Dr. Martha Jay’s Blogs

WHY VISUAL FIELD TESTING IS IMPORTANT By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
August 11, 2014

If you have glaucoma or are at risk for glaucoma, we have probably suggested that you return for a visual field test at least yearly. That is a test where you look into a large bowl-like machine and hit a clicker when you see small lights in your side vision. We generally have the technicians do the testing and then one of our doctors sends you a report about the results in the mail. At the same time we take a picture of your optic nerve in the back of the eye, called an OCT test.

While we don’t get many complaints about the OCT, some patients balk at the idea of the visual field test. Recent comments have been: “I’ve had glaucoma for years, why do I need this test?” Or, “I just had one last year, why do I need to repeat it?”

Dr. Martha F. Jay

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

Why is this test so important? Glaucoma is evaluated by monitoring several things: your eye pressure, the appearance of the optic nerve in the back of the eye AND your side vision. The idea of the visual field is to detect very small changes in side vision BEFORE you become aware of them so we can appropriately start or alter your glaucoma treatment. You can lose up to 40% of your side vision without it becoming obvious to you.

Should we notice small changes on the visual field, glaucoma is easily treated with eye drops. Laser or surgical treatments are also available if drops alone are not adequate.  No one should lose vision from glaucoma today with appropriate monitoring.       Now that you know how important this test is, you won’t be tempted to put it off.  As an extra bonus, we are now using an even quicker version of this test lasting only 2-4 minutes per eye, this is HALF the time it took before! Help us help you preserve your vision.

Dr. Martha Jay is a board certified ophthalmologist specializing in medical and surgical eye care. She welcomes patients of all ages into her practice and accepts most insurance plans, including Medical Assignment. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com


BOARD CERTIFICATION IN OPHTHALMOLOGY By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By editor
July 28, 2014

Most patients may not be aware if their doctors are “Board Certified” unless they notice a fancy plaque on the wall. But what does this mean exactly?

In ophthalmology, a “Board Certified” doctor has successfully completed 4 years of medical school and then another 4 years of an Ophthalmology Residency to learn the specifics of medical and surgical eye care. They are then challenged with a series of tests that take a minimum of three years to complete.  The first is an intensive written qualifying exam. This 250 question test has seven sections, each covering a different aspect of eye care. Each question requires knowledge of obscure as well as common eye problems.

Once you make it passed that by doing well in all seven sections (and many don’t), it is on to the oral exam a year or so later. Wisconsin doctors are tested in San Francisco.  Imagine the scene: scores of anxious young doctors sitting in the hallway of an upscale hotel. They are individually called into regular hotel rooms where an examiner shows them photos of eye problems and gives them some history. You are asked what you see, what you are going to do. “Are you sure? Is that so?” are common responses just to throw you off. The oral exam has 6 sections, again you must do well on all of them.

Dr. Martha F. Jay

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

I am very proud to say that all three Ophthalmologists at Lakeshore Eye Care (Dr. Jay, Cueto and Costakos) are Board Certified! But the certification only lasts 10 years. During that time, we keep informed about new aspects of care by attending medical education meetings and reading professional journals. The testing the first time is the most challenging, however. You can be proud of our doctors here, we sure are!

Dr. Martha Jay has been board certified in ophthalmology since 1994 and successfully re-certified twice since then.  She specializes in medical and surgical eye care including LASIK vision correction and small incision cataract surgery.

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


MAY IS HEALTHY VISION MONTH By Dr. Martha Jay at Lakeshore Eye Care Professionals in Mequon & Saukville, Wisconsin

By lsvadmin
May 20, 2014

The National Eye Institute (NEI) has declared May to be “Healthy Vision Month.” The NEI is the federal agency responsible for most of the funding of vision research in the U.S. This includes everything from basic research about the functioning of the eye to public campaigns to improve vision in our country.

What is their vision health tip? They suggest that you take this month to find an eye care professional for yourself and your family as vision health should be an important aspect of your wellness plan. At least every two years, a complete eye examination with dilating drops to rule-out treatable eye problems is suggested. In children this could be just the need for stronger glasses or something more serious like a wandering eye. In adults we look for evidence of glaucoma, cataracts, macular degeneration and much more.

