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OPHTHALMOLOGISTS WERE AMERICA’S FIRST BOARD CERTIFIED PHYSICIANS By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
February 15, 2016

Nearly one hundred years ago, in December of 1916, the first group of pioneering eye surgeons traveled to Memphis, Tennessee to demonstrate their commitment to excellence in patient care.  They sat for the first board certification examination of any physician specialty.  Back then it was called the American Board for Ophthalmic Examinations.

The American Board of Otolaryngology (Ear, Nose and Throat) was not established until 1924 and the American Board of Obstetrics and Gynecology followed in 1930.  Now every medical specialty has a board certification process, but ophthalmology led the way. The name changed to the American Board of Ophthalmology in 1933.

Then, as now, not all those who undertook the process passed. Ten physicians were board certified that first year but 3 more were invited to study harder and return in another year.  Since that that first examination, 30,000 ophthalmologist have become board certified including myself.

What does board certification mean and why is it important? The examination process assures that your doctor has the knowledge provide you with the best possible care.  The process begins with an intensive written qualifying exam covering all aspects of eye care. Once you have passed by doing well in all seven sections (and many don’t), it is on to a grueling oral exam a year or so later.

I am proud to be part of this grand tradition. As with those doctors in 1916, we are committed to providing the highest quality medical and surgical eye care available.

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 small incision cataract surgery, blade-free LASIK, macular degeneration care, glaucoma care, dry eye treatments and more.

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
February 2, 2016

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 but recently a patient came in with this who had suffered a stroke affecting his vision on one side. 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. The episodes last from seconds to minutes and are of variable frequency. About 18 months after the onset they just usually gradually disappear. The most common type 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.  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 an Eye Physician & Surgeon (Ophthalmologist) practicing at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin.  She specializes in blade-free LASIK and small incision cataract surgery.

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


WHY DO MY EYELIDS TWITCH? By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
February 1, 2016

An eyelid twitch is a general term for spasms of the eyelid muscles that happen without your control. Eye twitching, eyelid tics and spasms are pretty common. Typically it only affects one lid, usually the lower lid or upper lid of one eye is involved, but it can also involve both eyelids. Most eye twitches come and go, although they can last for weeks or even months. Episodes of eyelid twitching are unpredictable. The twitch may occur off and on for several days. Then, you may not experience any twitching for weeks or even months.
Called myokymia in doctor lingo, these rippling muscle contractions in an eyelid can be triggered by many things. Stress, tiredness, dry eyes, alcohol, caffeine, and allergies all can contribute to twitchy eyelids. Most of the eyelid twitches are benign and do not have a serious underlying medical condition. Many eyelid twitches will resolve without treatment. Usually getting more rest, reducing your caffeine intake and using artificial tears to lubricate your eyes will help reduce twitching eyelids.
A lot of times eyelid twitches are hard to treat because the underlying cause needs to be determined and then this needs to be dealt with. If the spasms become chronic, you may have what’s known as “benign essential blepharospasm,” which is the name for chronic and uncontrollable eyelid movement. If your twitching eyelid is persistent and lasts for some time, then you should have your eyes examined to help determine the cause. In more severe cases where the twitching does not stop or a muscle spasm occurs(closure of the eye), Botox injections are used to stop the muscle contractions if nothing else relieves the twitching.

Dr. Mark E. GermanDr. Mark German is an Optometrist practicing with Dr. Martha Jay 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.

 


YOU WANT TO PUT PLUGS IN MY EYELIDS?? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
January 13, 2016

When we suggest punctal “plugs” to a patient, the reaction varies from curiosity to outright panic.  While they are quite routine dry eye care, many patients have not heard of them.  The goal of the plugs is to keep the tears you have in your eyes longer, decreasing your need for tear supplements and improving your eye comfort.

On the upper and lower eyelids in each eye, there are a total of 4 small openings towards the nose which are called puncta.  Each leads to a tiny tube that drains your tears into the back of your nose. The bottom ones carry about 2/3 of the tears and the top the other 1/3. If we block the bottom puncta in each eye, your eyes stay wetter. The plugs are very small, about 1-2 mm, and made of soft plastic. They are easily inserted in the office in a matter of seconds.

Generally we do not suggest plugs at the first signs of dry eyes. We try artificial tears first. If the patient feels that they need to use the tears more than 4 times per day or they are not providing any relief, then plugs or a prescription product called Restasis may be suggested. Restasis changed the quality of the tears so they coat the eye better. As noted above, the plugs change the quantity of the tears. Sometimes both quality and quantity need improvement. Should that be the case, then plugs and Restasis might be used together.

Winter is dry eye season! The symptoms include blurred reading vision at the end of the day, feeling like there is something in the eyes, eye fatigue, red eyes and more. Give us a call if you need relief from this common eye problem.

