Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Impact of Tube Size and Comorbidities on Outcomes of Conjunctivodacryocystorhinostomy with Jones Tube Insertion
Author: Maxim Bez
ePoster Number: 231,00
Purpose
Conjunctivodacryocystorhinostomy (CDCR) with Jones tube insertion remains an established intervention for persistent epiphora due to proximal canalicular obstruction. Although effective, the procedure is frequently complicated by tube displacements, granulation tissue formation, and recurrent obstruction. This study aimed to evaluate anatomic and functional outcomes of endoscopic CDCR with Jones tube insertion and identify patient‑ and procedure‑related predictors of failure, including tube diameter and systemic/ocular comorbidities.
Methods
A retrospective study was performed on 42 patients who underwent endoscopic CDCR between 2015 and 2025. Data collected included demographics, comorbidities (diabetes, hyperlipidemia, asthma), tube dimensions, smoking status, ocular findings, tube patency, resolution of symptoms, and postoperative complications. Surgical success was defined as both anatomical patency of the lacrimal drainage system and complete resolution of epiphora without the need for additional intervention.
Results
The overall success rate was 72.5%. Postoperative complications comprised of granulation tissue formation in 20% of cases, tube displacement in 17.5%, and recurrent obstruction in 15%. Use of larger tubes (≥4 mm) significantly reduced the incidence of displacement (5.6% vs. 27.3% for smaller tubes, p=0.03) and showed a favorable trend toward higher overall success rates (83.3% vs. 63.6%, p=0.07). Preoperative dry eye was associated with an increased incidence of postoperative complications (66.7%, p=0.04), and the presence of blepharitis was associated with a greater likelihood of repeat surgery (62.5%, p=0.04). Additionally, smoking status trended with an increased risk of formation of granulation tissue (p=0.06).
Conclusion
Larger Jones tubes were associated with a reduced risk of displacement and improved overall outcomes following CDCR. Preoperative dry eye and blepharitis emerged as significant predictors of adverse events, underscoring the importance of comprehensive preoperative evaluation and management of comorbid conditions.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Etti | Katzburg | Tel Aviv Sourasky Medical Center |
| Yanina | Ivashko Pachima | Tel Aviv University |
| Nadav | Anteby | Tel Aviv Sourasky Medical Center |
| Muhammad | Abumanhal | Tel Aviv Sourasky Medical Center |
| Avraham | Abergel | Tel Aviv Sourasky Medical Center |
| Igal | Leibovitch | Tel Aviv Sourasky Medical Center |
| Ran | Ben Cnaan | Tel Aviv Sourasky Medical Center |
Abstract ID: 25-175
