Medical and Surgical Eye Care

SEEING DOUBLE? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 16, 2019

Double vision, known as diplopia, is fortunately a relatively rare problem.  There are 6 muscles around each eye and they have to be well coordinated or double vision results.  If double vision occurs, it can be very aggravating.  It can result from a range of complex medical problems that cause misalignment of the eyes or it can be due to a simple optical problem, such as incorrectly made glasses or a need for glasses.

If double vision persists when one eye is closed, the cause can be either the glasses, dry eyes, a cataract, or a problem with the retina.  If the double is eliminated when one eye is closed, the problem may be due to the tissues around the eyes, the muscles that move the eyes, the brain or the central nervous system.  It could also be a recurrence of a childhood problem.

If you experience double vision, a complete eye examination is the place to start.  Sometimes further testing such as a CT scan or MRI may be needed to help determine the cause of the double vision. Blood tests may also be needed. Treatments for double vision range from just changing the glasses prescription to surgery, depending on the cause.  In any case, double vision can be a serious symptom and should be evaluated.

Are you or a member of your family having an eye problem?  Our doctors at Madison Medical Eye Care are here to help.  We provide comprehensive medical and surgical eye care for the whole family including blade-free LASIK vision correction, no-stitch cataract surgery, glaucoma treatment, diabetic eye care, macular degeneration care, contact lens fitting and more.

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.


SWIMMING AND CONTACT LENSES By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 1, 2019

You can’t see without your glasses so why not swim in your contact lenses?  The “why not” has to do with safety: swimming in contact lenses significantly increases your risk of developing eye problems that range from mild to quite severe. Most contact lenses are at least 50% water.  This means that chlorinated water penetrates your contacts and stays in contact with the surface of your eye for up to an hour after swimming.  The result is an irritation to the surface of your eye and an increased risk of infection.

While a mild eye irritation may go away in a day or so, a severe eye infection can result in permanent vision loss.  Even in the best maintained pool or spa, bacteria can be present.  In lake water, a severe pathogen called acanthamoeba may be present that causes a difficult to treat corneal ulcer.  This protozoa penetrates the cornea rapidly and often requires specially formulated eye drops to save the eye.  Beaches may also present the possibility of a fusarium fungal infection.

Those glasses may be bulky but they are your better choice over contacts in the water.  Another alternative is LASIK vision correction.  With LASIK you can free yourself of the hassles of glasses in the water and still safely enjoy the outdoors.  LASIK is actually safer than contact lenses on dry land too!  Our Dr. Martha Jay is a leader in blade-free LASIK vision correction so one call to our office is all you need to get started on improving your vision safely.

Call for a free LASIK screening exam today, you won’t regret it. In the meantime, don’t wear those contacts in the water!

Dr. James Ivanoski

Dr. James Ivanoski practices with Dr. Martha Jay and soon with Dr. Lisa Bennett at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. He specializes in comprehensive eye care for the whole family, including contact lens fitting.

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

 


OOPS! YOU FORGOT TO GO TO YOUR DOCTOR’S APPOINTMENT By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 23, 2019

No one is perfect, we get that, but forgetting to go to your doctor’s appointment is making healthcare more expensive for everyone else.  It is estimated that “no-shows” (as we call them) cost the health care system in the U.S. up to $150 billion each year!  Not to mention the fact that, had those patients called to cancel the appointment, someone on our cancellation list could have been contacted to get in sooner than otherwise.  It’s disrespectful to the doctors, staff and fellow patients.

We do all sorts of things to help patients remember to come to their appointment: we give them a reminder card when the appointment is made, mail them reminders and call them several days before the appointment.  But patients need to do their part by remembering to come on that day and at that time. Everyone should have some kind of calendar, whether the old fashioned wall version or an electronic version, to keep track of important appointments.

Another repercussion of a “no-show” patient is that we then have to sandwich them in at a later date into a full schedule. Those with medical eye problems such as glaucoma or diabetes cannot just be put off for months, they need to be seen. Unfortunately it is often those same patients who forgot to come for their initial appointment, and then have to be rescheduled, who complain about the wait of the day of their new appointment.

While many of the “no-shows” represent just a rare lapse in memory on their part, there are some patients who make appointment after appointment and consistently fail to show up.  You know who you are!  You can do better!  Get a calendar, frequently look at the calendar and kindly call us if you cannot come at least several days ahead of time so we can fill that time slot with someone who really wants to be seen.

Dr. James Ivanoski

Dr. James Ivanoski practices Optometry at Madison Medical Eye care. He specializes in comprehensive eye care for the whole family including contact lens fitting. His practice complements his associate, Dr. Martha Jay, 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.

 


IMAGINE… A NEW OUTLOOK ON SUMMER WITH LASIK By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 15, 2019

There is no other way to put it, our Wisconsin winter this year was brutal.  We all cannot wait put it behind us and to embrace summer by enjoying our favorite activities such as biking, golf, baseball, swimming, camping or boating.  Imagine… a new outlook on all those activities with LASIK vision correction.  It can happen in just seconds: your whole world will change, not to mention your golf game!

You still have plenty of time for LASIK before summer gets going. To begin the process, just call for a free screening exam. Don’t worry, we are very low pressure. Our goal is to educate you about the procedure and answer each and every question so you feel comfortable with your decision. Patients are amazed at the difference between a LASIK evaluation with us and what happens elsewhere. No one has ever compared us to an experience with a used car salesman!

