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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

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 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 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 for more information about medical and surgical eye care.

GLAUCOMA AWARENESS MONTH by Dr. Martha Jay, Opthalmologist in Mequon and Saukville, Wisconsin

By admin
January 17, 2012

January is National Glaucoma Awareness Month so reading this column is a good start! Glaucoma is an eye condition caused by damage to the optic nerve in the back of the eye.  It is often but not always associated with increased eye pressure.  The optic nerve carries information from your eye to your brain.  If it is damaged then irreversible vision loss may occur.   Unfortunately, glaucoma has no symptoms until up to 40% of vision has been lost.

Over 2.2 million Americans have glaucoma but up to 50% are unaware of it. Glaucoma is a leading cause of preventable blindness but first the appropriate diagnosis must be made.  It is treated with eye drops, lasers and sometimes surgery. Glaucoma risk goes up with age; if a family member has the condition; and in those with diabetes, high blood pressure or heart disease.

How is it diagnosed? This requires regular complete eye examinations with dilating drops at least every one to two years.  As noted above, eye pressure is not always elevated so eye pressure checks at Health Fairs are not adequate.  The dilation part of the exam is to look at the optic nerve.  If the eye pressure or optic nerve are abnormal, extra testing is indicated to assess side vision and to digitize the optic nerve appearance to be able to check for changes over time.

Don't become a statistic! Call for your complete eye examination today if you have been neglecting this aspect of your health care.

Visit for more information.

Call 262-241-1919 for appointments.

Dr. Martha Jay is a Board Certified Ophthalmologist practicing since 1992 in Mequon and Saukville, Wisconsin.  She received her ophthalmology training at Northwestern University in Chicago and now specialized in medical and surgical eye care.

SLEEP SAFELY: TAKE THOSE CONTACTS OUT FIRST! By Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By admin
January 12, 2012

We are all busy people so it may seem logical to save time and trouble by sleeping in your contact lenses.  Some brands even promote this practice.  You may even have done it for years without problems but now is the time to stop.  You risk a severe corneal infection called a corneal ulcer.

The cornea is the clear front part of your eye.  It has no blood supply so must rely on the tear film for oxygen.  When you sleep in contacts not only are you depriving your eyes of oxygen by having your eyes closed, the plastic of the contacts act as an added barrier.  The result is a decreased ability to fight off infections and a possible corneal ulcer.

A corneal ulcer is a very painful penetrating infection on the surface of the eye. The symptoms are pain, blurred vision, redness and light sensitivity.  Once managed with strong antibiotic drops, they may leave a permanent scar on the surface of the eye. These types of infections are rarely seen in healthy people unless they sleep in their contact lenses.

Dr. Mark E. GermanIf you do not want to give up the ease of seeing well first thing in the morning, you might want to consider LASIK vision correction.  That way you can simplify your life even more by completely eliminating the contacts! Our Dr. Martha Jay is an expert blade-free LASIK surgeon, call to have a screening exam with her to see if LASIK is a possibility for you.

In the mean time, slow down – take those contacts our every night.  Your cornea will be much happier and so will you.

Dr. Mark German practices at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.  For more eye care information visit or call 262-241-1919.

DON’T LET DRY EYES DEFEAT YOU by Dr. Martha Jay, Ophthalmologist with offices in Mequon & Saukville, Wisconsin

By admin
December 27, 2011

Do your eyes sting and burn at times?  Do they feel gritty?   Do you have excessive tearing?  Have these symptoms become even worse over these past few winter months?  If you answered “yes” to some of these questions, you may have dry eyes.  Do not are not alone.  About 59 million Americans suffer from Dry Eye Syndrome.  Of this population, about 75% are over the age of 65.  The symptoms are worse in the winter; when you are out in the wind; or after reading or using your eyes intently for a long time.

To help alleviate some of the symptoms of dry eyes, our first line of treatment is tear replacement with over-the-counter artificial tears.  Do not be intimidated by the wide variety of tears to choose from on the store shelves. You may have to try a few of them to find your preferred choice.   If that does not work, we can try punctal plugs to block the tears you have from leaving the eye.  These tiny “corks” can be placed easily in the office and are often quite successful.  Another route is the use of prescription drops such as Restasis that change the quality of your tears so they coat the eye more effectively.

