The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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ProtrudingO'Donoghue's tube

Photo by Professor Chua Chung Nen

This 27 year-old woman underwent an uncomplicated right DCR (dacryocystorhinostomy). She presented to our eye department 4 weeks later with protrusion of the tube. It turned out that she went to the local clinic because of right ocular irritation, the junior doctor who saw her attempted to remove the tube without consultating the eye team. As the tube was tied at the distal end, it could not be removed through the punctum. We attempted to replace the tube by pushing it back without success. Endoscopic attempt through the nose to retrieve the tube was also unsuccessful as the distal ends had been pulled into the lacrimal sac. The tube was eventually removed surgically via the original surgical scar.

 

 

Protusion of the O'Donoghue's tube.

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