Dr. Martha Jay’s Blogs

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.

 


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.


DR. JAY & DR. IVANOSKI and OTHER MADISON MEDICAL AFFILIATES PHYSICIANS ARE “TOP DOCS” AGAIN IN THE MILWAUKEE MAGAZINE SURVEY By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
October 27, 2018

While I have long made the list of the “Top Docs” in the Milwaukee Magazine survey, they have now included Optometrists also so Dr. Ivanoski gets to share the honor! Check out the November issue for primary care doctors and specialists in the Milwaukee area who were selected by their peers as outstanding health care providers.

We have lots of company in the survey with our new colleagues at Madison Medical Affiliates. Those doctors made the list in Endocrinology, Dermatology, Colon & Rectal Surgery, Breast Surgery, Gastroenterology, General Surgery, Internal Medicine, Obstetrics & Gynecology, Sleep Medicine, Urology and Vascular Surgery.  We are very pleased to be in the company of such well respected physicians.

It has been almost a year since Lakeshore Eye Care became part of Madison Medical Affiliates and our staff and patients would agree that the transition has been seamless. We still have the same “Top Docs,” same great staff and same two locations in Ozaukee County (Mequon and Saukville). What has changed is that I’m not spending time managing the practice, leaving that up to the able staff at Madison Medical Affiliates.

While survey results are nice, the real purpose of our day is providing our patients with the best possible vision whether it is through glasses, contact lenses, refractive surgery or cataract surgery. Dr. Ivanoski and myself provide comprehensive eye care for the whole family and accept most insurance plans. For more eye care information, visit our www.MadisonMedicalEyeCare.com or call 262-241-1919.


MIGRAINES CAN AFFECT YOUR VISION By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
October 15, 2018

You are having a rough day. All of a sudden your vision becomes blurred and you see moving zigzags in your side vision. They may be black and white, silver or in brilliant color. Over 30 minutes to an hour, the zigzags gradually move away and break up. Your vision returns to normal leaving you wondering what happened.

The above description is classic for a visual migraine. Visual migraines are similar to the aura people with migraine headaches experience but, lucky for you, no headache followed. Visual migraines are more common in people who had migraine headaches when they were younger or who have a family history of migraine headaches.

What should you do? First of all, if this is new for you a thorough eye examination is recommended to be sure of the diagnosis. Should the problem occur more than once, look for triggers that might bring them on and then try to avoid them. It could be stress, fatigue, bright lights, hormonal changes, red wine or certain foods.

Visual migraines leave no lasting defect in your vision. They are caused by spasms of blood vessels in the vision part of your brain, just like migraine headaches. There is generally no treatment as they quickly resolve. Should they occur so frequently that they interfere with your daily life, certain blood pressure medications can be prescribed by your primary care doctor.

Feel free to schedule an appointment should you have any concerns. The first time this happens it can be very frightening. We are here to help.

Dr. Martha Jay is a board certified Eye Physician & Surgeon specializing in 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.


DOES YOUR BLOOD PRESSURE AFFECT YOUR EYE PRESSURE? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
October 1, 2018

As far as your health is concerned, the two times you hear about “pressure” is with blood pressure and eye pressure. An abnormally high blood pressure could lead to heart disease or stokes. An abnormally high eye pressure could lead to vision loss from glaucoma.  A logical question is whether or not the two are directly related.

It turns out that the two are related. A 2005 article in the British Journal of Ophthalmology reported on the Beaver Dam study. This is a Wisconsin based long term study following thousands of people in Beaver Dam, Wisconsin. The study looked at diastolic (the low number) blood pressure and systolic (the higher number) blood pressure and compared it to the patient’s eye pressure. The results found that for every 10 mm Hg increase in diastolic blood pressure, there was a corresponding 0.6 mm Hg increase in eye pressure. The effects of systolic blood pressure on eye pressure were less. For every 10 mm Hg increase in systolic blood pressure, there was a 0.3 mm Hg increase in eye pressure.

Is this important? First and foremost you concern should be maintaining a healthy blood pressure. This is something for you and your primary care provider to determine. As for eye pressure, you would have to have a very significant elevation in blood pressure to cause significant vision damage from glaucoma but it could certainly happen.

This is just another reason to keep on top of your general health care as it can affect your eye pressure too. Other potential eye problems from uncontrolled blood pressure include small strokes behind the eye and broken or blocked blood vessels in the eye. Take care of yourself and make your eyes happy too!

Dr. Martha Jay is a Board Certified Eye Physician & Surgeon (Ophthalmologist) practicing at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. She specialized in eye surgery including blade-free LASIK and small incision cataract surgery. For more eye care information, call 262-241-1919 or visit www.MadisonMedicalEyeCare.com.

 


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