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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

 


CATARACTS & MACULAR DEGENERATION By Dr. Martha Jay, Ophthalomologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
September 2, 2014

Many people have both cataracts and macular degeneration as both conditions are more common later in life. Cataracts are caused by a clouding of the lens in the front of the eye and are treated with surgery. Macular degeneration is an aging change in the back of the eye.  There are two types of macular degeneration: “dry” and “wet.”  The dry type is less severe and may just be noticed during a routine eye examination. The more severe wet type usually causes blurred or distorted central vision. Sometimes the wet type is treated with injections into the eye on a regular basis.

If your vision is impaired by macular degeneration and you also have cataracts, you may wonder if having cataract surgery would be of any benefit.  A recent study in the medical journal “Ophthalmology” looked at this very question.  The study followed 800 patients and came to the conclusion that cataract surgery did improve vision in patients with all levels of macular degeneration.  Expectations should be guarded, however, about how much improvement could be expected.  The retinal is like the film of a camera, so if it is damaged by macular degeneration you cannot expect to get a perfect picture even with a perfectly clear lens.

Dr. Martha F. Jay

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

Every situation is different so the decision to proceed with cataract surgery is one that you make with the assistance of your eye physician.  While cataract surgery is a relatively quick and easy procedure, you want have reasonable expectations. We can thoroughly discuss your options and explain what visual improvement you could expect with cataract surgery the time of your next complete eye examination.

Dr. Martha Jay is a board certified ophthalmologist specializing in medical and surgical eye care including cataract surgery and macular degeneration care. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


CHOLESTEROL AND DIABETIC EYE CARE By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
August 17, 2014

If you have diabetes, you probably concentrate on your blood sugars with testing during the day and the 90 day test at your doctor’s office called “hemoglobin A1c” but other aspects of your blood samples are important as well, including cholesterol levels.

A recent study, reported in the medical journal "Investigative Ophthalmology,"  took advantage of the advanced technology of optical coherence tomography (OCT) scans which allow us to visualize the layers of the back of the eye in the retina. This device is helpful for evaluating diabetic eye disease, among other uses.  Almost 100 patients were included. Blood samples were drawn to measure cholesterol  and hemoglobin A1c levels.  OCT scans were obtained of the central retina.

The results showed that those with poorly managed cholesterol were more likely to have thickened retinas, an early sign of diabetic eye disease.  Diabetes is a condition that can affect small blood vessels especially in the eyes, heart and kidneys. The result in the eyes is that the vessels become leaky, causing swelling and eventual blurred vision. Sometimes these problems are treated with lasers or injection into the eye but prevention is the key.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

The bottom line is that diabetes is not just about blood sugars, cholesterol levels are also very important. If you or a family member has diabetes, remember that a thorough eye examination with dilating drops is suggested at least yearly. Call today if you have been putting off this very important aspect of your diabetic care. At Lakeshore Eye Care, we always send a report to the primary care physician of all our diabetic patients so they can be kept up-to-date on whether the diabetes has affected the eyes.

Dr. Josephine-Liezl Cueto is a Board Certified Ophthalmologist specializing in medical and surgical eye care including cataract surgery, diabetic eye care, glaucoma treatment and much more. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


WHY VISUAL FIELD TESTING IS IMPORTANT By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
August 11, 2014

If you have glaucoma or are at risk for glaucoma, we have probably suggested that you return for a visual field test at least yearly. That is a test where you look into a large bowl-like machine and hit a clicker when you see small lights in your side vision. We generally have the technicians do the testing and then one of our doctors sends you a report about the results in the mail. At the same time we take a picture of your optic nerve in the back of the eye, called an OCT test.

While we don’t get many complaints about the OCT, some patients balk at the idea of the visual field test. Recent comments have been: “I’ve had glaucoma for years, why do I need this test?” Or, “I just had one last year, why do I need to repeat it?”

Dr. Martha F. Jay

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

Why is this test so important? Glaucoma is evaluated by monitoring several things: your eye pressure, the appearance of the optic nerve in the back of the eye AND your side vision. The idea of the visual field is to detect very small changes in side vision BEFORE you become aware of them so we can appropriately start or alter your glaucoma treatment. You can lose up to 40% of your side vision without it becoming obvious to you.

Should we notice small changes on the visual field, glaucoma is easily treated with eye drops. Laser or surgical treatments are also available if drops alone are not adequate.  No one should lose vision from glaucoma today with appropriate monitoring.       Now that you know how important this test is, you won’t be tempted to put it off.  As an extra bonus, we are now using an even quicker version of this test lasting only 2-4 minutes per eye, this is HALF the time it took before! Help us help you preserve your vision.

Dr. Martha Jay 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, including Medical Assignment. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com


BOARD CERTIFICATION IN OPHTHALMOLOGY By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
July 28, 2014

Most patients may not be aware if their doctors are “Board Certified” unless they notice a fancy plaque on the wall. But what does this mean exactly?

