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Updated: Aug 13, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Conjunctival incision for primary conjunctivodacryocystorhinostomy with Jones tube
1King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia. kkeshres@prime.net.sa
Purpose:
To study a conjunctival incision approach for primary conjunctivodacryocystorhinostomy with Jones tube insertion.
Methods:
This technique was applied throughout an 8-year period on 13 adult patients; each presented with complete lacrimal obstruction at the common canaliculus and excessive tearing.
Results:
Surgical outcome was successful, with no external facial scarring. Follow-up ranged from 9 months to 7 years (median, 4.5 years). Complications included a tube exchange in one patient and occasional tearing in another.
Conclusion:
A conjunctival incision approach to conjunctivodacryocystorhinostomy (CDCR) with Jones tube insertion is an alternative technique for adult patients, especially those known (or potential) keloid-former cases, or those preferring not to undergo laser treatment and wanting to avoid an external facial scar.
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