title: The survival of an angled extended Jones' tube.
abstract: OBJECTIVE
  To analyse the long-term outcome of lacrimal bypass surgery with an angled extended Jones' tube.
  
  
  METHODS
  Retrospective, non-comparative, non-interventional case series.
  
  
  METHODS
  Seventy-one patients who underwent transcaruncular insertion of an angled extended Jones' tube between 1995 and 2005 were followed up over a median period of 8.7 years (range 11 days-17 years).
  
  
  METHODS
  Patency and anatomic position of the tube, type and time lapse of the complications and subjective relief of epiphora.
  
  
  RESULTS
  Overall, complications occurred in 39% of the tubes (35/90) at a median of 25 days (range 3 days-6 years) after the insertion. The major complications, that is, tube displacement or obstruction, were observed in 31% (28/90), with an incidence rate of 8% per year. The minor complications, that is, conjunctival overgrowth or granuloma at the lateral end, were encountered in 8% (seven of 90). The 10-year tube survival rate was 60%, with complete relief of epiphora in 88% of the patients.
  
  
  CONCLUSIONS
  The long-term outcome with the angled extended Jones' tube inserted transcaruncularly remains relatively good, with most of the complications occurring in the early postoperative period.
authors: Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
authors: Elodie
authors: E
authors: Witters
authors: Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
authors: Ilse
authors: I
authors: Mombaerts
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003608:Dacryocystorhinostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007440:Intubation / Q000295:instrumentation*; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct; D011183:Postoperative Complications; D012189:Retrospective Studies; D015607:Stents; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Lacrimal drainage; Tears