Dry eye after Lester Jones tube insertion for epiphora

• DOI: 10.1080/01676830.2018.1552710
• Publication Date: 2018-12-07T03:46:02Z
• Authors: John C. Bladen; Nikhil Cascone; Andrew R. Pearson; Andre Litwin; Raman Malhotra
• Keywords: Adult; Male; Reoperation; Lacrimal Apparatus Diseases; Middle Aged; 03 medical and health sciences; 0302 clinical medicine; Lacrimal Duct Obstruction; Humans; Dry Eye Syndromes; Female; Intubation; Dacryocystorhinostomy; Nasolacrimal Duct; Aged; Retrospective Studies

Purpose: To report the occurrence of dry eye after Lester Jones tube (LJT) insertion. Methods: Retrospective case series from a single unit. The dacrocystorhinostomy (DCR) was carried out using both endoscopic and external approachs; however, insertion LJT used same method as either primary or secondary procedure. Dry an outcome measure only confirmed three separate visits presence patient symptoms signs with none preceding Results: Fifty-four patients underwent consecutive over 5-year period. Mean age 52.6 (range 25-73 years). majority were female 39 (72%). Revision surgery required in 15 (27%) 3 more occurring 6 (11%). In total, 9 developed eyes (17%). 60 47-73) years, 5 females 4 males. Four individuals had undergone remaining five received their first 6-24 (mean 15) months post-DCR. Two previously LASIK radiotherapy. Conclusion: A risk following placement is higher than literature suggests. This should be considered counseled, especially those who have underlying pre-disposing factors. Ease removal may desirable attribute such cases.