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Centurion syndrome and its surgical management
Y Sujatha1, S Sathish, W B Stewart
1Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Ophthalmic Plastic and Reconstructive Surgery
|August 5, 1999
Summary
Centurion syndrome, a condition causing tearing, often begins in puberty. Surgical correction by releasing the medial canthal tendon effectively resolves symptoms, showing favorable outcomes.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Epiphora, or excessive tearing, can significantly impact quality of life.
- Understanding the etiology of specific tearing disorders is crucial for effective management.
Purpose of the Study:
- To delineate the clinical characteristics of Centurion syndrome.
- To evaluate the treatment outcomes for patients diagnosed with Centurion syndrome.
Main Methods:
- Retrospective review of medical records for 40 patients diagnosed with Centurion syndrome.
- Clinical examination and assessment of lacrimal drainage system patency.
- Surgical intervention involving disinsertion of the anterior limb of the medial canthal tendon for a subset of patients.
Main Results:
- The study included 40 patients, predominantly male (38/40).
- Epiphora onset was consistently observed during the second decade of life.
- Anterior displacement of the medial lower eyelid and inferior punctum was a key finding.
- Surgical correction in 22 patients successfully relieved epiphora by restoring eyelid-globe apposition.
Conclusions:
- Centurion syndrome is identified as a distinct clinical entity.
- The syndrome characteristically presents with epiphora during puberty.
- Surgical management offers a favorable prognosis for Centurion syndrome.
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