Complications of Malpositioned Jones Tubes

Ballooning canaliculoplasty after lacrimal trephination in monocanalicular and common canalicular obstruction

“…Long-term tolerance of the Jones tube is reported to be only about 25%. 26,27 The success rate of this surgery is also questionable. Because of these limitations, there is a tendency to use alternative techniques whenever possible and to perform this surgery only as the choice of last resort.…”

Endoscopy-Guided Transcaruncular Jones Tube Intubation without Dacryocystorhinostomy

“…These permanent prostheses are associated with poor patient acceptance as well as with many complications in 20% to 50% of cases. 1,[9][10][11][12] In our study, the most common complication of the Jones tube insertion was downward displacement (inferior migration), which occurred mostly in the initial groups that had this operation. In other studies, 1,4,6,10,17 extrusion has been reported as the most common complication, occurring in 18% to 51% of cases.…”

Bicanalicular double silicone stenting in endoscopic dacryocystorhinostomy with lacrimal trephination in distal or common canalicular obstruction

“…However, this surgery presents the risk of several complications including tube protrusion, extrusion, malposition and prolapses into the nasal cavity, tube obstruction due to granuloma formation at the conjunctival and nasal opening, and subconjunctival fibrosis, infection, irritation, pain, and frequent production of yellowish nasal mucosal discharge. Furthermore, there are several associated inconveniences, including the fogging of glasses, tearing in the supine position, cosmetic problems due to the visible tubal inlet, and the need for long-term follow-up care [19,20]. For these reasons, other surgical alternative techniques are preferred.…”