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A millimetric ruler for Lester Jones tube placement in conjunctivodacryocystorhinostomy

Authors Vigo RL, Ortiz-Basso T, Vilas MN, Prémoli J

Received 31 May 2015

Accepted for publication 17 July 2015

Published 25 August 2015 Volume 2015:9 Pages 1523—1525


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Supplementary video showing the full surgery using the millimetric ruler

Views: 37385

Rodolfo Luis Vigo, Tomás Ortiz-Basso, María Natalia Vilas, Jorge Prémoli

Ophthalmology Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

Purpose: To describe the use of a ruler to increase the accuracy and customization of Lester Jones tube placement.
Materials and methods: This was a review of 92 patients who underwent minimally invasive conjunctivodacryocystorhinostomy using this instrument.
Results: The success rate was 100%, with an average operating time of 15 minutes. In nine patients, late migration of the Jones tube into the nasal cavity required a secondary intervention, with successful Jones tube repositioning. In five cases, obstruction of the tube opening was caused by conjunctival overgrowth.
Conclusion: The millimetric ruler engraved in the sleeve of the trocar allows measuring and placing a personalized tube for each patient.

Keywords: lacrimal apparatus, lacrimal apparatus diseases, lacrimal duct obstruction, dacryocystorhinostomy, surgical instruments

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