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Conjunctivodacryocystorhinostomy: Indications, Tubes, and Techniques

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Oculofacial, Orbital, and Lacrimal Surgery

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Abstract

Conjunctivodacryocystorhinostomy (CDCR) with placement of a Jones tube remains the gold standard treatment for upper lacrimal outflow obstruction. Since the original description by Dr. Lester Jones in the 1960s, there have been numerous variations in the surgical technique proposed. The fundamental principle remains constant: a surgical ostium connecting the caruncle to the nose, with a glass tube to provide capillary flow of tears. This chapter will discuss the evaluation of patients prior to conjunctivodacryocystorhinostomy; the indications, complications, and benefits of surgery; as well as highlight the common surgical principles and tubes available for bypass. Patients with poor cooperation or limited follow-up may not be optimal candidates for surgery.

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Author information

Authors and Affiliations

  1. Aesthetic Surgery Centre, Tacoma, WA, USA

    C. Blake Perry

  2. Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA

    Eric A. Steele

Authors
  1. C. Blake Perry
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  2. Eric A. Steele
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Correspondence to Eric A. Steele .

Editor information

Editors and Affiliations

  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

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Perry, C.B., Steele, E.A. (2019). Conjunctivodacryocystorhinostomy: Indications, Tubes, and Techniques. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_48

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  • DOI: https://doi.org/10.1007/978-3-030-14092-2_48

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14090-8

  • Online ISBN: 978-3-030-14092-2

  • eBook Packages: MedicineMedicine (R0)

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