Another key to healthy vision is wearing sunglasses outside on sunny days. Ultraviolet exposure promotes macular degeneration and cataracts. So don’t stop at the sunscreen, use sunglasses and a hat this summer. Diet is also important. Leafy green vegetables contain valuable nutrients to keep the retina healthy and are especially recommended for those with macular degeneration.

Dr. Martha F. Jay

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

Finally, if you still smoke and have not found a reason to stop yet, think of your eyes. The more aggressive “wet” form of macular degeneration is more common in smokers as is the development of early cataracts.

So do your part: Call us today to schedule eye examinations for everyone in your family!

Dr. Martha Jay is a board certified ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin. She specializes in medical and surgical eye care including blade-free LASIK and small incision cataract surgery. She founded Lakeshore Eye Care in 1992 after completing her ophthalmology residency at Northwestern University in Chicago.

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


LASIK OR CONTACTS: WHICH IS SAFER? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
April 29, 2014

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

If you don’t like glasses, your other options are contact lenses or LASIK vision correction. Which is the safer alternative? You’ll be surprised to learn that that actually LASIK is safer than wearing contact lenses. As a comprehensive ophthalmologist, I treat all types of eye problems. It is much more common for a contact lens wearer to come in with a severe eye problem than someone who has had LASIK.

Up to 6% of contact lens wearers per year will experience a severe eye infection, worsening dry eye symptoms or even an allergy to contact lenses themselves. These and other problems are not only painful but can lead to permanent vision loss and an inability to resume contact use.

LASIK safety, however, is not the same everywhere you go. All my patients benefit from blade-free LASIK using two lasers instead of one. It is almost impossible to have a complication during this type of LASIK procedure. Unusual healing is also rare, occurring less than 0.1% of the time. That’s why we call it “LASIK for Chickens.”

If you have been afraid of LASIK in the past, consider your odds of a problem if you stay in contacts. You knew that LASIK would simplify your life and save you money in the long run, and now you can add safety to the list of reasons to have LASIK. All it takes is 20 minutes to turn those contacts into a distant memory.

Dr. Martha F. Jay

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

While taking the blade out of the LASIK equation allows more patients to be good candidates, there are still exceptions. To find out if LASIK is an option for you, call for your personalized screening exam. It’s free, informative and pressure-free.

Dr. Martha Jay is a board certified ophthalm0logist (Eye Physician & Surgeon) specializing in LASIK vision correction, cataract surgery and comprehensive eye care. She welcomes patients of all ages into her practice and accepts most insurance plans.

For more eye care information, call 2620241-1919 or visit www.LakeShoreVision.com.


EYE PROBLEMS AROUND THE WORLD By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
March 17, 2014

The World Health Organization (WHO) recently released a fact sheet about visual impairment worldwide. Not surprisingly, of the 285 million people with some type of visual impairment worldwide, 90% are in developing countries.

However, 80% of all vision problems can be prevented or cured. Remarkably, lack of appropriate glasses accounts for 43% of those with vision problems alone. Another 33% struggle with visual impairment stemming from cataracts and could benefit from access to surgery.

What are the WHO and other organizations doing about these problems? One success story concerns onchocerciasis related blindness. This parasite is carried by black flies which breed near rivers earning the moniker “river blindness”. Treatment programs in Sub-Saharan Africa and South America have considerably reduced this condition by providing anti-parasitic medication twice yearly to those in susceptible areas. Untreated, this condition causes intense itching and inflammation of the eyelids along with severe glaucoma.

Another success story is with Trachoma. This eyelid infection is caused by Chlamydia from flies or contact with others who are infected. If left untreated, the result is severe scarring of the eyelids and damage to the cornea causing blindness. A single dose of Azithromycin antibiotic is effective for this condition and is part of many worldwide health projects.

Dr. Martha F. Jay

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

Other projects include children’s clinics to provide glasses and surgical access for underserved populations in remote locations. All these worthwhile endeavors still have a way to go before the good vision we all take for granted is more widely available.

