Recent posts

HEALTHY VISION MONTH by Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals, S.C.

By admin
May 7, 2012

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 can you do? Be sure you and your family have regular eye care.  That means that every one to two years they need to have a complete eye examination with dilating drops to rule-out any eye problems that can be treated.  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.

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.

Dr. Martha F. Jay

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

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

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in blade-free iLASIK and small incision cataract surgery with premium lens implants.  For more information about Dr. Jay and Lakeshore Eye Care Professionals, visit www.LakeShoreVision.com or call 262-241-1919.


THE HERE AND WHY OF MONOVISION by Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By admin
April 30, 2012

Monowhat? Monvision is a way to avoid reading glasses for those who wear contact lenses or are considering LASIK Vision Correction.  What we do with monovision is maximize your distance vision in one eye and your near vision in the other.  Before you say: "That sounds crazy," let me explain further.

If you have reached your mid-forties you already understand that something is happening to your near vision.  You cannot see far-away and close-up with the same glasses.  If you are wearing contact lenses you may be starting to wear drug store reading glasses ("cheaters") over the contacts to read.  This is called presbyopia and is really unavoidable.

One way around the reading glasses is to weaken the contact lens in your non-dominant eye to improve your reading vision.  This does not mean that you have to close one eye to see close and the other to see far-away.  You just look naturally with both eyes open and most people adjust quite well.  But not everyone likes monovision -  the only way to tell is to try it.

Dr. Mark E. GermanThe real advantage of monovison, whether with contacts or LASIK, is the ability to read without having to hunt down your "cheaters."  The disadvantage is some loss of depth perception.  So it is a trade-off.  Why not try it and see if it works for you and your lifestyle?

If you end up liking monovision in contacts then you might consider this for LASIK Vision Correction.  Endless possibilities!

For more information about eye care, Lakeshore Eye Care Professionals and Dr. Mark German

visit www.LakeShoreVision.com or call 262-241-1919


COMING SUMMER 2012: NEW MEQUON OFFICE by Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care in Mequon and Saukville, Wisconsin

By admin
April 17, 2012

It's official, we have started work on our new Mequon office and hope to move in early this summer.  It won't be far from our current location, just a few blocks south on Port Washington Road near the corner of Donges Bay Road. In fact, this will be the third location for Lakeshore Eye Care along Port Washington Road since we started in 1992.  This time we are trying the east side of the street!  The new address will be 10320, we were at 10945 for 5 years and now at 11307 for the last 15 years.

Don't worry, for those of you who prefer to come to the Saukville office, that location will be unaffected by the move.  We will be sure to give all our patients plenty of advanced notice about the move and will provide updates as the construction progresses.  It will be a new building designed just for us and Herslof Opticians will be coming along too.

Dr. Martha F. Jay

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

Why move? The current Mequon location is in a very old building and while it has served us well for some time, we are ready for a larger and more modern facility.  Then there is the issue of parking.  Since Starbucks moved into the unit at the end of our current building it has become obvious there is not room here for both of us let alone the other two tenants soon to be added to the mix.

So we are all looking forward to our new facility.  Come by the Mequon office if you want to see the design plans, or drive by the site and take a look.  We are all very excited about the upgrade and know you will enjoy the advantages of a newer facility.

Visit www.LakeShoreVision.com or call 262-241-1919 for more information about Lakeshore Eye Care Professionals and Dr. Martha Jay.


WHEN IS AN EYE EXAM "ROUTINE"? By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals

By admin
March 28, 2012

Just one of the many confusing things about insurance for eye care is when to use your “Vision Plan” and when to use your regular medical insurance.  Not everyone has a Vision Plan but if they do it is often an added benefit that either the patient or their employer pays extra for.  It may also include a discount on glasses or contact lenses every 1-2 years.

Vision Plans are intended for routine care that may not be covered by medical insurance.  It is for patients who have no medical or surgical eye problems and come in every couple years to get their eye glasses prescription checked.  While the exam is pretty much the same as that done for someone using their medical insurance, the reason for the visit is the key.

If a patient has 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 should be billed to the patient’s medical insurance.

Sometimes patients are paying for a Vision Plan that they don’t need.  Let’s say they have macular degeneration and the Vision Plan costs them more than the discount on glasses it provides.  They would be better off just paying for their glasses outright as their exam will be billed to their medical insurance.

Dr. Mark E. GermanStill confused?  Our staff will be happy to help you decide which plan is the most appropriate for your visit.  But 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 at Lakeshore Eye Care Professionals in Mequon and Saukville, Wisconsin.  He welcomes patients of all ages to his practice and accepts most insurance plans.

