Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/59800
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Type: Journal article
Title: The lacrimal bypass tube for lacrimal pump failure attributable to facial palsy
Author: Madge, S.
Malhotra, R.
deSousa, J.
McNab, A.
O'Donnell, B.
Dolman, P.
Selva-Nayagam, D.
Citation: American Journal of Ophthalmology, 2010; 149(1):155-159
Publisher: Elsevier Science Inc
Issue Date: 2010
ISSN: 0002-9394
1879-1891
Statement of
Responsibility: 
Simon N. Madge, Raman Malhotra, JeanLouis DeSousa, Alan McNab, Brett O'Donnell, Peter Dolman and Dinesh Selva
Abstract: PURPOSE: To describe the use of a lacrimal bypass tube in the management of epiphora in patients with epiphora attributable to lacrimal pump failure in facial palsy. DESIGN: Multicenter retrospective interventional study. METHODS: Information regarding patient demographics, diagnoses, symptoms, oculoplastic interventions, dacryocystorhinostomy, and Jones tube insertion were collected from patient charts. RESULTS: Eighteen patients were identified, in all of whom epiphora was clinically and/or radiologically assessed as being attributable to pump failure, lid laxity having been corrected. All had constant epiphora prior to Jones tube insertion. Dacryocystorhinostomy was performed in all; insertion of a Jones tube was performed simultaneously in 12, with delayed insertion in 6. Patients' subjective epiphora improved postoperatively in 15 of 18 (83.3%) and at final median follow-up of 27.5 months (range, 6 months to 31 years); symptoms were improved in 13 of 18 (72.2%). Complications occurred in 13 of 18 (72.2%), including tube extrusion and the need for repositioning. CONCLUSIONS: In this highly selected group of patients, Jones tube insertion led to symptom improvement in 83.3% postoperatively and in 72.2% at median follow-up of 27.5 months. Tube extrusion and migration were common, although such complications were not unexpected and were treatable.
Keywords: Nasolacrimal Duct; Humans; Facial Paralysis; Lacrimal Apparatus Diseases; Treatment Outcome; Dacryocystorhinostomy; Retrospective Studies; Intubation; Adult; Aged; Middle Aged; Child; Female; Male
Rights: Copyright © 2010 Elsevier Inc. All rights reserved.
RMID: 0020093689
DOI: 10.1016/j.ajo.2009.08.012
Appears in Collections:Opthalmology & Visual Sciences publications

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