Dr. Martha Jay is a board certified Ophthalmologist (Eye Physician & Surgeon) practicing at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.

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



DRY EYES AND COMPUTER USE By Dr Martha Jay at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
February 24, 2014

Due to the miserable winter, this has been a bad year for those with dry eyes. Symptoms of dry eyes vary but generally include feeling like there is something in your eyes, blurred reading vision or eye fatigue. This is caused by your tear film not adequately coating the surface of the eye. In winter the dry air both inside and outside causes your tear film to evaporate faster, thus leading to more symptoms. Generally these symptoms worsen with reading and computer use, during the winter months and at the end of the day.

While it has been long known that computer use contributes to dry eyes, a recent study showed that the effects are far more universal than previously thought. The study evaluated the effects of computer use on dry eye symptoms and found that over 75% of female and about 60% of male office workers who use computers have dry eye symptoms! The test sample was of office workers in Japan and included a questionnaire of symptoms along with a thorough eye examination.

The association between dry eyes and computer usage is thought to be due to decreased blink rate. We all tend to stare when using computers. A good way to be more comfortable while using computers is to try to blink more, occasionally refocus farther away and to use tear supplements.

Dr. Martha F. Jay

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

If those strategies are not effective, you may need other treatments such as prescription drops (Restasis) or punctual plugs which keep the tears that you have in your eyes last longer. Those options and more can be explained at the time of your complete eye examination. Meanwhile, realize that your eyes will be more comfortable once the humidity increases in a few months.

Dr. Martha Jay is a board certified ophthalmologist (Eye Physician and Surgeon) specializing in medical and surgical eye cares such as blade-free LASIK and small incision cataract surgery. She practices with Dr. Mark German and Dr. Josephine-Liezl Cueto at Lakeshore Eye Care Professionals.

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


CAN’T SWALLOW THOSE PILLS? TRY A SMOOTHIE! By Dr. Martha Jay at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
February 10, 2014

We don’t prescribe many pills in ophthalmology but do recommend supplements for macular degeneration. The problem comes when people have trouble swallowing them or other pills. I can’t say this is my idea because it came from a patient: toss the supplements into the blender when you make a “smoothie’. You get the health benefits of fresh fruits and vegetables along with your medications!

What else can you put in your smoothie? We suggest plenty of leafy green vegetables for our patients with macular degeneration so you can add some fresh spinach in too. Be careful if you have a history of kidney stones but everything is good in moderation. No fresh fruit because it’s winter? No problem, just get frozen berries or other fruits and use them all year round. Unlike with juices, you get the benefit of fiber along with the nutrients.

All you need is some type of blender then use your creativity by adding any combination of fruits, vegetables, yogurt, almond milk, some whey for protein or nuts and then those pesky pills that are hard to swallow. The supplements for macular degeneration are red but so are strawberries - they literally get lost in the mix.

Dr. Martha F. Jay

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

Besides the supplements, we recommend that macular degeneration patients look at their grid monthly with each eye independently through reading glasses, return promptly if any changes are noted, not smoke and do wear sunglasses outside. We have recently changed our supplement suggestion from AREDS to AREDS2, more on that topic next week.

Dr. Martha Jay is a board certified Ophthalmologist who specializes in medical and surgical eye care including small incision cataract surgery and blade-free iLASIK. She practices with Dr. Josephine-Liezl Cueto and Dr. Mark German at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin.

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


HAVE LASIK NOW, GET READY FOR SUMMER By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon & Saukville, Wisconsin

By lsvadmin
January 19, 2014

We are all tired of thinking about the weather, talking about the weather and dealing with the weather. While you wait for warmer times, why not do something that will make your summer even more enjoyable? Finally get around to having LASIK. To set your mind at ease, all you have to think about are these four words: experience, comfort, precision and affordability.

