Recent posts

WHAT CAN DOGS SEE? By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
March 4, 2019

No, we have not added animals to our practice but patients occasionally mention eye problems their dogs are having and wonder how their pet’s vision differs from theirs. Dogs generally don’t see as well as humans under normal lighting situations but instead have special adaptations for night vision and improved side vision.

Perfect human vision is noted as 20/20. The best dogs can do is 20/40 (several lines up on the eye chart). Many older dogs develop cataracts, causing a whitening of their pupil, which can make their vision much worse. With their keen sense of smell and hearing, however, they adapt quite well. On rare occasions cataract surgery is recommended for dogs.

Dogs do have some color perception but it is not as acute as in humans. The “cones” are the color receptors in the center of the eye. The center part of the human eye is 100% cones compared to only 20% cones found in dogs. Behavioral tests show that dogs can distinguish reds from blues but often confuse greens and reds.

You may have noticed when you shine a light in a dog’s eye that you see a bright blue/green color instead of the red noted with humans. That is because dogs have a reflective coating in the back of the eye called a tapetum which serves to improve night vision. Another difference from humans is that dog’s eyes are generally more on the sides of their heads (unlike forward positioning in humans) which improves their peripheral vision.

No, we have not gone to the dogs at Madison Medical Eye Care but now you and your pet can see eye-to-eye! Do call us, however, if any of your two legged family members experience vision or eye problems.

Dr. James Ivanoski

Dr. James Ivanoski practices Optometry at Madison Medical Eye Care in association with Dr. Martha Jay, an Ophthalmologist. He accepts patients of all ages into his practice and is on the panel of most insurance plans.

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

 


iSTENT: SURGICAL OPTION FOR GLAUCOMA JUST GOT BETTER By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
February 28, 2019

For those with both glaucoma and cataracts, we began using a new surgical option to tackle both at the time of cataract surgery in 2017 with an iStent. This tiny device (1 mm by 0.3 mm) controls eye pressure by increasing the outflow of fluid from the front of the eye. The eye is like a small plumbing system: fluid is constantly entering the eye from behind the pupil and leaving it through a sponge-like meshwork at the edges of the eye in front of the colored iris. The iStent bypasses this meshwork, allowing the fluid to leave more quickly to decrease eye pressure.

The iStent is part of a new type of glaucoma care called Micro-Invasive Glaucoma Surgery or MIGS.   In the past glaucoma was mainly managed with eye drops, lasers or extensive surgery. This new option is less traumatic to the eye than traditional glaucoma surgery but does need to be done at the time of cataract surgery. Once the cataract procedure is completed and the lens implant in place, we then turn the patient’s head to one side and insert the iStent. You cannot see or feel the stent.

What already was a great device recently got even better. The new iStent inject is easier to place and works even better than the original version. A recent study showed a 37% decrease in eye pressure and a 68% reduction in the need for glaucoma eye drops compared to the original model.

Regardless of the treatment for glaucoma, close follow-up is important to be sure this condition is well controlled. That generally means seeing you about twice yearly: One appointment with dilating drops to look in the back of the eye and another with the side vision testing along with a scan of the back of the eye.  See you soon!

Dr. Martha Jay is a board certified ophthalmologist (Eye Physician & Surgeon) specializing in small incision cataract surgery, glaucoma care and blade free LASIK.  For more eye care information, visit www.MadisonMedicalEyeCare.com or call 262-241-1919.

 


LASIK FOR CHICKENS By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
February 18, 2019

We had fun with some new radio ads using the bird imagery of “LASIK for Chickens.” Nervous people are flocking to Madison Medical Eye Care.  They are taking advantage of proven technology so they can see like a hawk.  They want to soar without glasses or contacts. And finally, they now have the courage to come out of their shell.

While meant to be in jest, the point is that LASIK is now so safe that those who were afraid of the procedure in the past are coming forward.  Whenever there is a new procedure, early adaptors will line right up.  Those are the people who try new things right away.  Others like to lay back and see how their friends do before making the move.

Those "chickens" are now convinced that LASIK is safe and predictable.  What made the difference?  The advent of all-laser LASIK.  Now there is no need to fear the metal blade used previously for the first step of the procedure.  With the added precision of the laser, LASIK is more accurate, comfortable and safer.  This even means that many who previously were told they were not a LASIK candidate can now take advantage of this life changing procedure.

If you are tired of  glasses or contacts and have been waiting for LASIK to be perfected, the time has come at least at Madison Medical Eye Care.  For your eyes, you want an experienced local doctor you trust who is taking advantage of the most advanced technology available.

You can get started on your flight to better vision today!  Call to arrange your personal consultation to determine if blade-free LASIK is an option for you.  Note that we offer one year interest-free financing and accept most credit cards.

