title: Centurion syndrome and its surgical management.
abstract: OBJECTIVE
  To describe the clinical features and treatment outcomes in patients with the centurion syndrome.
  
  
  METHODS
  Review of medical records.
  
  
  RESULTS
  Forty patients, 38 of whom were male, were examined. Epiphora commenced during the second decade of life in all patients. Fluorescein dye pooled near the medial canthus because of anterior displacement of the medial lower eyelid and inferior punctum. Probing of the canaliculi and irrigation of the lacrimal drainage system confirmed anatomic patency in all patients. Disinsertion of the anterior limb of the medial canthal tendon relieved epiphora by restoring normal apposition between the lower eyelid and the globe in all 22 patients who underwent surgery.
  
  
  CONCLUSIONS
  Centurion syndrome is a unique clinical entity that may manifest as epiphora during puberty. Outcomes of surgical correction are favorable.
authors.affiliation: Aravind Eye Hospital, Madurai, Tamil Nadu, India.
authors.forename: Y
authors.initials: Y
authors.lastname: Sujatha
authors.forename: S
authors.initials: S
authors.lastname: Sathish
authors.forename: W B
authors.initials: WB
authors.lastname: Stewart
mesh_terms: D000328:Adult; D005124:Eye Abnormalities / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005143:Eyelids / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D013577:Syndrome; D013710:Tendons / Q000002:abnormalities* / Q000601:surgery