Dr. Martha F. Jay

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

Don’t try to diagnose yourself, however.  If you think you have some of the symptoms above you should schedule a comprehensive eye examination.  We will thoroughly evaluate your eyes and your vision and determine the appropriate remedy for your situation.  We can help – don’t let dry eyes defeat you!

See for more information about dry eyes and other common eye problems.

Call 262-241-1919 for appointments other other questions.

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care such as iLASIK (blade-free LASIK) and small incision cataract surgery with premium lens implants.  She trained in Ophthalmology at Northwestern University in Chicago and founded Lakeshore Eye Care Professionals in 1992.

Here's to You by Dr. Mark German, Optometrist at Lakeshore Eye Care Professionals, Mequon & Saukville, Wisconsin

By admin
December 12, 2011

Life is hectic so sometimes we forget what’s important.  Let me step back and take a moment to thank our many wonderful patients who have made our practice such a success.  We’re not part of a huge clinic or hospital chain so we really depend on our loyal patients and their kind referrals of friends and family.

But it’s not just coming in for appointments that we appreciate, it’s the trust our patients bestow on us.  Many have complex eye problems.  They may be considering eye surgery or have medical conditions like diabetes or glaucoma.  They trust our doctors to manage their care and follow our suggestions to improve their sight.  They understand that medical care is a partnership; we can’t come home with them to put their eye drops in!

What are our goals for the New Year?  We plan to continue our nearly 20 year tradition of providing the most advanced eye care available to our patients right here in Ozaukee County.  We plan to maintain excellent customer service so our patients don’t feel like a commodity.  Our efficiency has improved with recently introduced electronic medical records.  And here’s the big news: In the summer we plan to move our Mequon office 1.3 miles south on Port Washington Road!

Dr. Mark E. GermanOf course we will continue our commitment to patient education.  Our weekly Blog entries are available on our web site, you can become a “Fan” on Facebook, and we recently introduced iPads in the office to better explain cataract and LASIK surgery.

Bring on 2012!  We’re ready for it.  Are you?

For more information or appointments, call 262-241-1919

LASIK for Christmas: The Gift of Sight by Dr. Martha Jay, Ophthalmologist, Mequon and Saukville, Wisconsin

By admin
November 28, 2011

Oh no, the holidays are fast approaching!  Are you again stymied about a gift for your young adult son or daughter?  Consider the gift of sight: LASIK vision correction.  Not only would LASIK help launch them into the future, this gift also saves them money in the long run. A 25 year-old wearing contact lenses can expect to spend more than $20,000 on contacts and solutions over their lifetime.  So LASIK is really a bargain.  And blade-free iLASIK is now so precise it’s approved by NASA for their astronauts and the Navy for their “Top Gun” fighter pilots.

If you are considering LASIK as a gift, you should talk it over with the one you have in mind.  Find out if they can spare an hour for a free screening exam to determine if they are an appropriate candidate. The actual LASIK procedure would require 2 days out of their normal schedule for the surgery and healing.

LASIK is ideal for active people.  Skiing, swimming, biking and other outdoor activities are more fun without the hassles of glasses or contacts.  It also simplifies life which is especially appreciated by those starting families or careers.  The most common comment we get from our LASIK patients is that they wish they had done it sooner - they consider it a life changing event.  So why not help your son or daughter along?

Dr. Martha F. Jay

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

For more information, visit out web site at or give us a call at 262-241-1919.  You might see someone you know in the Testimonial Section!  Remember that blade-free iLASIK at Lakeshore Eye Care is the most precise and advanced procedure available anywhere. Dr. Martha Jay was the first doctor in the Milwaukee area to use a laser for refractive surgery in the 1990's and has remained at the top of the fields since then.  Trust your eyes and those of your family to a local doctor you can trust.

Dr. Jay practices ophthalmology at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.  She is a board certified ophthalmologist who obtained her ophthalmology training at the prestigious Northwestern University Medical School in Chicago.

Happy Holidays to you and your family!   262-241-1919

GIVE THANKS FOR GOOD VISION by Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals in Mequon and Saukville, Wisconsin

By admin
November 7, 2011

Most of us pretty much take our vision for granted unless we have a problem.  Hopefully you never have to choose 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.

Dr. Martha F. Jay

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

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 visually impaired seniors who can no longer drive due to visual problems.

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.

To learn more about Dr. Martha Jay and Lakeshore Eye Care Professionals, visit or call 262-241-1919.

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