Dr. Martha Jay’s Blogs

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.

 

 


SMOKING AND “WET” MACULAR DEGENERATION By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
June 20, 2018

Our patients who smoke know that we discuss the potential impact of this habit on vision at each and every appointment. There is even a reporting measure on this topic required for getting credit from Medicare for using electronic medical records. I also give out the “Handout of Shame” to encourage quitting.

Now yet another study has come out linking smoking to “wet” macular degeneration.  Macular degeneration is an aging change that affects the delicate retinal tissue in the back of the eye. It is the leading cause of legal blindness for those over 65 years-old. There is a “dry” or mild type and also a much more severe “wet” type. The wet type results from fluid leaking forward under the retina damaging the critical central part of your vision used for reading. Those with the wet form often have to get injections in their eyes every 3-4 months in an attempt to improve their vision.

A study came out last fall in the British Journal of Ophthalmology, a respected medical journal, linking smoking and wet macular degeneration. They analyzed the data of over half a million South Korean men between the ages of 40 and 79 years-old. Apparently few women smoke in Korea so they were not included. Wet macular degeneration risk was 50% higher in smokers than those who had never smoked. Both the length of time someone smoked and the amount they smoked was significant.

Dr. Martha F. Jay

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

You know that smoking is bad for your heart, breathing and pocketbook. Now there is yet another study liking vison loss to this habit. Your primary care physician would be thrilled to assist you in making this important lifestyle change to invest in your future medical and visual health.

Dr. Martha Jay is a Board Certified Ophthalmologist specializing in medical and surgical eye care including small incision cataract surgery and blade free LASIK. She welcomes patients of all ages into her practice and accepts most insurance plans.

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


YOU WANT TO PUT PLUGS IN MY EYELIDS?? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
June 14, 2018

When we suggest punctal “plugs” to a patient, the reaction varies from curiosity to outright panic.  While they are quite routine dry eye care, many patients have not heard of them.  The goal of the plugs is to keep the tears you have in your eyes longer, decreasing your need for tear supplements and improving your eye comfort.

On the upper and lower eyelids in each eye, there are a total of 4 small openings towards the nose which are called puncta.  Each leads to a tiny tube that drains your tears into the back of your nose. The bottom ones carry about 2/3 of the tears and the top the other 1/3. If we block the bottom puncta in each eye, your eyes stay wetter. The plugs are very small, about 1-2 mm, and made of soft plastic. They are easily inserted in the office in a matter of seconds.

Generally we do not suggest plugs at the first signs of dry eyes. We try artificial tears first. If the patient feels that they need to use the tears more than 4 times per day or they are not providing any relief, then plugs or a prescription product called Restasis or Xiidra may be suggested. Those products change the quality of the tears so they coat the eye better. As noted above, the plugs change the quantity of the tears. Sometimes both quality and quantity need improvement. Should that be the case, then plugs and Restasis or Xiidra might be used together.

The symptoms of dry eyes include blurred reading vision at the end of the day, feeling like there is something in the eyes, eye fatigue, red eyes and more. Give us a call if you need relief from this common eye problem.

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 blade-free LASIK and small incision cataract surgery. She welcomes patients of all ages into her practice and accepts most insurance plans.

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


CAN’T YOU DO SOMETHING ABOUT MY FLOATERS? By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
May 10, 2018

“Floaters” are those small spots you see in your vision from time to time. They can be dots, small lines or my personal favorite was when a patient said he had the “boot of Italy” in his eye! They are more apparent under certain lighting situations such as blue sky days or when looking at a white piece of paper.

They are caused by a liquefaction of a jelly-like substance in the back of your eye. When you are younger this substance if quite firm but becomes more liquid in time. What you are seeing are small fragments of collagen. If you experience a sudden increase in floaters, see flashing lights in your side vision or if you start to lose side vision, then call for an immediate appointment.  This could mean that you have a tear in the delicate retinal tissue in the back of your eye. Should a tear occur, it may need laser treatment to prevent the retina from detaching.

While long-standing floaters are not sight threatening, they are annoying and stay around for months to years. This is a common complaint along with the question: “Can’t you do something about my floaters?”  Some have consulted Doctor Internet and have found references to clinics promising to remove those pesky floaters with laser treatments.