As for experience, you could not do better than selecting me as your LASIK surgeon as I was the very first doctor in the Milwaukee area to perform refractive surgery with a laser. Since then I have consistently been offering the latest technology in refractive surgery available anywhere, right here in Ozaukee County. Comfort comes with a pain-free LASIK procedure lasting less than 20 minutes. In fact the first laser takes a mere 21 seconds and the second usually less than a minute. Precision comes from using the safest and most precise laser technology available. That leaves affordability. If you are 30 years old and wear contact lenses, you can expect to pay $20,000 over your lifetime for contacts and solutions. That and our financing plan make LASIK a deal.

I suppose we could add another word: confidence! By selecting Lakeshore Eye Care for your LASIK procedure you get the benefit of a localsurgeon you can trust along with the most advanced LASIK procedure available. Now your next step is to call 262-241-1919 to arrange your complimentary LASIK screening exam to see if blade-free iLASIK is in your future. It's that easy and better than griping about the weather.

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified ophthalmologist practicing at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconson. For more eye care information, call 262-241-1919 or visit www.LakeShoreVision.com.


“HOW MUCH IS LASIK” By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
December 4, 2013

We frequently have patients call with only one question, “How much is LASIK?” While an understandable question, price really should not be your most important consideration. You want to be confident that you have selected an experienced doctor who uses the safest and most precise technology available for your LASIK procedure.

At Lakeshore Eye Care we exclusively offer blade-free iLASIK. This means that we use two lasers instead of one to perform your LASIK procedure. The first laser, called the IntraLase, places tiny air bubbles below the surface of your eye to make a small cap. This avoids the potential complications of the metal blade used by low cost clinics, making it almost impossible to have a complication during the procedure.

We then use the VISX Star S4 laser to contour the surface of your eye to compensate for your glasses prescription. This laser provides the safety of an eye tracker that locks on to your iris markings, assuring that the treatment is oriented exactly right. The VISX laser also provides the added precision of treating “higher order aberrations” in addition to your glasses prescription. This means that we can actually measure the physics of light as it enters your eye and use this information, which is unique to you, to provide the best possible vision.

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

As for experience, I am one of Milwaukee’s most experienced LASIK surgeons. You can rest assured that I will personally see you at each and every appointment, eliminating the worry that your care would be delegated to others.

Now that you know the important factors in selecting your LASIK doctor, give us a call to set up your complimentary no-pressure LASIK screening exam!

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care. She trained at Northwestern University in Chicago and founded Lakeshore Eye Care Professionals in 1992.

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


HAVE CATARACT SURGERY TO LIVE LONGER? By Dr. Martha Jay, Ophthalmologist at Lakeshore Eye Care Professionals with offices in Mequon and Saukville, Wisconsin

By lsvadmin
November 12, 2013

Last month we reported on a study that found a positive correlation between having cataract surgery and a decreased chance of hip fractures. Today’s column addresses yet another crucial study performed which found that having cataract surgery might actually extend life. The study was published in the May issue of the prestigious medical journal “Ophthalmology”.

The authors followed over 350 patients in Australia for 15 years and compared patients who were close in age and had similar general medical health conditions such as heart disease, diabetes and high blood pressure. Those who had cataract surgery were 40% more likely to be alive at the end of the 15 years.

Why could this be? The authors postulated that good vision is a significant factor affecting emotional and physical well-being. In short, they stated that if you see better you feel better. This leads to a more optimistic view on life and the confidence to maintain an independent lifestyle.

Cataracts cause a very gradual change in vision, sometimes so slow that the patient is not really aware of it. The lens in the front of the eye gradually yellows, decreasing the amount of light that reaches the retina in the back of the eye. It is kind of like wearing dark brown sunglasses all the time.

Dr. Martha F. Jay

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

A very frequent comment after cataract surgery is that everything looks so bright again – as though they are now seeing the world in high definition. Blues are more vivid and whites are whiter. So if you are “on the fence” about cataract surgery, the potential for your increased longevity is something to think about.

Dr. Martha Jay is a Board Certified ophthalmologist specializing in medical and surgical eye care such as small incision cataract surgery and blade-free LASIK vision correction.  She practices at Lakeshore Eye Care Professionals with Drs. Josephine-Liezl Cueto and Mark German. They have offices in Mequon and Saukville, Wisconsin.

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


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