title: Early Experience with the StopLoss Jones Tube.
abstract: OBJECTIVE
  Extrusion is the most common reason for failure after Jones tube placement. The StopLoss Jones tube (SLJT) is a new innovation in Jones tubes that incorporates a flexible silicone internal flange to resist extrusion. We present our early experience of using this new tube and associated introducer system.
  
  
  METHODS
  We retrospectively analysed the case notes of a single surgeon consecutive series of patients having SLJT placement from November 2011 to November 2013.
  
  
  RESULTS
  29 SLJTs were placed in 25 eyes of 19 patients. Tube follow-up ranged from 1-25 months (mean 10 months) with a total of 291 tube-months. The indications for SLJT placement were: previous LJT complications (52%), failed canalicular-DCR surgery (31%), primary placement for inoperable canalicular occlusion (14%) and patent non-functioning DCR (3%). Tube length ranged from 10-16 mm. The tube introducer system was simple and effective and there were no intra-operative complications. The tube extrusion rate was 0%. Complications occurred in 5 tubes: 1 was too long, and 4 others (14%) developed conjunctival overgrowth/medial tube migration. Patient satisfaction with the tube was: 86% fully satisfied, 10% was moderately satisfied, 3% not satisfied. The overall final surgical success rate at last follow-up was 92%.
  
  
  CONCLUSIONS
  In this short follow-up initial study the SLJT is simple to use and has a high rate of success and patient satisfaction. The addition of the internal silicone flange appears to prevent the previously common problem of extrusion.
authors.affiliation: Royal Berkshire Hospital , Reading , United Kingdom.
authors.forename: Laura
authors.initials: L
authors.lastname: Bagdonaite
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Pearson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003608:Dacryocystorhinostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007440:Intubation / Q000295:instrumentation*; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012189:Retrospective Studies; D015607:Stents; D055815:Young Adult
keywords: DCR; Jones lacrimal bypass tube; StopLoss Jones tube