a particularly rewarding medical specialty. Eye surgery already has a high success rate and whenever I think it cannot get any better, new techniques or technologies come along.  Being an ophthalmologist allows me the privilege of restoring sight to cataract patients with surgery and preventing vision loss from glaucoma with eye drops or lasers.  Even sending patients home with a tuned up glasses prescription has a positive impact on their lives.

In short, our patients go home happy and are very grateful for our care. We get lots of hugs and many smiles. My associates, Dr. Jay and Dr. German, have seen some of you in my absence and have filled me in on any changes that have occurred.  I am sorry if any of you have been inconvenienced by having your examinations or surgeries delayed but your wait is over. If you have not done so already, now is the time to call for your appointments in 2015.

As a highly trained eye surgeon, I've gone right back to treating medical and surgical eye problems such as cataracts, glaucoma, diabetic eye disease, dry eyes, macular degeneration and much more.  I’ve kept up with advances in the field (a good antidote to baby talk!) and am excited about my return.

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 soon!

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.


"FORGIVE" YOUR CO-PAYMENT? By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
December 20, 2014

At the beginning of every year we start getting calls from patients requesting that we "forgive" their insurance co-payments.  Some ask nicely, but others are pretty insistent that we not collect their co-payments for examinations or surgical procedures. This comes up at the beginning of the year because most plans have a specified maximum co-payment per individual or family per year and the amount generally starts over on January 1st. Just to save our billing staff from another call on this subject, let me explain what co-payments are and how they function as part of your health insurance plan.

Co-payments are designed to share some of the costs of medical care with the patient.  Often a policy will offer lower monthly premiums in exchange for an increase in the co-payment due at every visit to a doctor. When co-payments go up, that does not mean that the doctor is receiving more for your visit. It just means that the amount paid directly by the insurance company to the doctor has gone down.

You may not realize it but if we 'forgive" a co-payment, it is actually insurance fraud.  We have contracts with most major insurance companies that specifically state the fees we will be paid for each type of examination, testing and surgical procedures we provide.  These fees are based on the assumption that the patient will cover the co-payment.  If we do not collect the co-payment, we are violating these agreements and risk losing our ability to see patients covered by that insurance plan in the future.

Now you know that as much as we would like to "forgive and forget", it is not so simple.  Happy New Year!

Dr. Mark E. GermanDr. Mark German is an Optometrist practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Josephine-Liezl Cueto. He specializes in comprehensive eye care for patients of all ages and accepts most insurance plans.

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


THAT HOLIDAY TOAST MAY DRY YOUR EYES By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
December 15, 2014

You may find that your eyes feel dry this holiday season and there are a couple of reasons why. One reason is that the air is dryer in winter and so are your eyes. Dry eye symptoms always worsen in the winter months. But there may be another reason. A study published in the respected journal Ophthalmology reported that alcohol consumption actually makes your eyes dryer.

The study subjects were young men without any history of dry eyes. They were divided into two groups, one group had an alcoholic beverage between 8 and 10 pm and the other did not. They then had their eyes examined at midnight and again at 6 and 8 am the next day.  At all three points the group that had the alcoholic beverage showed signs of dry eyes while the other group did not.

Is this news you can use? Sure, if you already have dry eyes you may want to bring along some artificial tears to that holiday party. This is certainly important if you wear contact lenses as they absorb your tear film leaving less to bathe the eye. If you do this and your eyes are still uncomfortable, then you should probably take the contacts out and switch to glasses. You do not want to risk starting out the new year with a bad infection or by damaging your eyes.

Dr. Martha F. Jay

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

Besides tears, there are a number of other treatments for dry eyes. Be sure to discuss this when you come in for your regularly scheduled exam.  You should come in sooner if you have been experiencing worsening dry eye symptoms such as eye pain, blurred vision or feeling like there is something in your eyes.

Dr. Martha Jay is a board certified ophthalmologist 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.


YULETIDE EYE HAZARDS By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
December 8, 2014

You may think that eye injury season is over now that most outdoor sports are only a memory but think again!  This is the time of year when we start seeing holiday related eye injuries due to festive decorating or automobile accidents.

A perennial favorite is the Christmas tree injury.  This can happen while cutting down the tree, moving the tree or decorating it.  You are looking at where you are cutting the tree or placing that precious ornament but don’t notice the adjacent branch near your eye.  This type of injury may not hurt initially but hours later significant eye pain may develop.

Hanging decorations are another potential hazard.  They are temporarily secured with tape or tacks but that doesn’t mean they will stay there!  Watch for falling ornaments or other forms of holiday cheer.

It’s also a dangerous place out there in Santa’s workshop.  Santa’s helpers may not be accustomed to using power tools needed for that surprise project. Also, be sure to pick up safety goggles when gathering the other supplies needed.

On a more serious note, you want to drive defensively to avoid impaired drivers returning from Holiday parties.  While air bags may save your life in a collision, they also can result in significant eye injuries by hitting your eyes and face or from abrasions caused by the powder they are packed in.

Should an accident occur affecting your eyes, we are here to help but would just as soon have you avoid the pain and trouble.  So be careful, take your time and have a safe December. Happy Holidays!

Dr. Mark E. GermanDr. Mark German is an optometrist practicing with Dr. Martha Jay and Dr. Josephine-Liezl Cueto at Lakeshore Eye Care Professionals. He welcomes patients of all ages into his practice and accepts most insurance plans, including Medicare Assignment. He specializes in comprehensive eye care for all ages,especially those in interested in contact lenses who have had difficulty getting the proper fit in the past.

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


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