Eye Disease Management

We can help improve your vision


Glaucoma is a disorder that occurs when fluid pressure increases within the eye. Over time, this pressure may cause irreversible damage to the optic nerve and result in vision loss. While there is no cure for glaucoma, prevention involving early detection and thorough comprehensive testing may help prevent future vision loss. Collins Vision provides state-of-the-art technology to test for glaucoma, including OCT (optical coherence tomography) that takes an image of the nerve to look for damage from glaucoma. Our physicians may recommend medications, usually in the form of eye drops, or suggest glaucoma surgical treatment to be performed by Dr. Collins.

Glaucoma Treatments

Micro Treatment for Glaucoma – iStent

 The iStent Trabecular Micro-Bypass for Those With Cataracts and Glaucoma

If you have both cataracts and open-angle glaucoma, Dr. Collins may suggest the iStent Trabecular Micro-Bypass to treat your open-angle glaucoma. Dr. Collins is one of the first and most experienced surgeon’s in the Southwest Florida area to offer the iStent. With the implantable iStent, you may be able to forgo or greatly reduce the daily use of medicated eye drops while still lowering excess intraocular eye pressure.

The iStent is the smallest medical implant device in the world — it is 20,000 times smaller than the intraocular lens implant (IOL) used in cataract surgery! It is implanted in the eye during cataract surgery.

iStent provides a permanent opening through the blocked drainage channel, causing fluid to drain more easily and thus lowering intraocular eye pressure.

Dr. Collins discussing the iStent technology.

Endocyclophotocoagulation (ECP)

ECP is a laser treatment done at the time of cataract surgery that delivers a gentle type of light energy through a fine fiber optic probe. During the cataract operation, Dr. Collins is able to use the same tiny incisions to remove the cataract, implant an intraocular lens, and perform the ECP procedure.

Selective Laser Trabeculoplasty (SLT)

This procedure involves short bursts of energy to reduce pressure on the optic nerve in patients with primary open angle glaucoma. It may reduce dependence on drops and can be safely repeated many times.

Macular Degeneration

Age-related macular degeneration (AMD) affects the area of the retina called the macula. This small area is responsible for producing sharp, central vision required for “straight ahead” activities such as driving, reading, recognizing faces, and performing close-up work. AMD destroys cells in the area of the macula in two different forms, “dry” and “wet.”
Dry AMD can advance so slowly that people hardly notice the change on a day-to-day basis, but over the long term, dry AMD may result in significant vision loss. Dry AMD can rapidly progress to the wet AMD with extreme vision loss in one or both eyes. If you have a family history of AMD, are over 59, or have been diagnosed with AMD, you should schedule an examination with Dr. Collins. There is no cure for macular degeneration, but Dr. Collins can recommend treatment that may be able to delay its progression or even improve your vision.

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