Conjunctival incision for primary conjunctivodacryocystorhinostomy with Jones tube.
OBJECTIVE
To study a conjunctival incision approach for primary conjunctivodacryocystorhinostomy with Jones tube insertion.


METHODS
This technique was applied throughout an 8-year period on 13 adult patients; each presented with complete lacrimal obstruction at the common canaliculus and excessive tearing.


RESULTS
Surgical outcome was successful, with no external facial scarring. Follow-up ranged from 9 months to 7 years (median, 4.5 years). Complications included a tube exchange in one patient and occasional tearing in another.


CONCLUSIONS
A conjunctival incision approach to conjunctivodacryocystorhinostomy (CDCR) with Jones tube insertion is an alternative technique for adult patients, especially those known (or potential) keloid-former cases, or those preferring not to undergo laser treatment and wanting to avoid an external facial scar.
Liu
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King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia. kkeshres@prime.net.sa
D000328:Adult; D003228:Conjunctiva / Q000601:surgery*; D003608:Dacryocystorhinostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007767:Lacrimal Duct Obstruction / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019919:Prosthesis Implantation; D013666:Tears / Q000378:metabolism