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Refractory medial conjunctival inflammation associated with jones tubes
1Department of Opthalmology, Albany Medical Center, Allbany, New York, USA.
Ophthalmic Plastic and Reconstructive Surgery
|July 25, 2003
Summary
Refractory medial conjunctival inflammation is an uncommon complication following conjunctivodacryocystorhinostomy with Jones tubes. This persistent inflammation may require surgical intervention, even after tube removal.
Area of Science:
- Ophthalmology
- Oculoplastics
- Lacrimal Surgery
Background:
- Conjunctivodacryocystorhinostomy (cDCR) with Jones tube placement is a common procedure for nasolacrimal duct obstruction.
- Medial conjunctival inflammation is a potential, though uncommon, complication associated with Jones tubes.
Observation:
- Two patients presented with persistent medial conjunctival inflammation after cDCR and Jones tube placement.
- The inflammation resembled episcleritis in one patient and a pterygium-like lesion in the other.
- One patient's inflammation persisted even after Jones tube removal, necessitating further intervention.
Findings:
- Histopathologic examination revealed conjunctival inflammation and fibrosis.
- While typically resolving after Jones tube removal, this case highlights persistent inflammation.
- Aggressive medical treatment was ineffective in resolving the inflammation in both cases.
Implications:
- Medial conjunctival inflammation can be a refractory complication of cDCR with Jones tubes.
- Persistent inflammation may indicate chronic effects from the tube or surgical manipulation.
- Further investigation into the long-term effects and management of this complication is warranted.