Eye Department, J Strus City Hospital, Poznan, Poland
BMJ Case Rep. 2020 Nov 9;13(11):e236003. doi: 10.1136/bcr-2020-236003.
Persistent epiphora significantly worsens one's quality of life. A commonly known method of treatment of complete obstruction of the lacrimal canaliculi is conjunctivodacryocystorhinostomy with placement of a glass Jones tube. Unfortunately, the use of such a prosthesis of the lacrimal tract often results in certain complications, the most frequent of which include extrusion or superior and inferior migration. For the last several years, a modified version of the Jones tube-the StopLoss Jones tube (SLJT)-has been available. It almost eliminates the possibility of extrusion. However, inferior migration still remains an important problem. When that happens, it is necessary to proceed surgically. In this paper, we describe an endoscopically-guided technique of management of an inferiorly dislocated SLJT.
持续性溢泪显著降低患者的生活质量。目前已知的治疗泪小管完全阻塞的方法是结膜囊鼻腔吻合术联合玻璃琼斯管（Jones 管）留置。不幸的是，使用这种泪道假体常导致一些并发症，最常见的是脱出或上、下移位。在过去的几年中，Jones 管的一种改良版本——StopLossJones 管（SLJT）已经问世。它几乎消除了脱出的可能性。然而，下移位仍然是一个重要问题。当这种情况发生时，需要进行手术。本文介绍了一种内镜引导下处理 SLJT 下移位的技术。
