Centurion syndrome and its surgical management.
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.
Sujatha
Y
Y
Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Sathish
S
S
Stewart
W B
WB
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