It’s not just the screening that is a step above at Madison Medical Eye Care. You have the confidence of a local doctor you can trust with over 20 years of experience in refractive surgery. You will see me at each and every appointment from the first screening, the procedure and all the post-operative care.  You literally see the difference with latest, fastest and most precise laser vision technology available with our WaveLight system.

Let’s make this happen! Your summer fun will be even better than you imagined.

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


Why Dilate Your Pupils? By Dr. James Ivanoski, Optometrist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 5, 2019

When you have your eyes examined, you may wonder why it is important to have your pupils enlarged or dilated. Many patients find this inconvenient as it makes them very light sensitive and may impair their reading vision for 3-4 hours.   The reason is that dilation is an important aspect of a complete eye examination.  By taking a careful look into the back of your eye, we can better determine the health of your eyes and the rest of your body.

What are we looking for?  Cataracts, retinal tears, bleeding, abnormal blood vessels, evidence of glaucoma and much more.  Many common medical conditions such as diabetes, high blood pressure or high cholesterol can affect the eyes.  By closely evaluating the inside of your eyes, we can determine if these and many other medical conditions are adequately controlled.

Dilation also allows us to obtain a more accurate glasses prescription.  Especially in younger patients, there is the possibility of accommodation while initially measuring the "which is better one or two."  This means that the written glasses prescription may be too strong for the patient.  Dilation relaxes accommodation so this problem is eliminated.

Should we find an abnormality in the back of your eye that may be associated with a medical problem, we would then communicate with your primary care physician about the need for better control of that condition.  So a dilated exam is an important aspect of a complete medical evaluation of your eyes and definitely worth the small inconvenience.  Call us to arrange your medical eye examination soon.

Dr. James Ivanoski

Dr. James Ivanoski practices with Dr. Martha Jay at Madison Medical Eye Care with offices in Mequon and Saukville, Wisconsin. He specialized in comprehensive eye care for all ages and contact lens fitting. Dr. Martha Jay's emphasis is on 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.

 


CAR CRASHES LESSEN AFTER CATARACT SURGERY By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 1, 2019

A study published in the Journal of the American Medical Association - Ophthalmology last September looked at whether the rate of car accidents involving injuries in older adults was affected by having cataract surgery. The subjects were all more than 65 years-old.  Those with other eye problems, such as macular degeneration or glaucoma, were excluded. Most who had cataract surgery had the procedure done in both eyes. Accident rates from before and after the cataract surgery were compared.  The accident rates came from emergency room admissions.

The findings showed a 9% decrease in injury causing car accidents in the years following cataract surgery in the driver.  As we all know, those living in Ozaukee County are very dependent on their ability to drive to get around as public transportation options are not plentiful or particularly convenient.  While many seniors want to continue to drive, they also want to be safe on the road.  This is not just for their own safety but also for the safety of those who share the road.

There have been numerous studies about the benefits of cataract surgery including decreasing the frequency of falls, lessening depression and improving the general quality of life. I sometimes hear: “Why should I bother to have cataract surgery at my age?”  The study mentioned above adds another argument for going ahead with the procedure.

If it has been some time since you have had your eyes examined or if we have suggested cataract surgery for you in the past, you may want to consider coming in for a comprehensive eye examination.  Should we find significant cataracts, consider scheduling the procedure.  Plenty of information about cataract surgery can be found on our web site or by calling us. Consider it not just an investment in your future but also a gift to others on the road.

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in small incision cataract surgery and blade-free LASIK. For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.


CATARACT SURGERY CHANGED HER LIFE: NEW YORK TIMES ARTICLE

By user-admin
March 29, 2019

Click on the image to the left for a recent New York Times article describing the impact that cataract surgery had on the author.


IS CATARACT SURGERY DONE WITH A LASER? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
March 13, 2019

The question as to whether cataract surgery is done with a laser comes up from time to time. While the beginning portion of the procedure can be done with a laser at this time, I have not elected to incorporate that technology into my surgical practice.  My three main reasons are that at this point the laser makes the procedure cost considerably more, it makes the procedure take longer and there is no convincing evidence that the laser improves visual outcome.

What the laser can do at this time is make the initial incision in the eye, something that I now do quite nicely by hand with a specially designed disposable instrument. It can help manage astigmatism (turn a football shaped eye into a rounded one) but this is more effectively done with special toric lens implants. The final intended benefit is that it can soften the cataract so the ultrasound we use to remove it can work a little quicker. The problem is that the few saved seconds do not appear to translate into better vision or a quicker recovery.

I’m not saying I’ll never use a laser to help with the first few steps of cataract surgery, what I am saying is that at this time the expense just does not seem worth it for the patient. Cataract surgery gets better all the time and I am sure the industry is up to the challenge to make this technology more efficient and affordable.

For now laser cataract surgery is really a marketing device, it impresses some patients that their eye surgery would be partially done with a laser. This is not like when LASIK changed from using a blade to a laser. That was a major improvement in safety and why we now jokingly refer to it as “LASIK for Chickens.”

Once you are ready for cataract surgery, we will thoroughly discuss all your options including special implants that do have a major impact on how well you see after the procedure.

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) who specializes in medical and surgical eye care including 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.


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.

 


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