In ophthalmology, a “Board Certified” doctor has successfully completed 4 years of medical school and then another 4 years of an Ophthalmology Residency to learn the specifics of medical and surgical eye care. They are then challenged with a series of tests that take a minimum of three years to complete.  The first is an intensive written qualifying exam. This 250 question test has seven sections, each covering a different aspect of eye care. Each question requires knowledge of obscure as well as common eye problems.

Once you make it passed that by doing well in all seven sections (and many don’t), it is on to the oral exam a year or so later. Wisconsin doctors are tested in San Francisco.  Imagine the scene: scores of anxious young doctors sitting in the hallway of an upscale hotel. They are individually called into regular hotel rooms where an examiner shows them photos of eye problems and gives them some history. You are asked what you see, what you are going to do. “Are you sure? Is that so?” are common responses just to throw you off. The oral exam has 6 sections, again you must do well on all of them.

Dr. Martha F. Jay

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

I am very proud to say that all three Ophthalmologists at Lakeshore Eye Care (Dr. Jay, Cueto and Costakos) are Board Certified! But the certification only lasts 10 years. During that time, we keep informed about new aspects of care by attending medical education meetings and reading professional journals. The testing the first time is the most challenging, however. You can be proud of our doctors here, we sure are!

Dr. Martha Jay has been board certified in ophthalmology since 1994 and successfully re-certified twice since then.  She specializes in medical and surgical eye care including LASIK vision correction and small incision cataract surgery.

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


SUMMER AND BACK TO SCHOOL EYE CARE By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
July 24, 2014

Summer has finally arrived!  The children are out of school.  We’re spending our time outdoors at picnics, swimming, boating, camping, biking, playing baseball and taking long walks.  During the summer we can plan vacations with the family to either view local sites or far-away places.  We look forward to July 4th celebrations and fireworks displays.

Shortly after we celebrate the birth of the United States, however, the department stores remind us that summer will end soon and ‘back to school’ sales become the topic of conversation.  The list of school supplies for each school and grade gets printed and parents flock to the stores to purchase them before the supplies run out.

Missing from this to-do list is the annual eye exam.  Since children continually grow, a yearly eye exam is recommended.  Glasses prescriptions change as fast as outgrowing last year’s school clothes.  If you are considering contact lenses for your child, summer is a good time for them to learn insertion and removal of the lenses since they are under no pressure to get to school on time.

Dr. Mark E. GermanCollege bound students tend to have a shortened summer as they head off to school by mid August.  Have they updated their prescriptions?  For contact lens wearers, are their backup glasses up- to-date?  We hope back to school sales should get parents thinking about back to school eye exams.  Call us now to schedule those important appointments.  Be sure your children are primed for success with clear vision at the start the new school year.

Dr. Mark German is an optometrist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. He welcomes patients of all ages into his practice and accepts most insurance plans. Call 262-241-1919 or visit www.LakeShoreVision.com for appointments or more eye care information.


NIGHT VISION AND AGING By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
June 3, 2014

Is your night vision not what it used to be? If so, you are not alone. Night vision worsens with age due to a number of factors: pupil size, retinal changes and cataracts. Next time you are in a mixed age group, take a look at the pupils of the children compared to the older adults. Pupils gradually get smaller with age. This is not noticeable on bright days but in the dark the smaller pupils limit the amount of light that reaches the back of the eye called the retina.

Another reason night vision declines with age has to do with the retina itself which contains rods and cones. We depend on the cones for color vision and reading small print while the rods are critical for seeing in low light. As time goes on, we have fewer and fewer rods. Not only is that a problem, but the rods we do have take longer to adjust to dark environments.

While there is not much you can do about your pupil size or number of rods, you can potentially improve your night vision if it is affected by the third reason: cataracts. Cataracts are caused by a clouding of the lens in the front part of the eye. When significant, they also limit the amount of light that reaches the retina. Besides blurred vision at night, other common symptoms of cataracts are halos or glare around lights. The good news is that cataract surgery is now a 15 minute out-patient procedure with a 99% satisfaction rating.

Dr. Mark E. German If you are experiencing problems with night or other vision, be sure to have a thorough eye examination to rule-out easily treatable problems like cataracts or an outdated glasses prescription. See you soon!

Dr. Mark German is an Optometrist practicing with Dr. Martha Jay and Dr. Josephine-Liezl Cueto at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. He specializes in comprehensive eye care for all ages and contact lens fitting, especially for those who have had problems with contacts in the past.