A recent study cautions that you should beware of such claims. A September article in Ophthalmology, a respected medical journal, and was based on reports from Retinal specialists treating complications of this procedure. The complications from lasers used for floaters included early cataracts, increased eye pressure, retinal detachments, retinal hemorrhages and permanent loss of small portions of vision.  So it appears that floaters are one of life’s annoyances that you cannot do much about without risking more serious vision problems.

Dr. Martha F. Jay

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

Dr. Martha Jay is a Board Certified Ophthalmologist practice at Madison Medical Eye Care. She specializes in surgical and medical 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.


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.


GOOD NEWS FOR BABY BOMERS: TWO NEW STUDIES ABOUT MACULAR DEGENERATION By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
April 9, 2018

Two recent studies from the Journal of the American Medical Association/Ophthalmology are of interest to those worried about macular degeneration. The first concerns whether vitamin supplements are of use for those with a family history of macular degeneration but who have no evidence of the condition themselves. The second concerns the frequency of macular degeneration in the “Baby Boom” generation.

As far as the vitamins, it appears that they are of no use in those who do not actually have macular degeneration. That is consistent with the advice we have been giving for years: if you have a relative of macular degeneration you should incorporate leafy green vegetables into your diet on a regular basis, you should not smoke and you should wear sunglasses outside. The vitamins (knows as AREDS2) are of use for those who actually have evidence of macular degeneration.  They have been shown to decrease the progression from the mild “dry” to the more aggressive “wet” form.

The second article is good news for baby boomers! It appears the risk of developing macular degeneration has declined over the last three generation based on the longitudinal Beaver Dam (yes this is based on Wisconsinites!) study. Those born between 1901 and 1924 (“Greatest Generation”) had a 12% chance of developing macular degeneration, those born between 1925 and 1945 (“Silent Generation”) had a 4% chance and those born between 1946 and 1964 (“Baby Boom Generation”) only have a 1.5% risk of developing this debilitating visual condition.

Similar good news is out there for heart disease and dementia. So keep the healthy diet and lifestyle changes that we now know are important to our wellbeing and hopefully you will enjoy good vision for years to come.

Dr. Martha F. Jay

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

Dr. Martha Jay is a board certified Ophthalmologist practicing at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin. She specializes 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.


FORGOT YOUR READING GLASSES AT THE CEDARBURG LIBRARY?

By user-admin
March 30, 2018

If that is the case, the Cedarburg Friends of the Library have you covered! Find a basket of reading glasses on each floor near the automated check-out stations. The above information is thanks to the News Graphic (3/29/18).


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.


‘I THINK I HAVE A RETINAL DETACHMENT” By Dr. Martha Jay, Ophthalmologist at Madison Medical Eye Care with offices in Mequon & Saukville, Wisconsin

By user-admin
March 15, 2018

If you experience an abrupt increase in floaters or start seeing flashing lights in your peripheral vision, you might immediately assume that you are experiencing a retinal detachment. While this may be the case, the only way to diagnose a retinal tear or detachment is with a thorough dilated eye examination with an eye care professional.  While it may seem tempting to go to an emergency room, they will most likely refer you to an ophthalmologist or optometrist. You can save time and money by calling us first.

When should you call? If you notice a significant increase in floaters, new onset of flashing lights in your peripheral vision and certainly if you notice some loss of side vision, call right away. If it is in the middle of the night, you can easily wait until the morning to call. If it on a weekend, we are available with an option to reach the on- call doctor on our answering machine. We generally recommend the examination be performed within 24 to 48 hours of the onset of symptoms.

The eye is filled with a gelatin-like material called vitreous.  Over time, it breaks down - becoming more liquid with small collagen particles casting a shadow on the retina.  The result is the appearance of small spots, squiggly lines, clouds or spider webs moving across your vision.  Flashes of light occur when the fluid shifts within the eye, tugging on the retina (the light-sensitive tissue lining the back of the eye).

The reason it is important to diagnose a retinal detachment is that it may require laser treatment or even surgery to preserve you vision. Early detection is the key to optimal outcome from either procedure. Realize that we are here for you if need be.

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 blade-free LASIK and small incision cataract surgery.  She welcomes patients of all ages and accepts most insurance plans.

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

 


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