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Surgical Technique to Retrieve a Migrated Lester Jones Lacrimal Tube
Magdalena A Wirth1,2, Peter J Dolman1
1Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, Canada.
Ophthalmic Plastic and Reconstructive Surgery
|March 30, 2021
Summary
A novel endoscopic technique safely retrieves migrated Jones lacrimal tubes. This method uses an angled endoilluminator for direct visualization and manipulation, ensuring successful repositioning with minimal patient trauma.
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
- Endoscopic Surgery
Background:
- Jones lacrimal tubes are used to treat nasolacrimal duct obstruction.
- Inferomedial migration of these tubes can complicate treatment and require intervention.
Purpose of the Study:
- To describe a novel endoscopic technique for the retrieval of inferomedially migrated Jones lacrimal tubes.
Main Methods:
- Direct visualization of the migrated Jones tube's distal end via nasal endoscopy.
- Utilizing a bent endoilluminator to manipulate and guide the tube back to the medial canthal opening.
- Employing transillumination for enhanced visualization during retrieval in the caruncular area.
Main Results:
- The described technique is time-efficient.
- The method has demonstrated safety and success in subsequent patients.
- Successful retrieval of the migrated Jones lacrimal tube was achieved.
Conclusions:
- This endoscopic technique effectively retrieves inferomedially migrated Jones lacrimal tubes.
- The procedure minimizes trauma to surrounding ocular and nasal structures.
- It offers a safe and successful approach for managing displaced lacrimal drainage implants.