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

 


BLUE EYED PEOPLE ARE ALL RELATED... YOU JUST HAVE TO GO BACK A FEW YEARS!

By editor
December 21, 2015

Check out this link to see where you came from if you have blue eyes.


FASTEST LASIK IN THE U.S. JUST CAME TO LAKESHORE EYE CARE! By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care with offices in Mequon & Saukville, Wisconsin

By editor
December 14, 2015

Just when I thought LASIK was as quick and precise as it could possibly be, several new breakthroughs came along to make it even better.  Last month I upgraded both the lasers I use for LASIK vision correction to take advantage these new innovations. The faster, safer and more precise laser system means that you can expect to have even more spectacular vision after the procedure.

WaveLight Laser Suite

I had been using the IntraLase and VISX lasers for a number of years but once those companies were acquired by a larger corporation, it seemed that innovation became stalled. Then Alcon came out with FS 200 Fentosecond laser to make the initial flap and the WaveLight EX500 Excimer laser for contouring the cornea to improve vision.  Together they provide an integrated laser system that is the fastest available in the U.S.

The lasers are not just faster, they are also more precise.  The improvement in vision, especially for those with more extreme prescriptions, is even better than before. They also open up LASIK to many who may not have been candidates in the past because they can treat the widest range of prescriptions of any laser available.

Patients love the improved comfort and potential to see even better than they did with glasses or contacts before surgery. I appreciate the precise automation with the smallest laser spot size in the industry and fastest eye tracking system available:  20 times faster than natural eye movements! I’ve gained many more options for individualizing LASIK  for a particular patient and you’ve gained an improved outlook on life.

For more information, visit our web site to access brand new videos about the new WaveLight system and to see what you can expect on your procedure day: http://www.lakeshorevision.com/services/ilasik/#main

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified ophthalmologist (Eye Physician and Surgeon) who was the first ophthalmologist in the Milwaukee area to perform laser vision correction. She has been at the forefront of every advancement since then.  Call today to arrange your screening exam to take advantage of the newest of the new!

262-241-1919


YULETIDE EYE HAZARDS By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin (near Cedarburg, Grafton, River Hills and other North Shore Communities)

By editor
December 1, 2015

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 at Lakeshore Eye Care Professionals who specializes in comprehensive eye care for all ages, especially those interested in contact lenses. He welcomes the challenge of patients who have had difficulty finding a proper contact lens fit in the past, whether due to comfort or vision.

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


Eyes red with swimming? Read this!

By editor
November 29, 2015

Good thing summer is over... but not such good news for those who love swimming pools! Click on the image below for a new study about why your eyes get red in the pool.


NOVEMBER IS DIABETIC EYE DISEASE MONTH By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville (near Cedarburg, Grafton, River Hills and other North Shore Communities)

By editor
November 17, 2015

The Wisconsin Council of the Blind and Visually Impaired recognizes November as “Diabetic Eye Disease Month.” The purpose of this designation is to increase awareness about how diabetes can potentially affect your eyes and how to prevent it.

We like to see diabetics at least yearly for a complete eye examination.  That includes dilating drops so we can see into the back of the eye called the retina.  We are looking for abnormal blood vessels, bleeding or swelling. If these problems are detected early, treatments such as lasers or injections are more effective.

Vision loss from diabetic eye disease is preventable.  Tight control of your blood sugar is the key. This means carefully monitoring at home and/or at your doctor’s office. The hemoglobin A1c is a simple blood test that measures of how well controlled your blood sugars have been maintained over the prior 90 days.  Primary care physicians generally like to see values on this test between 6 and 7.  Of equal importance is early detection of diabetic eye disease as that improves your chances of protecting your vision.

We stay in close contact with your primary care physician with annual reports about your eyes so they can be fully aware of whether diabetes has affected them. The eyes actually serve as a “window” into the rest of your body: diabetes has the potential of affecting small blood vessels elsewhere such as the heart, kidney and feet. If your eyes look good, then that is generally good news for the rest of you.

Are you a diabetic who has gone more than a year since an eye examination? Time to call to set one up, see you soon!

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 such as blade-free LASIK and small incision cataract surgery. For more eye care information, visit www.LakeShoreVision.com or call 262-241-1919.


WHY SHOULD YOU HAVE A VISUAL FIELD TEST? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with 2 offices in Ozaukee County, Wisconsin (near Mequon, Fox Point, River Hills, Cedarburg, Grafton and more)

By editor
October 26, 2015

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?”

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.  Help us help you preserve your vision.

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 such as blade-free LASIK vision correction, cataract surgery, glaucoma care and more.

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


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