Dr. Martha Jay’s Blogs

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.


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.


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.


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.

 


LASIK FOR CHICKENS By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
February 18, 2019

We had fun with some new radio ads using the bird imagery of “LASIK for Chickens.” Nervous people are flocking to Madison Medical Eye Care.  They are taking advantage of proven technology so they can see like a hawk.  They want to soar without glasses or contacts. And finally, they now have the courage to come out of their shell.

While meant to be in jest, the point is that LASIK is now so safe that those who were afraid of the procedure in the past are coming forward.  Whenever there is a new procedure, early adaptors will line right up.  Those are the people who try new things right away.  Others like to lay back and see how their friends do before making the move.

Those "chickens" are now convinced that LASIK is safe and predictable.  What made the difference?  The advent of all-laser LASIK.  Now there is no need to fear the metal blade used previously for the first step of the procedure.  With the added precision of the laser, LASIK is more accurate, comfortable and safer.  This even means that many who previously were told they were not a LASIK candidate can now take advantage of this life changing procedure.

If you are tired of  glasses or contacts and have been waiting for LASIK to be perfected, the time has come at least at Madison Medical Eye Care.  For your eyes, you want an experienced local doctor you trust who is taking advantage of the most advanced technology available.

You can get started on your flight to better vision today!  Call to arrange your personal consultation to determine if blade-free LASIK is an option for you.  Note that we offer one year interest-free financing and accept most credit cards.

Dr. Martha Jay was the first surgeon to perform laser vision correction in the Milwaukee area and has been at the forefront of this new technology every since. She is a board certified ophthalmologist (Eye Physician & Surgeon) specializing in blade-free LASIK and small incision cataract surgery.

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


VISUAL DEVELOPMENT IN BABIES By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
February 11, 2019

Do you have a new baby or grandchild? Are you wondering what that little bundle of joy is seeing through those beautiful eyes?  At birth, infants are very light sensitive so you may notice that their pupils are quite small. They cannot focus clearly so highly contrasted images are optimal to enrich their visual environment. Their side or peripheral vision is better than their vision right in front of them.

By about a month of age, infants can begin to focus on objects 3 feet away. At 2 months, they should be able to focus even closer. By about 3 months, their distance vision continues to develop along with their eye muscle coordination. The result is that you will notice them following moving objects with their eyes.  Their eye-hand coordination also improves at about this time also so you should notice them reaching for objects. By the time they reach 4 months of age, infants should be able to watch their parent’s smiling face move across a room. A babies’ color vision also slowly develops so around this time they should be able to respond to a full range of colors and shades.

One reason to be concerned about an infants’ visual development is if you notice that one eye consistently turns in or out. Another would be if there is a poor “red reflex” in one eye, for example when you take their picture with a bright light behind you. A third reason would be if one eyelid is consistently closed. Any of these findings should be brought to the attention of the child’s medical professional. Enjoy watching them grow and learn!

Dr. Martha Jay is a Board Certified Ophthalmologist (Eye Physician & Surgeon) 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 REALLY SURGERY LIKE? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
January 28, 2019

Have you been delaying having cataract surgery because you are apprehensive about what the experience may be like? Does just the word “surgery” scare you? Does it bring to mind pain, long recovery and time off from your favorite activities? Fear not, nothing could be farther from the truth with cataract surgery these days.

We do cataract surgery generally without shots, stitches or patches and the whole procedure takes only 10-15 minutes. We use mild I.V. sedation to relax you and numbing drops on the surface of the eye to prevent pain. Afterwards, you look pretty much the way you did on the way in: no patch over the eye, no black and blue bruising. You should take 2 days off your regular activities, one for the actual procedure and the next day to allow your vision to settle down. Then the only restrictions then are to avoid eye make-up, swimming or pushing on the eye for 2 weeks.

On the day of surgery, you change into a hospital gown and an I.V. is started. Once in the operating room, your job is to look at a bright light. You may see pretty colors like a prism as we remove your natural lens 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 event. It is the most common operation in America and patients are typically 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 (Eye Physician & Surgeon) specializing in medical and surgical eye care including small incision cataract surgery and blade-free LASIK Vision Correction.

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

 


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.

 


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