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Jones lacrimal bypass tubes in children and adults

Ilse Mombaerts1, Elodie Witters2

  • 1Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium ilse.mombaerts@uzleuven.be.

The British Journal of Ophthalmology
|November 7, 2018
PubMed

Insights

Jones tube surgery for epiphora is effective in children and adults, with similar long-term outcomes and complication rates. Young age is not a limiting factor for this canalicular intubation procedure.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology

Background:

  • Jones tubes are standard for epiphora due to complete canalicular blockage.
  • Concerns exist regarding pediatric self-care and maintenance of Jones tubes.
  • This study evaluates long-term outcomes of Jones tube surgery in pediatric versus adult patients.

Purpose of the Study:

  • To compare the long-term outcomes of Jones tube surgery in pediatric patients (≤16 years) versus adult patients (>16 years).
  • To assess patency, anatomical position, complications, and subjective relief of epiphora.

Main Methods:

  • Retrospective, interventional case series at a single academic institution.
  • Reviewed medical records of pediatric and adult patients undergoing conjunctivorhinostomy with a 130° angled extended Jones tube.
  • Outcome measures included tube patency, anatomical position, complication types/frequency, and epiphora relief.

Main Results:

  • Included 10 children (11 eyes) and 102 adults (127 eyes).
  • Success and complication rates were similar between pediatric and adult groups.
  • Tube dislodgement/obstruction rates were comparable (6.1%/year in children vs. 9.3%/year in adults, p=0.3867).
  • Median follow-up was 6.7 years for children and 8.7 years for adults.

Conclusions:

  • Young age is not a prognostic or limiting factor for angled Jones tube surgery.
  • Similar outcomes and minimal self-care requirements support its use in children.
  • Tube length exchange is not necessary during pediatric growth.
Abstract

Keywords:
Jones tubecanalicular obstructionconjunctivodacryocystorhinostomyconjunctivorhinostomylacrimal bypass

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