Dr. Martha Jay’s Blogs

MY FRIEND COULD SEE PERFECTLY RIGHT AFTER CATARACT SURGERY, WHY CAN’T I? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care in Mequon & Saukville, Wisconsin

By user-admin
September 30, 2019

On the first day after cataract surgery, patients have varying expectations of how well they will see. Most are happy that everything went well in surgery and that their vision is already starting to improve. Others expect perfection on day one, which is not realistic. This expectation is often fueled by a friend reporting “perfect” vision on day one. While some patients can see 20/20 on the first day after cataract surgery, slight or even significant blurriness is not uncommon at that point.

Even though cataract surgery is relatively quick, often only a 10 minute procedure, it is still an operation. Your eye needs time to heal.  If the cataract was particularly dense then sometimes the surgery is slightly longer and results in some swelling on the cornea, the clear front part of the eye. Sometimes other problems cause delayed healing such as diabetic eye disease, macular degeneration or prior other eye surgeries.

We always see you on the day after your surgery to be sure you are progressing as planned. We check you vision, eye pressure and do a brief eye examination. We also want to be sure you understand how to use the post-operative drops and what your restrictions are. We may suggest the use of over-the-counter reading glasses at that time if your cataract implant was for distance vision.

As everyone is different, everyone’s perception of “perfect” is also slightly different. We realize that cataract surgery is all new to you so don’t hesitate to call if you have any questions or concerns between your appointments. While some worry that they are bothering us to call, it is certainly not the case! We are here to help.

Dr. Martha Jay is an Eye Physician & Surgeon specializing in medical and surgical eye care such as small incision cataract surgery and blade-free LASIK vision correction. She practices with Dr. Lisa Bennett and Dr. James Ivanoski at Madison Medical Eye Care in Mequon & Saukville, Wisconsin.

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

 


FLEX PLANS & LASIK for 2020 By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
September 10, 2019

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

Another summer annoyed with contacts and glasses but worried how LASIK might fit your budget?  If that sounds like you, don’t overlook the savings offered by Flexible Spending or Health Savings Accounts.  While not a component of all benefit packages, many employers do provide this option to utilize pre-tax income for medical procedures such as LASIK.  The rules vary but most plans require a fall commitment for the following year.  Check with your Human Resources Officer to determine your specific deadline.

Even if one of these plans is not an option for you, LASIK actually saves you money compared to staying in contacts and/or glasses. You may not realize it but those expenses add up: If you are now 30 years-old and wear 2 week disposable contacts, you can expect to spend $21,900 over the rest of your life on contacts, glasses and solutions!

Many but all people are good candidates for blade-free LASIK. That’s why a LASIK screening exam is critical before committing Flex funds for coming year. This complimentary evaluation involves critical measurements of your vision and your eyes to determine if LASIK is meant for you.  You’ll learn a lot about LASIK and have a chance to get acquainted with our great Madison Medical Eye Care team, now even better with the addition of Dr. Lisa Bennett.

Plan ahead to improve your outlook on life in 2020! Call today to arrange your free, no-pressure LASIK screening exam.  It just might be that 2020 is your year for 20/20!

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

 


MORE EVIDENCE FOR THE iSTENT By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
August 21, 2019

We have been recommending the iStent at the time of cataract surgery over the last few years for our patients who have both cataracts and glaucoma.  The purpose of the iStent is to increase the flow of fluid out of the eye in order to decrease eye pressure. Glaucoma is a condition where the fluid in the eye is either coming in too fast or leaving too slowly.  The buildup of pressure can cause permanent vision loss so is generally treated with eye drops.

The iStent is a tiny device, in fact it is the smallest implantable device in medicine measuring only 230 microns by 360 microns. As you may remember, there are only 1000 microns in a millimeter so that means it is only around ¼ by 1/3 of a millimeter.  After the cataract is removed and the lens inserted, we have the patient turn their head to one side and then place two of these iStents at the edge of the eye. You cannot see them without special mirrors.

When compared to cataract surgery alone, we know that the iStent does generally result in lower eye pressure. A new study just came out looked at if there was a difference in the number of glaucoma eye drops patients used after cataract surgery and found that those with the iStent had a reduction even if they were using 3 or more drops. In fact, the more the drops used the bigger the drop in the number required. This was reported in the medical journal Ophthalmology in January.  The data came from a managed care network and involved almost 3000 patients.

These results mirror what we have found also with this remarkable device. We can talk about whether the iStent is an option for you at your cataract evaluation.

Dr. Martha Jay is an Eye Physician & Surgeon practicing at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. She specializes in small incision cataract surgery and blade-free LASIK.

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


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.


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