Table 2.
Study (Year) | Surgical technique | No. of cases (Mean follow-up) | Final surgical success rate* | Most common complications (%, [95% CI]) | Satisfaction Rate | Age (years) | Female-to-male | Indications |
---|---|---|---|---|---|---|---|---|
Bagdonaite and Pearson (2015) | Endoscopy-guided introducer system and sizing devices for SLJT; Additional procedures, including partial middle turbinectomy (1), carunculectomy (1) and medial orbital fat debulking (2). | 29 tubes (10 months) | 92% | Conjunctival overgrowth/medial tube migration (14%, [0.004, 0.271]); tube too long (3%, [− 0.036, 0.105]) | 86% fully, 10% moderately, and 3% not satisfied | Mean age of 61 | 1.7:1 (12/7) |
Secondary procedures (25/29, 86%): 15 (52%) prior JTs, 9 (31%) failed canalicular-DCRs, and 1 (3%) patent non-functioning DCR Primary procedures (4/29, 14%): complete unopenable canalicular obstructions |
Timlin et al. (2019) | Endoscopy-guided introducer system and sizing devices for SLJT | 31 tubes (Mean period was not mentioned. The longest one was up to 50 months) | 48% | Sinking in (26%, [0.095, 0.421]); protruding (6%, [− 0.027, 0.156]); irritating ocular symptoms (6%, [− 0.027, 0.156]); extrusion (3%, [− 0.034, 0.098]); incorrect placement (3%, [− 0.034, 0.098]); blocked and unable to clear in clinic (3%); cracked tube (3%, [− 0.034, 0.098]); granuloma as a contributing factor (3%, [− 0.034, 0.098]) | NA | Median age of 63 | 1:1.3 (10/13) | Secondary procedures (31): early or multiple loss of Lester Jones tubes |
This study (2020) | Laser rhinostomy; Endoscopy-guided introducer system and sizing devices for SLJT | 12 tubes (17.7 months) | 100% | Conjunctival overgrowth/medial tube migration (25%, [− 0.037, 0.537]); Tube too long (8%, [− 0.1, 0.267]); Mild ocular surface irritation (17%, [− 0.081, 0.414]) | NA | Mean (± SD) age of 42 ± 12 | 3:1 (9:3) | Primary procedures (12): canalicular agenesis (7/12, 58%), herpetic conjunctivitis (2/12, 17%), post-radiation (2/12, 17%); trauma (1/12, 8%) |
*Final surgical success is deemed the eye with a well-placed functioning tube at the last follow-up
SLJT StopLoss Jones Tube
NA not available