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


BABY YOUR EYES by Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals, Mequon & Saukville, Wisconsin

By admin
March 5, 2012

I frequently recommend cleaning the eyelids with dilute baby shampoo.  When I bring this up with patients, I often get a quizzical look from them.  Baby shampoo for adults?  It works well around the eyes because of the “no-tears” feature.  You don’t get the stinging in your eyes like with regular soap.

Why would I recommend baby shampoo?  The main reason is for blepharitis.  This is a very common chronic low-grade eyelid infection.  The symptoms include red eyes in the morning, excessive tearing early in the day, a slight discharge and/or a gravely feeling in the eyes.

The baby shampoo decreases the bacterium from around your eyes.  There are many small openings into the eyelid around the eyes that can easily become infected by common bacteria that exists elsewhere on your skin.  Baby shampoo also helps decrease eye allergy symptoms by removing pollen or other irritants from contact with your eyes.

Dr. Martha F. Jay

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

What you do is dilute the shampoo as you would for washing your hands with liquid soap.  You can use your finger tips, a wash cloth, cotton tip or small cotton pad.  You clean around the eyes right up to the edges of the eyelids and then rinse with warm water.  Most people do this once or twice a day.

If you have the symptoms noted above, give baby shampoo eyelid scrubs a try.  You will probably be surprised at how such a simple remedy improves your eye comfort.

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 Medicare Assignment.  She received her ophthalmology training at Northwestern University in Chicago.

For more information or to schedule an appointment, call 262-241-1919.

Visit www.LakeShoreVision.com for more eye care related information.


DIABETES AND THE EYES by Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals, S.C. in Mequon & Saukville, Wisconsin

By admin
March 5, 2012

Do you have diabetes?  If so, you need a thorough eye examination every year.  This is the case regardless of whether you manage the condition with diet, pills or insulin shots.

By a thorough eye examination, I mean not just a quick check of your glasses prescription but an exam that includes the use of dilating drops.  While it is a bit inconvenient to have your pupils enlarged for 4-5 hours after your exam, that’s the only way we can get a good look at the back of your eye to be sure that the diabetes has not caused any harm.

What are we looking for? Diabetes can affect the small blood vessels on the back of the eye known as the retina.  This can cause swelling, small areas of bleeding or even the growth of abnormal new blood vessels.  These new vessels tend to have thin walls and bleed easily, sometimes filling the back of the eye with blood.

The goal of eye care in a diabetic is early detection.  If we wait until you notice blurred vision, we may have lost valuable time that could be important in how well you see in the future.  Treatments include lasers, steroids or even surgery in some cases.

Dr. Mark E. GermanSo even if you have perfectly controlled blood sugars, we need to see you annually if you are a diabetic.  As a courtesy to all our diabetic patients, we send a report to their primary care physician after each dilated examination so all are well informed about the condition of the eyes.  See you soon!

Dr. Mark German is an optometrist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.  Call 262-241-1919 for more information or to schedule appointments.

Visit www.LakeShoreVision.com for related eye topics.


LASIK: WAVEFRONT GUIDED VS. OPTIMIZED TREATMENTS by Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon and Saukville, Wisconsin

By admin
February 27, 2012

If you have looked into LASIK vision correction lately, you may have become confused about the difference between wavefront guided versus wavefront optimized treatments.  Wavefront treatments correct not just near-sightedness and astigmatism but also for other aspects of your vision called higher order aberrations. This is a physics term to describe the complexities of exactly how light enters your eye and is different for every person and every eye.

The VISX Star S4 laser that we use for LASIK vision correction is a wavefront guided system.  That means that it allows us to individually measure the higher order aberrations of each and every patient and then customize their treatment to allow better vision after the procedure.  Less advanced laser systems, while cheaper, are wavefront optimized meaning that they apply the same higher order aberration correction to each treatment – not individualizing the correction to the specific patient.

Dr. Martha F. Jay

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

Most of the attention lately has been around how we generate the flap at the beginning of the LASIK procedure, whether with a laser or a blade, but the second part of the procedure is equally important.  We provide blade-free iLASIK vision correction with wavefront guided corrections for all of our patients so they can benefit from this advanced technology. Just another reason to call for your free, no-pressure LASIK screening exam to see if iLASIK is an option for you!

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician and Surgeon) practicing at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin.  She has been exclusively been offering blade-free iLASIK vision correction since 2005 so has extensive experience in this more advanced procedure.

Call 262-241-1919 for more information or visit www.LakeShoreVision.com.


