Recent posts

CAN’T YOU DO SOMETHING ABOUT MY FLOATERS? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 10, 2018

“Floaters” are those small spots you see in your vision from time to time. They can be dots, small lines or my personal favorite was when a patient said he had the “boot of Italy” in his eye! They are more apparent under certain lighting situations such as blue sky days or when looking at a white piece of paper.

They are caused by a liquefaction of a jelly-like substance in the back of your eye. When you are younger this substance if quite firm but becomes more liquid in time. What you are seeing are small fragments of collagen. If you experience a sudden increase in floaters, see flashing lights in your side vision or if you start to lose side vision, then call for an immediate appointment.  This could mean that you have a tear in the delicate retinal tissue in the back of your eye. Should a tear occur, it may need laser treatment to prevent the retina from detaching.

While long-standing floaters are not sight threatening, they are annoying and stay around for months to years. This is a common complaint along with the question: “Can’t you do something about my floaters?”  Some have consulted Doctor Internet and have found references to clinics promising to remove those pesky floaters with laser treatments.

A recent study cautions that you should beware of such claims. A September article in Ophthalmology, a respected medical journal, and was based on reports from Retinal specialists treating complications of this procedure. The complications from lasers used for floaters included early cataracts, increased eye pressure, retinal detachments, retinal hemorrhages and permanent loss of small portions of vision.  So it appears that floaters are one of life’s annoyances that you cannot do much about without risking more serious vision problems.

Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist practice at Madison Medical Eye Care. She specializes in surgical and medical eye care including small incision cataract surgery and blade-free LASIK.  For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.


Goodbye from Dr. Mark German - Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 27, 2018

Dr. Mark E. GermanTo my dear patients, it has been my honor and privilege to have spent the last 18 years partnering with you to ensure that you enjoy the best ocular health possible.  Many of you have become more than patients as we have shared our experiences, memories and stories.  It was not an easy decision to step away from this practice and from you. But, sadly, April 26th, 2018 was my last day at Madison Medical Eye Care.

After 31 years in optometry, I will be embarking on new adventures as my wife pursues her law career in Nevada.  As many of you know, she recently returned to school to get her law degree.  Now it is time for me to allow her to follow her dreams as she has followed mine for the last 31 years.

Please be assured that your care will continue to be the top priority for the doctors and staff at Madison Medical Eye Care.  Dr. Martha Jay and Dr. James Ivanoski will take excellent care of you.  Dr. Ivanoski, the other optometrist on staff, will be taking over many of my patients and comes with my personal recommendation.  He is a friend as well as my colleague and will be happy to deliver any messages you may have for me.

I am happy to say the transition from Lakeshore Eye Care to Madison Medical Affiliates is now complete.  It was a seamless transition thanks to the dedicated staff of both practices. My decision to leave was not due to the transition and had in fact been in the works for several years.

Thank you again for entrusting your care to me.  It has indeed been my pleasure.  I wish you all the very best in the future.

 


POOR VISION IS DEPRESSING by Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 13, 2018

Do you know an older person who seems depressed? Common symptoms include decreased energy, insomnia, irritability or an appetite change. While getting older has many challenges, a recent study indicates that poor vision may contribute to depression in older adults. The good news is that many causes of poor vision can be treated providing literally a new view on life for seniors.

The study appeared in Investigative Ophthalmology, a scientific journal.  The link between poor vision and depression was found to be due to the decreased mobility vision impaired adults experience.  After a lifetime of being able to care for themselves and go wherever they want, being stuck at home is not good for the psyche.

If you think this is a problem with your friend or family member, a first step is to schedule a complete eye examination with us and a thorough medical evaluation with their primary care doctor.  Many vision problems like cataracts and some types of macular degeneration can be treated with successful improvements in vision. Medical issues such as over-medication or an underactive thyroid can also be easily adjusted.

If all that checks out, you can ease the burden by being there to transport and engage that at-risk senior. Let them feel like life is worth living. Sure you may hear "I don't know why they call them the golden years," but at least you can make the transition a bit easier.

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified ophthalmologist who specialized in medical and surgical eye care such as blade-free LASIK and small incision cataract surgery.  For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.


GOOD NEWS FOR BABY BOMERS: TWO NEW STUDIES ABOUT MACULAR DEGENERATION By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 9, 2018

Two recent studies from the Journal of the American Medical Association/Ophthalmology are of interest to those worried about macular degeneration. The first concerns whether vitamin supplements are of use for those with a family history of macular degeneration but who have no evidence of the condition themselves. The second concerns the frequency of macular degeneration in the “Baby Boom” generation.

