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

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...


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.


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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

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