Cataracts: Symptoms and Treatment

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.

 


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.


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

By user-admin
July 13, 2018

What exactly happens during cataract surgery?  Many with cataracts are afraid to have the surgery because they don’t really know what it would be like. Just the word “surgery” scares them. It brings to mind pain, long recovery and time off from your favorite activities. Nothing could be farther from the truth with cataract surgery.

Modern cataract surgery is done without shots, stitches or patches. It takes only about 10 to 15 minutes. We use only mild I.V. sedation to relax you.  You don’t feel anything because there are numbing drops applied to the surface of the eye. Afterwards, you look pretty much the way you did on the way in: no patch over the eye, no black and blue bruising. We recommend that you take 2 days off your regular activities, one for the actual procedure and the next day to allow your vision to settle. Then the only restrictions are no eye make-up, swimming or pushing on the eye for 2 weeks.

On the day of surgery, you change into a hospital gown and then an I.V. is started. Once in the operating room you look at a bright light. There IS NO PAIN. You may see pretty colors from a prism like effect of the lens as we remove it 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. It is the most common operation in America and patients are 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 specializing in medical and surgical 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.

 

 


SHOULD YOU HAVE CATARACT SURGERY ON YOUR SECOND EYE? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 18, 2018

Cataract surgery is the most common operation in the America. It is generally a 10 minute procedure done without the need for shots, stitches or patches. 95% of patients who have cataract surgery are thrilled with the results.  Occasionally the question comes up about whether someone should have their second eye done after doing well with their first eye.

The obvious advantages of having the second eye done are convenience: you only have to be measured for the implants once, you only need one physical with your doctor and you only need to change your glasses once. The eyes also work better when both have about the same vision, this improves depth perception and overall acuity.

A recent study in the medical journal Ophthalmology identified even more advantages.  They followed 328 patients undergoing cataract surgery and judged their vision related quality of life after each surgery with the National Eye Institute Visual Functioning Questionnaire. While there was a larger improvement after the first eye, as generally the eye with the worst vision is done first, there was still a statistically significant improvement after the second surgery.

When seen for a cataract evaluation, we will let you know if one or both eyes are eligible for surgery at this time. This is based on vision, how the cataract looks on examination and your visual complaints. If we suggest both eyes, then the new study indicates that you won’t regret having that second eye done.

Dr. Martha F. Jay

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

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


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.


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.


Have Cataract Surgery and Live Longer: New York Times article by Jane Brody

By user-admin
December 5, 2017

Click on the drawing on the left for a link to a New York Times article by Jane Brody about the wonders of cataract surgery, it can even prolong your life!


ASTIGMATISM EXPLAINED By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
September 28, 2017

Astigmatism refers to the curvature of the surface of your eye.  If your eye is round like a baseball, you do not have astigmatism and can quit reading now!  But if the front of your eye has a curvature, making it shaped more like a football than a baseball, then you have astigmatism.

Generally patients don’t realize they have astigmatism.  We may mention it when we determine your glasses prescription but often we just write the prescription to compensate for it.

Serious discussions of astigmatism generally start when a patient is considering cataract surgery, LASIK vision correction or contact lenses.  There are special Toric contacts available for those with astigmatism and often they work quite well.  Many, however, find that toric contacts don’t provide consistent vision as they tend to rotate on the eye with blinking.

There is a common misconception that you cannot have LASIK if you have astigmatism but this is absolutely not true.  In fact this is actually a frequent reason for patients to elect to have LASIK as they are unhappy with their vision in glasses or contact lenses.

If you have astigmatism and cataracts, we can insert Toric implants at the time of surgery to improve your vision. More recently, Bifocal Toric implants have become available, now making bifocal implants an option for those with astigmatism.

Still confused?  Call for a complete eye examination and we will determine if you have significant astigmatism and how best to compensate for it.

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

 


iSTENT: NEW SURGICAL OPTION FOR GLAUCOMA By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsino,

By user-admin
August 28, 2017

iStent

If you have glaucoma and cataracts, there is a new surgical option to tackle both at the time of your cataract surgery called the iStent. This tiny device (1 mm by 0.3 mm) helps control your eye pressure by increasing the outflow of fluid from the front of the eye. The eye is like a small plumbing system: there is fluid 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. By placing the iStent, we bypass this meshwork, allowing the fluid to leave more quickly and with the goal of decreasing 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.

How do you know if the iStent is an option for you?  We will discuss this in more detail at your next eye examination but generally your glaucoma must be mild or moderate. If you have severe glaucoma, for example taking multiple medications for this or have significant vision loss, then other surgical options will be discussed.  If you have already had cataract surgery or your cataracts are not ready yet for surgery, you also would not be a candidate for the iStent at this time.

Regardless of the treatment for glaucoma, close follow-up is important to be sure this condition is well controlled. That generally means seeing you at least every 6 months: one visit with dilating drops and the other with the side vision test along with the scan of the back of the eye. We look forward to sharing this new innovation in glaucoma care with you in the near future.

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 glaucoma care, cataract surgery and blade-free LASIK. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


New Surgical option for Glaucoma the iStent By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By user-admin
July 21, 2017

iStent

Do you have glaucoma and cataracts? Perhaps you are a candidate for placement of an iStent at the time of your cataract surgery. Click on the image to the right for an informative video about this new innovation.  This is the smallest implantable device in medicine as you can see with it's comparison to the size of a penny. We can discuss if the iStent is an option for you at your next eye examination.

Dr. Martha Jay is a Board Certified ophthalmologist specializing in medical and surgical eye care including small incision cataract surgery, glaucoma surgery and blade-free LASIK.

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


Stay Connected


We want to hear from you