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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.
Purpose:
To describe a technique for retrieving an inferomedially migrated Jones lacrimal tube.
Methods:
The distal end of the migrated Jones tube is visualized directly via the nose. The tip of an endoilluminator (23 Gauge Constellation Vision Systems) is bent to form a 45° to 60° angle using a mosquito forceps and inserted into the distal opening of the tube. The endoilluminator is used to push the tube upward toward the original medial canthal opening and limit downward displacement as the caruncular area is surgically explored. The light transilluminating the tube facilitates its visualization and retrieval in the caruncular area. A new tube may be threaded through the same passage, or if the ostium is traumatized, through a new passage.
Results:
This technique is time-efficient and has proven to be safe and successful in subsequent patients.
Conclusions:
The described technique aids in retrieving an inferomedially migrated Jones tube with minimal trauma to the surrounding structures.
