Surgical Technique to Retrieve a Migrated Lester Jones Lacrimal Tube

Area of Science:

• Ophthalmology
• Otolaryngology
• Surgical Techniques

Background:

• Dacryology involves addressing nasolacrimal duct obstructions.
• Jones lacrimal tubes are used to bypass or intubate the lacrimal system.
• Inferomedial migration of Jones tubes presents a surgical challenge.

Purpose of the Study:

• To describe an endoscopic technique for retrieving inferomedially migrated Jones lacrimal tubes.
• To provide a minimally invasive method for Jones tube repositioning.

Main Methods:

• Direct visualization of the migrated Jones tube's distal end via nasal endoscopy.
• Utilizing a bent endoilluminator to guide the tube superiorly.
• Surgical exploration of the caruncular area under transillumination.

Main Results:

• The technique allows for efficient visualization and retrieval of the migrated Jones tube.
• Successful repositioning or creation of a new passage for the lacrimal tube.
• The method proved to be time-efficient, safe, and successful in patients.

Conclusions:

• The described endoscopic technique facilitates Jones tube retrieval with minimal trauma.
• This approach offers a reliable solution for managing migrated Jones lacrimal tubes.