As far as the vitamins, it appears that they are of no use in those who do not actually have macular degeneration. That is consistent with the advice we have been giving for years: if you have a relative of macular degeneration you should incorporate leafy green vegetables into your diet on a regular basis, you should not smoke and you should wear sunglasses outside. The vitamins (knows as AREDS2) are of use for those who actually have evidence of macular degeneration.  They have been shown to decrease the progression from the mild “dry” to the more aggressive “wet” form.

The second article is good news for baby boomers! It appears the risk of developing macular degeneration has declined over the last three generation based on the longitudinal Beaver Dam (yes this is based on Wisconsinites!) study. Those born between 1901 and 1924 (“Greatest Generation”) had a 12% chance of developing macular degeneration, those born between 1925 and 1945 (“Silent Generation”) had a 4% chance and those born between 1946 and 1964 (“Baby Boom Generation”) only have a 1.5% risk of developing this debilitating visual condition.

Similar good news is out there for heart disease and dementia. So keep the healthy diet and lifestyle changes that we now know are important to our wellbeing and hopefully you will enjoy good vision for years to come.

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified Ophthalmologist practicing at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. She specializes in medical and surgical eye care such as blade-free LASIK and small incision cataract surgery.

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


IS YOUR EYE PROBLEM AN EMERGENCY? By Dr. James Ivanoski, Optometrist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
April 2, 2018

Most people come to the eye doctor for routine care to monitor ocular health or to get a new spectacle or contact lens prescription.  What types of symptoms constitute an ocular emergency that should be seen as soon as possible?

Sudden vision loss or decreased vision in one or both eyes is an ocular emergency.  Loss of vision can include:  a total blacking out of vision, missing a chunk of vision (like the entire right side being gone), having a curtain come across the vision, and sudden blurred vision that is not going away.  Any sudden loss of vision has to be evaluated to see what is causing it, and if it requires treatment or referral to a specialist.

Sudden constant double vision has to be evaluated sooner rather than later.  Seeing sudden horizontal or vertical double vision may be a sign of uncontrolled diabetes, high blood pressure, multiple sclerosis, or other conditions that affect the brain.

Ocular trauma should always be seen as soon as possible.  Any chemicals that get in the eye should be rinsed out copiously with water for 15-30 min. before going to the eye doctor.  Injuries that cause a lot of eye pain, light sensitivity, double vision, or decreased vision should be evaluated right away.

Red eyes that are causing a lot of pain, light sensitivity or decreased vision should be seen quickly.  Some eye infections or ocular inflammation can cause permanent vision loss if not treated promptly.

Our staff is very good at knowing what symptoms prompt the need for somebody to be seen urgently.  Give us a call if you have any doubts about whether you eye problem is an emergency.

Dr. James Ivanoski

Dr. James Ivanoski is an optometrist practicing at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. 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.MadisonMedicalEyeCare.com.

 


FORGOT YOUR READING GLASSES AT THE CEDARBURG LIBRARY?

By user-admin
March 30, 2018

If that is the case, the Cedarburg Friends of the Library have you covered! Find a basket of reading glasses on each floor near the automated check-out stations. The above information is thanks to the News Graphic (3/29/18).


BASEBALL VS FOOTBALL EYES By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
March 29, 2018

Brewers Fans know that the season has begun!  What they may not know is that baseball is not just a sport but also a way to explain the shape of your eyes.  You have “football eyes” if the front of your eyes are curved like a football. This is called astigmatism.  You have “baseball eyes” if the front of your eyes are more rounded like a baseball.

It is important to know if you have “football” or “baseball” eyes if you are considering cataract surgery.  The differences between the two determine which implant options are available to you at the time of surgery.  Cataract surgery is a very safe and relatively easy procedure to go through.  We gently remove your natural cloudy lens and replace it with a clear implant to improve your vision.

The latest advancements in cataract surgery allow us to take advantage of more implant choices than previously available. If you have football eyes, you would see better afterwards if we place a Toric implant at the time of your cataract surgery.  If you have baseball eyes, then you could benefit from a Multi-focal implant that allows you to see far away, intermediate and close up after your surgery without glasses.  These bifocal-like implants let you turn back the clock and be relatively free of glasses after your procedure.

How can you tell if you have football or baseball eyes?  How do you know which implant is best for you at the time of your cataract surgery?  We will guide you through your available options during your cataract evaluation.  Remember, you only have cataract surgery once so it is important to consider all the possibilities.

