[Skip to Content]
[Skip to Content Landing]
April 1982

Canaliculodacryocystorhinostomy in the Management of Unsuccessful Lacrimal Surgery

Author Affiliations

From the Department of Ophthalmology, Sunnybrook Medical Center, Toronto. Dr Doucet is now with the University of Texas Health Science Center, Houston.

Arch Ophthalmol. 1982;100(4):619-621. doi:10.1001/archopht.1982.01030030621017

• Previously, the standard procedure in the treatment of patients having had unsuccessful lacrimal surgery has been Jones tube bypass, regardless of the anatomic site of obstruction. However, many of these patients may be treated by a reconstructive approach, namely, the canaliculodacryocystorhinostomy operation. Dacryocystography is helpful in determining which of these patients are amenable to this treatment modality. Success rates are encouraging and eliminate the necessity of a permanent prosthesis and long-term follow-up.

Jones LT:  The cure of epiphora due to canalicular obstruction of trauma and surgical failures on the lacrimal passage . Trans Am Acad Ophthalmol Otolaryngol 1962;66:506-524.
Welham RAN:  Canalicular obstructions and the Lester Jones tube: What to do when all else fails . Trans Ophthalmol Soc UK 1973;93:623-632.
Pameijer JH, Henkes HE, Wildervanck de Blecourt T:  Experiences with the Jones tube in the Rotterdam Eye Clinic . Ophthalmologica 171:353-357.Article
White JH:  The management of early lacrimal tube complications . Ophthalmic Surg 1976;7:29-30.
Jones BR:  The surgical cure of obstruction in the common lacrimal canaliculus . Trans Ophthalmol Soc UK 1960;80:343-353.
Hurwitz JJ, Welham RAN, Maisey MN:  Intubation macrodacryocystography and quantitative scintillography: The 'complete' lacrimal assessment . Trans Am Acad Ophthalmol Otolaryngol 1976;81:575-582.
Werb A:  Surgery of canalicular obstruction , in Rycroft PV (ed): Corneo-plastic Surgery. New York, Pergamon Press, 1969, pp 87-99.