OPTOMETRIST OR OPHTHALMOLOGIST? WHICH IS BEST FOR YOU? by Dr. Mark German, Lakeshore Eye Care Professionals, Mequon & Saukville, Wisconsin

By admin
February 14, 2012

There are two types of eye doctors: Optometrists and Ophthalmologists.  Both do comprehensive eye examinations, prescribe glasses and screen for eye diseases such as glaucoma or cataracts.  The difference is that an ophthalmologist is a medical doctor and a surgeon.  If you have a medical or surgical eye problem, then you should schedule with one of our ophthalmologists (Dr. Martha Jay or Dr. Josephine-Liezl Cueto).  If you have relatively healthy eyes and want to be sure you are seeing as well as possible, then our optometrist (me) is a better choice.

I have been practicing optometry for 25 years.  In that time, I have seen just about every eye problem out there.  While I specialize in contact lens fitting and general eye examinations, I also do annual screenings for diabetic eye disease and other medical eye problems.  I joined Lakeshore Eye Care in 2000.

Why see me instead of Dr. Jay or Cueto?  The main reason is convenience, especially if you wear contact lenses.  You can usually schedule an appointment with me relatively quickly and you spend less time in the office.  This is because our ophthalmologists' patients generally are here for surgery or complex medical problems.

So not everyone needs to see an eye surgeon for their care.  By scheduling with me, you will be seen faster and still benefit from the excellent quality of care provided at Lakeshore Eye Care.

Dr. Mark German is an optometrist practicing at Lakeshore Eye Care Professionals in Mequon and Saukville, Wisconsin.  He specializes in hard-to-fit contact lens patients and comprehensive eye care.  Dr. German welcomes patients of all ages into his practice.

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


"FORGIVE" YOUR CO-PAYMENT? by Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By admin
February 7, 2012

At the beginning of every year we get calls requesting that we "forgive" insurance co-payments.  Some ask nicely, others are pretty insistent.  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 decrease usage of health care services by giving the patient some ownership of the cost of the visit.  Often patients are given the option of lower premiums at the cost of higher co-payments.  Every time co-payments go up, the amount paid to the doctor directly by the insurance company goes down.

If we 'forgive" a co-payment, it is actually insurance fraud.  We have contracts with most major insurance companies stating what our compensation will be for specific examinations, testing and surgical procedures.  If the patient is required to pay 20% of that or a certain dollar amount and we "forgive' it, there are several consequences.

Dr. Martha F. Jay

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

First, we are not receiving that portion of our fees that the co-payment represents.  Second, the fraud part is because the insurance company assumes the co-payment was made so reduces the patient's remaining amount for the rest of the year.  Third, if reported to the insurance company then we are stating that our fees are less than the contracted amount so further payments are reduced.

So as much as we would like to "forgive and forget", it is not so simple!

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician Surgeon) who stared Lakeshore Eye Care Professionals in 1992 after completing her Ophthalmology training at Northwestern University in Chicago.  She and her colleagues, Dr. Mark German and Dr. Josephine-Liezl Cueto, are proud to be providing the latest in medical and surgical eye care in an independent medical practice.

Specializing in small incision cataract surgery with premium lens implants; blade-free iLASIK Vision Correction; Glaucoma care; Macular degeneration treatment; dry eye options and much more.

Call 262-241-1919 for more information or appointments.

Visit www.LakeShoreVision.com to find our Eye Care Blog and sections on many common eye conditions.


SHINGLES AND THE EYE by Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By admin
January 30, 2012

Shingles are very common in those over age 50.  In fact, 25% of adults will have an episode of shingles during their lifetime.  The older you get, the more severe the symptoms can be.  The most common location for shingles is around the trunk but the facial area is the second most common site.

What are shingles?  The symptoms start with pain or burning in a localized area.  If it is on the face, commonly the symptoms begin in the scalp or on the forehead of one side.  Later, vesicles start to appear.  It comes from the chicken pox virus that has been dormant in the nervous system since childhood.  As you age, your immunity decreases and the virus re-expresses itself.

Treatment generally involves oral anti-viral medication.  If you suspect you have shingles, your first stop should be with your primary care physician.  If they determine that the eye may be involved, they will refer you for an eye evaluation.

The most serious eye complication from shingles is an inflammation inside the eye called iritis.  This is treated with topical steroid drops but needs to be detected early to prevent vision loss.  You are more likely to have eye problems with shingles if you have vesicles on the tip of your nose (Hutchinson's sign) as the same nerve serves the eye as the end of the nose.

Dr. Mark E. GermanThere is a shingles vaccine now available which decreases your chances of getting the condition by 50% - ask your primary doctor about that.  And remember that we are available to help should the need present itself.

Dr. Mark German is an Optometrist practicing at Lakeshore Eye Care Professionals in Mequon and Saukville, Wisconsin.

For appointments, Call 262-241-1919.

Visit www.LakeShoreVision.com for more information about medical and surgical eye care.


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