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Lateral canthal support system in Japanese
Hirohiko Kakizaki1, Masahiro Zako, Takashi Nakano
1Department of Ophthalmology, Aichi Medical University, Nagakute-cho, Aichi-gun, Aichi-ken 480-1195, Japan. cosme@d1.dion.ne.jp
Okajimas Folia Anatomica Japonica
|December 13, 2006
Summary
The lateral canthal tendon is not a single tendon but two distinct layers: the orbital septum and a tarsoligamentous band. These combined structures, termed
Area of Science:
- Ophthalmology
- Anatomy
- Histology
Background:
- The lateral canthal tendon (LCT) is a clinically significant structure in lower eyelid anatomy.
- Its precise microscopic composition has been a subject of ongoing investigation.
Purpose of the Study:
- To microscopically elucidate the exact structure of the structure commonly referred to as the lateral canthal tendon (LCT).
Main Methods:
- Microscopic examination of 9 post-mortem lower eyelid specimens from elderly Japanese individuals.
- Tissue preparation involved fixation, excision of orbital aperture-adjacent areas, and specific incisions.
- Hematoxylin and Eosin staining for histological analysis.
Main Results:
- The LCT is microscopically composed of two distinct layers, not a single tendon.
- The superficial layer is the orbital septum (septal band), characterized by thick fibers and adipose tissue.
- The deep layer is a ligament (tarsoligamentous band) originating from the tarsus, with fine fibers and minimal adipose tissue.
Conclusions:
- The structure termed LCT is a composite of the orbital septum and a ligament.
- This complex, newly named 'lateral canthal bands', supports the lateral canthus.
- The findings clarify the anatomical basis for lateral canthal support.
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