Advertisement

Transcaruncular laser-assisted StopLoss Lester Jones tube surgery for lacrimal canalicular obstructions

  • Yongwei Guo
  • Konrad R. Koch
  • Ludwig M. HeindlEmail author
Letter to the Editor
  • 34 Downloads

Dear Editor,

For more than 50 years, the Lester Jones tube—a bypass between the conjunctiva and the nasal cavity—is the gold standard for managing epiphora secondary to upper lacrimal outflow obstructions [1]. However, these Pyrex glass tubes are often considered to have tube migration or extrusion in up to 50% of the cases [2]. Recently, the StopLoss Jones tube (SLJT), an innovation in Pyrex glass tubes with an internal silicone flange bonded, was reported to reduce the risk for tube extrusion [3, 4]. Tube insertion requires a bony ostium, which in some cases might preexist due to previous dacryocystorhinostomy (DCR). However, in patients without previous DCR, an external transcutaneous approach is needed for correct tube placement. Herein, we describe—to the best of our knowledge for the first time—a novel transcaruncular diode laser-assisted, StopLoss Lester Jones tube procedure without any skin incisions for the treatment of lacrimal canalicular obstructions.

Under general...

Notes

Funding information

This study received financial support from the Koeln Fortune Program/Faculty of Medicine, University of Cologne, Germany, and the State Scholarship Fund from China Scholarship Council.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from the patient included in the study.

References

  1. 1.
    Scawn RL, Verity DH, Rose GE (2018) Can Lester Jones tubes be tolerated for decades? Eye (Lond) 32:142–145.  https://doi.org/10.1038/eye.2017.168 CrossRefGoogle Scholar
  2. 2.
    Lim C, Martin P, Benger R, Kourt G, Ghabrial R (2004) Lacrimal canalicular bypass surgery with the Lester Jones tube. Am J Ophthalmol 137:101–108.  https://doi.org/10.1016/j.ajo.2003.08.002 CrossRefGoogle Scholar
  3. 3.
    Bagdonaite L, Pearson AR (2015) Early Experience with the StopLoss Jones Tube. Orbit 34:132–136.  https://doi.org/10.3109/01676830.2015.1014507 CrossRefGoogle Scholar
  4. 4.
    Bagdonaite L, Pearson AR (2015) Twelve-year experience of Lester Jones tubes-results and comparison of 3 different tube types. Ophthal Plast Reconstr Surg 31:352–356.  https://doi.org/10.1097/iop.0000000000000340 CrossRefGoogle Scholar
  5. 5.
    Mor JM, Guo Y, Koch KR, Heindl LM (2017) Transcanalicular diode laser-assisted Dacryocystorhinostomy for the treatment of primary acquired nasolacrimal duct obstruction. J Vis Exp.  https://doi.org/10.3791/55981

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Yongwei Guo
    • 1
  • Konrad R. Koch
    • 1
  • Ludwig M. Heindl
    • 1
    • 2
    Email author
  1. 1.Department of Ophthalmology, Faculty of Medicine and University Hospital CologneUniversity of CologneCologneGermany
  2. 2.Center for Integrated Oncology (CIO) Aachen-Bonn-Cologne-DuesseldorfCologneGermany

Personalised recommendations