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DRY EYES AND COMPUTER USE By Dr Martha Jay at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
February 24, 2014

Due to the miserable winter, this has been a bad year for those with dry eyes. Symptoms of dry eyes vary but generally include feeling like there is something in your eyes, blurred reading vision or eye fatigue. This is caused by your tear film not adequately coating the surface of the eye. In winter the dry air both inside and outside causes your tear film to evaporate faster, thus leading to more symptoms. Generally these symptoms worsen with reading and computer use, during the winter months and at the end of the day.

While it has been long known that computer use contributes to dry eyes, a recent study showed that the effects are far more universal than previously thought. The study evaluated the effects of computer use on dry eye symptoms and found that over 75% of female and about 60% of male office workers who use computers have dry eye symptoms! The test sample was of office workers in Japan and included a questionnaire of symptoms along with a thorough eye examination.

The association between dry eyes and computer usage is thought to be due to decreased blink rate. We all tend to stare when using computers. A good way to be more comfortable while using computers is to try to blink more, occasionally refocus farther away and to use tear supplements.

Dr. Martha F. Jay

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

If those strategies are not effective, you may need other treatments such as prescription drops (Restasis) or punctual plugs which keep the tears that you have in your eyes last longer. Those options and more can be explained at the time of your complete eye examination. Meanwhile, realize that your eyes will be more comfortable once the humidity increases in a few months.

Dr. Martha Jay is a board certified ophthalmologist (Eye Physician and Surgeon) specializing in medical and surgical eye cares such as blade-free LASIK and small incision cataract surgery. She practices with Dr. Mark German and Dr. Josephine-Liezl Cueto at Lakeshore Eye Care Professionals.

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


AREDS2 FOR MACULAR DEGENERATION By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By lsvadmin
February 24, 2014

The two types of macular degeneration are the “dry” and the “wet”. With the dry type, we see pigment changes in the back of your eye but your vision may be unaffected initially. The wet type is more serious. This is where blood vessels have broken through the back of the eye causing distorted central vision. If this happens, you may be referred to a retina specialist for treatments such as injections in the eye.

Macular degeneration patients are asked to view an Amsler grid at least monthly and return promptly if any distortions are noted. In order to decrease the chances of converting to the wet type, they are to include leafy green vegetables in their diet, not to smoke, to wear sunglasses outside and to take vitamin supplements called AREDS.

AREDS contain a high dosage of beta-carotene which converts to vitamin A in the body. This substance is an antioxidant that helps with macular degeneration and also for some cancers and heart disease. There is a problem, however, in that this substance can increase the chances of lung cancer in current or former smokers and may cause stomach upset in many people.

Dr. Mark E. German A recent study indicated that taking out the beta-carotene and substituting lutein and zeaxanthin was just as effective without the potential side effects. This new formula is called “AREDS2” and is available from PreserVision in stores or Viteyes on line for home delivery. So next time you need supplements for macular degeneration, all our doctors are recommending that you switch to the AREDS2 and take 2 gel tablets per day. This makes life simpler because you no longer have to take extra lutein tablets. Still confused? Give us a call.

Dr. Mark German is an optometrist practicing at Lakeshore Eye Care Professionals with Dr. Martha Jay and Dr. Josephine-Liezl Cueto. He accepts patients of all ages into his practice and most insurance plans. For more information, call 262-241-1919 or visit www.LakeShoreVision.com.


CAN’T SWALLOW THOSE PILLS? TRY A SMOOTHIE! By Dr. Martha Jay at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
February 10, 2014

We don’t prescribe many pills in ophthalmology but do recommend supplements for macular degeneration. The problem comes when people have trouble swallowing them or other pills. I can’t say this is my idea because it came from a patient: toss the supplements into the blender when you make a “smoothie’. You get the health benefits of fresh fruits and vegetables along with your medications!

What else can you put in your smoothie? We suggest plenty of leafy green vegetables for our patients with macular degeneration so you can add some fresh spinach in too. Be careful if you have a history of kidney stones but everything is good in moderation. No fresh fruit because it’s winter? No problem, just get frozen berries or other fruits and use them all year round. Unlike with juices, you get the benefit of fiber along with the nutrients.

All you need is some type of blender then use your creativity by adding any combination of fruits, vegetables, yogurt, almond milk, some whey for protein or nuts and then those pesky pills that are hard to swallow. The supplements for macular degeneration are red but so are strawberries - they literally get lost in the mix.