Dr. Martha F. Jay

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

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


‘I THINK I HAVE A RETINAL DETACHMENT” By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
March 15, 2018

If you experience an abrupt increase in floaters or start seeing flashing lights in your peripheral vision, you might immediately assume that you are experiencing a retinal detachment. While this may be the case, the only way to diagnose a retinal tear or detachment is with a thorough dilated eye examination with an eye care professional.  While it may seem tempting to go to an emergency room, they will most likely refer you to an ophthalmologist or optometrist. You can save time and money by calling us first.

When should you call? If you notice a significant increase in floaters, new onset of flashing lights in your peripheral vision and certainly if you notice some loss of side vision, call right away. If it is in the middle of the night, you can easily wait until the morning to call. If it on a weekend, we are available with an option to reach the on- call doctor on our answering machine. We generally recommend the examination be performed within 24 to 48 hours of the onset of symptoms.

The eye is filled with a gelatin-like material called vitreous.  Over time, it breaks down - becoming more liquid with small collagen particles casting a shadow on the retina.  The result is the appearance of small spots, squiggly lines, clouds or spider webs moving across your vision.  Flashes of light occur when the fluid shifts within the eye, tugging on the retina (the light-sensitive tissue lining the back of the eye).

The reason it is important to diagnose a retinal detachment is that it may require laser treatment or even surgery to preserve you vision. Early detection is the key to optimal outcome from either procedure. Realize that we are here for you if need be.

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.  She welcomes patients of all ages and accepts most insurance plans.

For more eye care information, call 2620241-1919 or visit www.MadisonMedicalEyeCare.com.

 


ABOUT PUPILLARY DISTANCE (PD) By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care (Formally Lakeshore Eye Care Professionals) with offices in Mequon & Saukville, Wisconsin

By user-admin
March 8, 2018

Online purchasing of eyeglasses has become much more popular in the past few years. Many people are coming in to our office are asking for their “PD.” The PD (inter-pupillary distance) is the distance measured from the center of one pupil to the center of the other pupil. This measurement is done in millimeters with a ruler, a device called a pupilometer, or by using your computer/phone camera.

This measurement has been somewhat trivialized by the online glasses industry in recent years. The PD is a measurement that is crucial to making glasses correctly. This measurement is even more critical with strong glasses prescriptions. Optometrists and ophthalmologists are the doctors that prescribe the correct prescription to be put in the lenses. Opticians (professionals that fit and make eyeglasses) have always been the professionals that measure the PD. This leaves consumers and doctors trying to figure out who is responsible for the PD measurement when glasses are ordered online.

The PD needs to be measured differently according to the type of lenses that are being put in the frame. A different PD measurement will be done for progressive lenses, reading glasses, or distance glasses.

As online glasses sites are becoming more popular, they are offering consumers easier online tools to measure their own PD. At our office, since we do not make or sell eyeglasses, we generally advise people to use online tools at home to measure their own PD. If the prescription is strong, or if bifocals are being ordered, we still recommend seeking the professional help of local opticians to measure the PD correctly.

Dr. James Ivanoski

Dr. Ivanoski is an Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. 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.MadisonMedicalEyeCare.com.

 


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

By user-admin
February 20, 2018

Myopia, or nearsightedness, is a common visual problem that affects about 25 million people in the U.S. alone.  It is an eye focusing disorder (not an eye disease) where things appear clear close-up but blurred far-away without glasses.  Those with myopia have a slightly longer eye than those without. Glasses act to bend the light rays so they focus on the back of the eye.  Although family history is a factor, it is not the only reason for myopia.

The largest study of childhood eye diseases ever undertaken found the incidence of myopia has doubled over the last 50 years among children in the U.S.  The Multi-Ethnic Pediatric Eye Disease Study (MEPEDS) looked at over 9,000 children and found a possible reason for the increase in nearsightedness: too much “screen time” and not enough sunlight or outdoor play.  This means that excessive use of mobile devices and close-up work with children may adversely affect their vision.  A prior study in 2008 followed children in Australia for 2 year and found that those who spent more time outdoors developed less myopia than their more shut-in counterparts.

Reading and screen time are certainly important for intellectual development but, as with most things in life, a good balance is indicated. Of course myopia is not a debilitating condition, it is managed with glasses, contact lenses or even LASIK when they are older.  But with outdoor activities you get a two-for-one: healthy eyes and bodies.

Worried about your children’s vision? Call for a complete eye examination and be assured they are seeing at their very best.

Dr. James Ivanoski

Dr. James Ivanoski practices Optometry at Madison Medical Eye Care (formally known as Lakeshore Eye Care Professionals). He welcomes patients of all ages into his practice and accepts most insurance plans in both the Mequon & Saukville, Wisconsin offices.

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


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