Dr. Martha Jay was the first surgeon to perform laser vision correction in the Milwaukee area and has been at the forefront of this new technology every since. She is a board certified ophthalmologist (Eye Physician & Surgeon) specializing in blade-free LASIK and small incision cataract surgery.

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


VISUAL DEVELOPMENT IN BABIES By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
February 11, 2019

Do you have a new baby or grandchild? Are you wondering what that little bundle of joy is seeing through those beautiful eyes?  At birth, infants are very light sensitive so you may notice that their pupils are quite small. They cannot focus clearly so highly contrasted images are optimal to enrich their visual environment. Their side or peripheral vision is better than their vision right in front of them.

By about a month of age, infants can begin to focus on objects 3 feet away. At 2 months, they should be able to focus even closer. By about 3 months, their distance vision continues to develop along with their eye muscle coordination. The result is that you will notice them following moving objects with their eyes.  Their eye-hand coordination also improves at about this time also so you should notice them reaching for objects. By the time they reach 4 months of age, infants should be able to watch their parent’s smiling face move across a room. A babies’ color vision also slowly develops so around this time they should be able to respond to a full range of colors and shades.

One reason to be concerned about an infants’ visual development is if you notice that one eye consistently turns in or out. Another would be if there is a poor “red reflex” in one eye, for example when you take their picture with a bright light behind you. A third reason would be if one eyelid is consistently closed. Any of these findings should be brought to the attention of the child’s medical professional. Enjoy watching them grow and learn!

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.


NIGHT VISION A PROBLEM? By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
February 6, 2019

Night vision problems are some of the most common complaints that eye doctors hear.  Many people are concerned about the “new” headlights on cars and how bothersome they are.  Others state that it is just harder to see signs at night.

Our night vision naturally decreases as we age.  The lens inside of our eyes tends to get more yellow our cloudy (cataracts) decreasing the amount of light that can get into the eye and causing the light to scatter more which increases glare.  The pupils get smaller so less light can get into the eye.  Also, the light sensitive cells in our retinas (rods/cones) decrease in number as we age.

Any uncorrected vision problems like nearsightedness, farsightedness, or astigmatism will make night vision worse.  Medical eye problems like cataracts, dry eye, macular degeneration, cornea problems, or any condition that affects vision will significantly impact night vision.  It is important to wear glasses for night driving if you have a glasses prescription.

Yellow lenses have been widely advertised as an option to improve night vision for driving.  The newer high intensity discharge (HID) and light emitting diode headlights (LED) do shine brighter and emit more blue light than older headlights.  Yellow tinted lenses can make night vision more comfortable because they reduce glare from oncoming headlights, but they also decrease the amount of light getting into the eye.  This can make it easier to miss things like people with dark clothing crossing the road.

Dr. James Ivanoski

If you think that your night vision is getting worse, it is time for an eye exam.  We can make sure that you have the correct glasses prescription and treat ocular health problems that may be affecting your vision.


WHAT IS CATARACT REALLY SURGERY LIKE? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
January 28, 2019

Have you been delaying having cataract surgery because you are apprehensive about what the experience may be like? Does just the word “surgery” scare you? Does it bring to mind pain, long recovery and time off from your favorite activities? Fear not, nothing could be farther from the truth with cataract surgery these days.

We do cataract surgery generally without shots, stitches or patches and the whole procedure takes only 10-15 minutes. We use mild I.V. sedation to relax you and numbing drops on the surface of the eye to prevent pain. Afterwards, you look pretty much the way you did on the way in: no patch over the eye, no black and blue bruising. You should take 2 days off your regular activities, one for the actual procedure and the next day to allow your vision to settle down. Then the only restrictions then are to avoid eye make-up, swimming or pushing on the eye for 2 weeks.

On the day of surgery, you change into a hospital gown and an I.V. is started. Once in the operating room, your job is to look at a bright light. You may see pretty colors like a prism as we remove your natural lens and replace it with a tiny plastic implant.  About 30 minutes after the procedure, you go home or even out to lunch. You do need a ride, as some of the sedation may still be in effect, but you won’t need extra help at home.

So, breath-in and breath-out, cataracts surgery is generally a quick and easy event. It is the most common operation in America and patients are typically thrilled with the results.  If every procedure worked as well as cataract surgery, the world would be a much better place!

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) specializing in medical and surgical eye care including small incision cataract surgery and blade-free LASIK Vision Correction.

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

 


HOLIDAY LIGHT HALOS By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
December 20, 2018

Holiday season is here along with many displays of decorative exterior lighting.  While they can be quite beautiful, sometimes how the holiday lights appear can alert you that something might not be quite right with your vision.