Dr. Martha F. Jay

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

Besides the supplements, we recommend that macular degeneration patients look at their grid monthly with each eye independently through reading glasses, return promptly if any changes are noted, not smoke and do wear sunglasses outside. We have recently changed our supplement suggestion from AREDS to AREDS2, more on that topic next week.

Dr. Martha Jay is a board certified Ophthalmologist who specializes in medical and surgical eye care including small incision cataract surgery and blade-free iLASIK. She practices with Dr. Josephine-Liezl Cueto and Dr. Mark German at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.

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


WHEN CAN YOU USE YOUR “VISION PLAN”? By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
January 21, 2014

Confused about when to use your “Vision Plan” and when to use your regular medical insurance for your eye examination? You are not alone! Not everyone has a Vision Plan but if you do, it is intended for routine care that may not be covered by medical insurance. This means coming in every 1-2 years to be sure your glasses prescription is correct and your eyes are healthy. These plans may also include a discount on glasses or contact lenses every 1-2 years. More often than not either you or your employer has paid extra for this benefit.

While the exam under a Vision Plan may appear pretty much the same as one under medical insurance, the reason for the visit is the key. If you have diabetes, cataracts, macular degeneration, glaucoma, floaters, rapid change in vision, eye pain, red eyes or any other vision or eye problem, then this is a medical visit and will be billed to your medical insurance. Our medical doctors, Drs. Jay and Cueto, do not accept Vision Plans as their patients generally have medical or surgical eye problems.

It is also possible for patients to pay for a Vision Plan that they don’t need. Let’s say you have macular degeneration and your Vision Plan costs you more than the discount on glasses it provides. You would then be better off just paying for your glasses outright as your exam will then be billed to your medical insurance.

Dr. Mark E. German Still confused? Our staff will be happy to help you decide which plan is the most appropriate for your visit. Remember if you do have both a Vision Plan and medical insurance, be sure to bring BOTH cards to EACH appointment.

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


HAVE LASIK NOW, GET READY FOR SUMMER By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
January 19, 2014

We are all tired of thinking about the weather, talking about the weather and dealing with the weather. While you wait for warmer times, why not do something that will make your summer even more enjoyable? Finally get around to having LASIK. To set your mind at ease, all you have to think about are these four words: experience, comfort, precision and affordability.

As for experience, you could not do better than selecting me as your LASIK surgeon as I was the very first doctor in the Milwaukee area to perform refractive surgery with a laser. Since then I have consistently been offering the latest technology in refractive surgery available anywhere, right here in Ozaukee County. Comfort comes with a pain-free LASIK procedure lasting less than 20 minutes. In fact the first laser takes a mere 21 seconds and the second usually less than a minute. Precision comes from using the safest and most precise laser technology available. That leaves affordability. If you are 30 years old and wear contact lenses, you can expect to pay $20,000 over your lifetime for contacts and solutions. That and our financing plan make LASIK a deal.

I suppose we could add another word: confidence! By selecting Lakeshore Eye Care for your LASIK procedure you get the benefit of a localsurgeon you can trust along with the most advanced LASIK procedure available. Now your next step is to call 262-241-1919 to arrange your complimentary LASIK screening exam to see if blade-free iLASIK is in your future. It's that easy and better than griping about the weather.

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified ophthalmologist practicing at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconson. 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 lsvadmin
December 11, 2013

You may think that eye injury season is over now that 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 decorating or car 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 what you are doing and don’t pay attention to that sharp branch or needle next to your eye. It may not hurt right away but hours later you will be in quite a bit of pain.

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 be using power tools that they are not accustomed to. Be sure to pick up safety goggles when you are getting the other supplies for the project.

Dr. Mark E. German 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 eye injuries from direct trauma or the powder that they are packed in.

Should the accidental accident occur, we are here to help but would just as soon have you avoid the pain and trouble. Just be careful, take your time and have a safe December.

Dr. Mark German is an Optometrist at Lakeshore Eye Care Professionals. His colleagues Dr. Martha Jay and Dr. Josephine-Liezl Cueto are Ophthalmologists. Between the three of them, they can handle most medical and surgical eye problems this holiday season and beyond.

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


“HOW MUCH IS LASIK” By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
December 4, 2013

We frequently have patients call with only one question, “How much is LASIK?” While an understandable question, price really should not be your most important consideration. You want to be confident that you have selected an experienced doctor who uses the safest and most precise technology available for your LASIK procedure.

At Lakeshore Eye Care we exclusively offer blade-free iLASIK. This means that we use two lasers instead of one to perform your LASIK procedure. The first laser, called the IntraLase, places tiny air bubbles below the surface of your eye to make a small cap. This avoids the potential complications of the metal blade used by low cost clinics, making it almost impossible to have a complication during the procedure.

