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Long-term outcomes of StopLoss™ Jones tube (SLJT) and minimally invasive conjunctivodacryocystorhinostomy

  • Oculoplastics and Orbit
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Abstract

Purpose

To assess the long-term outcomes of minimally invasive conjunctivodacryocystorhinostomy (MICDCR) with StopLoss™ Jones tubes.

Methods

A retrospective interventional case series was performed on all patients who underwent a MICDCR with StopLoss™ Jones tubes (SLJT) over a period of 5 years. Patients were followed for a minimum of 1 year after surgery. The parameters studied include patient demographics, clinical presentation, indication for MICDCR, duration of surgery, SLJT length, standard Jones tube drainage classification, complications, and anatomical and functional successes. The variables influencing the outcomes were assessed. Anatomical success was defined as patent SLJT on irrigation, and functional success was defined as resolution of epiphora. Statistical analysis was performed using the R 4.0.4 (R Project, R Foundation).

Results

A total number of 44 eyes of 42 patients were studied. The mean age of patients was 61.81 years. Approximately 87% and 64% of the patients completed 2 years and 3 years of follow-up, respectively. The Jones tube drainage class dipped significantly from class I to others at the 3-month follow-up. Classes III and IV dominated the follow-up period between 3 and 18 months, and class II dominated at 24 months and beyond. The anatomical and functional successes at the end of 1-year follow-up were 77.2%. The success was not affected by age, gender, length of SLJT tube, or duration of the surgery. However, the middle turbinate reduction influenced the success (P < 0.03). The common complications noted were tube occlusions (40.9%, 18/44) and inferior tube migration (38.6%, 17/44).

Conclusion

The long-term outcomes with SLJT were good, but the inferior migration was a significant complication. The results of this study reflect the need for continuity of care as long as the tube is in situ.

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Acknowledgements

The author wishes to acknowledge the help of Mr Lukasz Derylo with the statistical analysis.

Funding

Hyderabad Eye Research Foundation.

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Authors and Affiliations

Authors

Contributions

Rafal Nowak: Concepts, surgery, manuscript drafting, and manuscript approval.

Marek Rekas: Supervision, guidance, review of the manuscript, and final approval.

Mohammad Javed Ali: Concepts, manuscript drafting and critical review, and manuscript approval.

Corresponding author

Correspondence to Mohammad Javed Ali.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Jozef Strus City Hospital, Poznan, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

Prof. Ali receives royalties from Springer for his treatise “Principles and Practice of Lacrimal Surgery” (2nd ed), “Atlas of Lacrimal Drainage Disorders,” and “Video Atlas of Lacrimal Surgery.”

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Mohammad Javed Ali and Rafal Nowak share the corresponding authorship.

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Nowak, R., Rekas, M. & Ali, M.J. Long-term outcomes of StopLoss™ Jones tube (SLJT) and minimally invasive conjunctivodacryocystorhinostomy. Graefes Arch Clin Exp Ophthalmol 260, 327–333 (2022). https://doi.org/10.1007/s00417-021-05347-1

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  • DOI: https://doi.org/10.1007/s00417-021-05347-1

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