Starbursts and halos are a common vision complaint when looking at holiday lights or even headlights all year long.  We use the term “starburst” to describe what you see when a pinpoint of light appears to have radiating spokes coming off it. The term “halo” describes when you see circles around a light source. Both symptoms can be due to something as benign as not having the most up-to-date glasses or contact lens prescription to more serious problems such as cataracts. If you are noticing these symptoms, during the holiday season or anytime during the year, your first move is to call us for a comprehensive eye examination so we can determine the cause and take care of it.

Cataracts are a clouding of the lens in the front of the eye, behind the colored iris.  They can make lights appear dim, cause glare or make colors appear dull.  Cataracts are removed with a 10 minute outpatient surgery generally these days without shots, stitches or patches. The surgery involves replacing the cloudy lens with a clear plastic lens implant.  There are a number of options for these implants which will be discussed should this be found to be your problem.

Take time this holiday season to enjoy the many wonderful lighting displays.  But if the lights appear a little different this year, consider getting an eye examination. Your problem could be cataracts but it could also just be that your glasses need updating or that you have dry eyes. Have a very happy holiday season!

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) specializing in medical and surgical eye care such as blade-free LASIK and small incision cataract surgery. She practices at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin.

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

 


DON'T TRUST "DR. GOOGLE" a New York Times Editorial

By user-admin
December 19, 2018

Click on the image to the left for a link to a New York Times Editorial about the problems associated with taking the advice of "Dr. Google" over that of your health care professional.


A GIFT FOR OUR CATARACT PATIENTS By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
December 14, 2018

This holiday season we have a gift for our cataract patients: we have simplified the drops you use after cataract surgery! We heard you when you said the surgery was nothing but the drops were quite a chore. We had been using three types of drops, each in their own bottle. Not only was it annoying to deal with all the bottles but Insurance coverage for the drops was inconsistent, some plans covered them and some did not. That meant that not only did you have the fuss with three different bottles, you might have had to contend with a significant out-of-pocket expense to purchase them.

Over the last few months we have been transitioning to an all-in-one eye drop bottle for our cataract patients. A pharmacy combines all three kinds of drops in a single bottle for your convenience. You get the benefit of a steroid drop (like prednisone), a strong antibiotic drop and non-steroidal anti-inflammatory drop (like Advil) all in one. The new product is called Pred-Gati-Brom as it contains Prednisolone (the steroid), Gatifloxacin (the antibiotic) and Bromfenac (the non-steroidal anti-inflammatory). All three are necessary to be sure your eye heals well after cataract surgery so you can enjoy the best possible vision.

Convenience is one thing but what about cost? The new drops are very reasonably prices at $50 per bottle which is enough for one eye.  We dispense the drops in the office when you come in for the pre-operative measurements prior to surgery. Compared with the hundreds of dollars patients were spending on the three separate drops, this is quite a deal.

Easier to use and costing less, what’s not to like? MERRY CHRISTMAS, enjoy your delayed present on us.

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) specializing in medical and surgical eye care such as small incision cataract surgery and blade-free LASIK. She practices at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin.

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


NEW YEAR, NEW JOB POSSIBILITY: OPHTHALMIC TECHINCIAN at MADISON MEDICAL EYE CARE with offices in Mequon & Saukville, Wisconsin

By user-admin
December 6, 2018

Are you looking to make a career change? You might consider becoming an ophthalmic technician.  You would work closely with our doctors in completing the testing involved for eye examinations and to prepare patients for eye surgery. It is fast paced and never boring. While challenging, we provide thorough on-the-job training so you have the knowledge you need to feel confident in your abilities.

The best ophthalmic technicians are those who really enjoy people. They are good listeners and are willing to learn new skills. It helps to have some background in healthcare but this is not absolutely required. All our technicians work as a team to support our doctors and are an invaluable resource to those new to the job. This is a full-time position with benefits.

Ophthalmology and optometry are ever changing fields. New contact lenses come out, new ways to do cataract surgery and LASIK are developed. Our patients are ever grateful for the gift of sight that we provide, making Madison Medical Eye Care a happy place to work!  You would be aligning yourself with the well-respected eye surgeon Dr. Martha Jay and popular optometrist Dr. James Ivanoski.

If you think this may be the job for you, contact our office manager Linda at Linda.Knapp@Ascension.org with your resume and a brief letter describing why you think you would make a good ophthalmic technician.  And if there are any experienced ophthalmic or optometric techs out there, we'd love to hear from you also!

For more information about our practice, visit www.MadisonMedicalEyeCare.com or call 262-241-1919. We have two offices in Ozaukee County, Wisconsin. One in Mequon and the other in Saukville.


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