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


NEW BABY AT COLUMBIA-ST. MARY’S By Dr. Josephine-Liezl Cueto, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
June 2, 2014

I might be the one expecting but Columbia-St. Mary’s (CSM) Ozaukee beat me to the punch with a brand new machine for cataract surgery. Their “new baby” is the Alcon Centurion. We at Lakeshore Eye Care are fortunate to have access to the first facility in southeastern Wisconsin with this advanced technology. Just when you think cataract surgery cannot get any faster or safer, along comes another improvement!

Cataracts surgery involves using a tiny ultrasound device called a “phaco” machine to remove the cloudy lens through a small incision. Since last month, the new Alcon Centurion phaco machine has been in use at CSM Ozaukee. The result is faster surgery, improved comfort for our patients during the brief 10-15 minute procedure and quicker visual recovery afterwards.

CSM Ozaukee is the only hospital equipped for eye surgery in Ozaukee County. The improvements to this machine are vast, with the main difference being the way in which the ultrasound works. Since the Centurion machine is more efficient, it uses less energy to remove the cataract. The result is less swelling after surgery and quicker visual improvement. It also has the ability to maintain a steady pressure in the eye during surgery which improves patient comfort during the procedure.

Dr. Josephine-Liezl P. Cueto

Dr. Josephine-Liezl Cueto

The bottom line is that anything that makes my job easier as a surgeon and helps my patients see better is progress I can endorse. Welcome to the new baby at CSM Ozaukee!

Dr. Josephine-Liezl Cueto is an Ophthalmologist (Eye Physician & Surgeon) practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Mark German. She specializes in medical and surgical eye care such as small incision cataract surgery, glaucoma care, macular degeneration, dry eyes and much more.

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


MAY IS HEALTHY VISION MONTH By Dr. Martha Jay at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By lsvadmin
May 20, 2014

The National Eye Institute (NEI) has declared May to be “Healthy Vision Month.” The NEI is the federal agency responsible for most of the funding of vision research in the U.S. This includes everything from basic research about the functioning of the eye to public campaigns to improve vision in our country.

What is their vision health tip? They suggest that you take this month to find an eye care professional for yourself and your family as vision health should be an important aspect of your wellness plan. At least every two years, a complete eye examination with dilating drops to rule-out treatable eye problems is suggested. In children this could be just the need for stronger glasses or something more serious like a wandering eye. In adults we look for evidence of glaucoma, cataracts, macular degeneration and much more.

Another key to healthy vision is wearing sunglasses outside on sunny days. Ultraviolet exposure promotes macular degeneration and cataracts. So don’t stop at the sunscreen, use sunglasses and a hat this summer. Diet is also important. Leafy green vegetables contain valuable nutrients to keep the retina healthy and are especially recommended for those with macular degeneration.

Dr. Martha F. Jay

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

Finally, if you still smoke and have not found a reason to stop yet, think of your eyes. The more aggressive “wet” form of macular degeneration is more common in smokers as is the development of early cataracts.

So do your part: Call us today to schedule eye examinations for everyone in your family!

Dr. Martha Jay is a board certified ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. She specializes in medical and surgical eye care including blade-free LASIK and small incision cataract surgery. She founded Lakeshore Eye Care in 1992 after completing her ophthalmology residency at Northwestern University in Chicago.

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


LASIK OR CONTACTS: WHICH IS SAFER? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
April 29, 2014

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

If you don’t like glasses, your other options are contact lenses or LASIK vision correction. Which is the safer alternative? You’ll be surprised to learn that that actually LASIK is safer than wearing contact lenses. As a comprehensive ophthalmologist, I treat all types of eye problems. It is much more common for a contact lens wearer to come in with a severe eye problem than someone who has had LASIK.

Up to 6% of contact lens wearers per year will experience a severe eye infection, worsening dry eye symptoms or even an allergy to contact lenses themselves. These and other problems are not only painful but can lead to permanent vision loss and an inability to resume contact use.

LASIK safety, however, is not the same everywhere you go. All my patients benefit from blade-free LASIK using two lasers instead of one. It is almost impossible to have a complication during this type of LASIK procedure. Unusual healing is also rare, occurring less than 0.1% of the time. That’s why we call it “LASIK for Chickens.”

If you have been afraid of LASIK in the past, consider your odds of a problem if you stay in contacts. You knew that LASIK would simplify your life and save you money in the long run, and now you can add safety to the list of reasons to have LASIK. All it takes is 20 minutes to turn those contacts into a distant memory.

Dr. Martha F. Jay

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

While taking the blade out of the LASIK equation allows more patients to be good candidates, there are still exceptions. To find out if LASIK is an option for you, call for your personalized screening exam. It’s free, informative and pressure-free.

Dr. Martha Jay is a board certified ophthalm0logist (Eye Physician & Surgeon) specializing in LASIK vision correction, cataract surgery and comprehensive eye care. She welcomes patients of all ages into her practice and accepts most insurance plans.

For more eye care information, call 2620241-1919 or visit www.LakeShoreVision.com.


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