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Complications of malpositioned Jones tubes
1Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905.
American Journal of Ophthalmology
|January 15, 1990
Summary
Jones tubes, used for tear drainage, can migrate and cause serious eye and facial complications. Regular monitoring is crucial for patients with these devices.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Jones tubes are utilized as lacrimal drainage bypass devices.
- These devices can be associated with postoperative complications.
Observation:
- Three patients experienced complications due to Jones tube malposition.
- Complications included episcleritis, facial pain/numbness, scleral erosion, ulceration, and inflammatory masses.
Findings:
- Tube migration against the globe and into the nasal septum caused episcleritis and facial pain.
- Improper tube orientation led to severe scleral erosion and ulceration.
- Migration into subcutaneous tissues presented as inflammatory masses.
Implications:
- Undetected Jones tube migration can lead to significant morbidity.
- Long-term patient and physician maintenance is essential for Jones tube management.
- Awareness of potential malposition complications is vital for diagnosis and treatment.