Refractory medial conjunctival inflammation associated with jones tubes.

Abstract:

PURPOSE:To report an uncommon complication of refractory medial conjunctival inflammation associated with Jones tubes in 2 patients. METHODS:" Complete ophthalmic and nasal examinations were performed on 2 patients in whom medial conjunctival injection developed after conjunctivodacryocystorhinostomy (cDCR) with Jones tube placement that persisted despite aggressive medical treatment. RESULTS:The medial conjunctival inflammation, which resembled episcleritis, persisted despite removal of the Jones tube in the first patient. The other patient had a "pterygium-like" lesion and ultimately underwent excision of the medial granulation tissue with amniotic membrane graft and exchange of the Jones tube. Histopathologic examination revealed conjunctival tissue with inflammation and fibrosis. CONCLUSIONS:Medial conjunctival inflammation is an uncommon complication of cDCR with Jones tubes. Based on our experience and a thorough review of the literature, medial conjunctival injection and thickening usually resolves once Jones tubes are removed. There have been no previous reports indicating the persistence of medial conjunctival inflammation after Jones tube removal, as was the case in our first patient. These cases suggest that some chronic effect initiated by the Jones tubes and/or surgical manipulation may induce inflammation and scarring of the medial conjunctiva. Multiple surgeries may also predispose to this inflammatory response.

authors

Abel AD,Meyer DR

doi

10.1097/01.IOP.0000075017.89210.1E

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

309-12

issue

4

eissn

0740-9303

issn

1537-2677

pii

00002341-200307000-00009

journal_volume

19

pub_type

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