Clinical Study Conjunctivodacryocystorhinostomy with Jones Tube.

Kim, Yong Sup; Lee, Tae Soo

Original Article

Journal of the Korean Ophthalmological Society 1991;32(2):129-133.
Published online February 1, 1991.

Clinical Study Conjunctivodacryocystorhinostomy with Jones Tube.

Yong Sup Kim, Tae Soo Lee

Department of Ophthalmology, College of Medicine, Korea University, Seoul, Korea.

존스관을 이용한 결막누낭비강문합술의 임상적 고찰

김용섭(Yong Sup Kim),이태수(Tae Soo Lee)

Abstract

Conjunctivodacryocystorhinostomy(CDCR) with Jones tube is indicated in the cases with upper and lower or common canaliculi obstruction or failed cases of dacryocystorhinostomy. We made a clinical evaluation of the 247 CDCR with Jones tube which had been performed from May of April of 1990. The results were as follows: 1. Canalicular obstruction occured mainly in economic age. 2. The most common cause of the canalicular obstruction was trauma involving canaliculi. 3. The overall success rate of CDCR with Jones tube was 96%. 4. The cases that needed reoperation were extrusion or loss of tube, tilting of tube anteriorly or superiorly, and being buried of Jones tube to nasal cavity in decending order of frequency. 5. Postoperative complications were obstruction of tube with mucoid discharge, granuloma formation, clogging of tube with conjungvtiva, and inflammation around the tube in decending order of frequency. 6. By the development of surgical technique, amount of intraoperative blood loss has been decreased and the duration operation time has become shortened.

Key Words: Conjuncitvodacryocystorhinostomy;Jones tube