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Dry eye after Lester Jones tube insertion for epiphora
John C Bladen1, Nikhil Cascone1, Andrew R Pearson2
1Corneoplastic Unit, Queen Victoria Hospital NHS Trust , East Grinstead , UK.
Orbit (Amsterdam, Netherlands)
|December 8, 2018
Summary
Dry eye complications occurred in 17% of patients after Lester Jones tube (LJT) insertion, a higher rate than previously reported. This risk warrants consideration, particularly for patients with pre-existing risk factors.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Dry eye is a common condition impacting ocular comfort and vision.
- Lester Jones tube (LJT) intubation is a surgical procedure to restore lacrimal drainage.
Purpose of the Study:
- To determine the incidence of dry eye syndrome following Lester Jones tube (LJT) insertion.
- To identify potential risk factors associated with post-LJT dry eye.
Main Methods:
- Retrospective case series of 54 patients undergoing LJT insertion over 5 years.
- Dry eye diagnosis confirmed by patient symptoms and clinical signs across three visits.
- Dacryocystorhinostomy (DCR) performed via endoscopic or external approaches.
Main Results:
- 9 out of 54 patients (17%) developed dry eye post-LJT insertion.
- Dry eye patients had a mean age of 60 years; 5 females and 4 males.
- Two patients with post-LJT dry eye had prior LASIK and radiotherapy.
Conclusions:
- The risk of developing dry eye after LJT placement appears higher than suggested by existing literature.
- Patients with pre-disposing factors for dry eye should be counseled regarding this risk.
- The potential for easy removal of the LJT may be a beneficial feature in managing dry eye complications.
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