We then use the VISX Star S4 laser to contour the surface of your eye to compensate for your glasses prescription. This laser provides the safety of an eye tracker that locks on to your iris markings, assuring that the treatment is oriented exactly right. The VISX laser also provides the added precision of treating “higher order aberrations” in addition to your glasses prescription. This means that we can actually measure the physics of light as it enters your eye and use this information, which is unique to you, to provide the best possible vision.

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

As for experience, I am one of Milwaukee’s most experienced LASIK surgeons. You can rest assured that I will personally see you at each and every appointment, eliminating the worry that your care would be delegated to others.

Now that you know the important factors in selecting your LASIK doctor, give us a call to set up your complimentary no-pressure LASIK screening exam!

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care. She trained at Northwestern University in Chicago and founded Lakeshore Eye Care Professionals in 1992.

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


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

By lsvadmin
November 18, 2013

Most of us pretty much take our vision for granted unless we have a problem. Hopefully you never have to make that choice but most people would rather lose hearing or mobility before vision. Maintaining good vision, however, 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.

Dr. Mark E. German 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.

Dr. Mark German is an Optometrist practicing at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. His colleagues are Dr. Martha Jay and Dr. Josephine-Liezl Cueto, both are Ophthalmologists (Eye Physicians and Surgeons).

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



HAVE CATARACT SURGERY TO LIVE LONGER? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
November 12, 2013

Last month we reported on a study that found a positive correlation between having cataract surgery and a decreased chance of hip fractures. Today’s column addresses yet another crucial study performed which found that having cataract surgery might actually extend life. The study was published in the May issue of the prestigious medical journal “Ophthalmology”.

The authors followed over 350 patients in Australia for 15 years and compared patients who were close in age and had similar general medical health conditions such as heart disease, diabetes and high blood pressure. Those who had cataract surgery were 40% more likely to be alive at the end of the 15 years.

Why could this be? The authors postulated that good vision is a significant factor affecting emotional and physical well-being. In short, they stated that if you see better you feel better. This leads to a more optimistic view on life and the confidence to maintain an independent lifestyle.

Cataracts cause a very gradual change in vision, sometimes so slow that the patient is not really aware of it. The lens in the front of the eye gradually yellows, decreasing the amount of light that reaches the retina in the back of the eye. It is kind of like wearing dark brown sunglasses all the time.

Dr. Martha F. Jay

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

A very frequent comment after cataract surgery is that everything looks so bright again – as though they are now seeing the world in high definition. Blues are more vivid and whites are whiter. So if you are “on the fence” about cataract surgery, the potential for your increased longevity is something to think about.

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 vision correction.  She practices at Lakeshore Eye Care Professionals with Drs. Josephine-Liezl Cueto and Mark German. They have offices in Mequon and Saukville, Wisconsin.

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


THE EYES ARE THE WINDOW TO THE SOUL AND YOUR HEALTH By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
October 24, 2013

The proverb “the eyes are the window to the soul” is well known but did you also know that your eyes are a window to your general health? Many medical conditions affect the eyes such as high blood pressure, elevated cholesterol, diabetes and multiple sclerosis. That is one of the reasons why a thorough eye examination includes the use of dilating drops to expand your pupils so we can take a good look at the retina in the back of your eyes. Many of these conditions affect tiny blood vessels located elsewhere such as the brain, heart, kidney or feet but the eye is the only place where they can be directly seen.

With high blood pressure or cholesterol the presence of small flame-shaped hemorrhages in the back of the eye, twisted blood vessels or evidence of thickening of the tiny blood vessel walls is often found. These vascular changes elsewhere in the body could lead to a stroke or a heart attack.

Diabetes, whether controlled with diet, pills or shots, has the potential of causing a number of problems in the eye. We look for tiny “dot” hemorrhages, abnormal new blood vessels, swelling and bleeding into the eye. Keeping the blood sugars as well controlled as possible decreases, but does not eliminate, this possibility.

Multiple sclerosis is often diagnosed after an episode of optic neuritis. This is a condition where swelling occurs in the optic nerve in the back of the eye causing a painless decrease in vision in one eye: treatments include intravenous steroids.

Dr. Martha F. Jay

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

So be sure your “window to your health” is checked with a dilated eye examination at least every one to two years!

Dr. Martha Jay is a board certified Ophthalmologist who founded Lakeshore Eye Care Professionals in 1992. She specializes in medical and surgical eye care such as blade-free iLASIK and small incision cataract surgery.

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


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