Centurion Syndrome and Its Surgical Management

Sujatha, Y; Sathish, Srinivasan; Stewart, William B.

doi:10.1097/00002341-199907000-00004

Cited by 12 publications

(11 citation statements)

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“…The common clinical feature is the abnormal anterior insertion of the medial canthal tendon with displacement of the punctum out of the lacrimal lake. In addition there are other features like prominent nasal bridge, inferior displacement of the canthus, retraction of the lower lids, flat malar eminences and enophthalmos (Chang & O'Donnell, 2006;Sujatha et al, 1999;Sullivan et al, 1993). All our patients had abnormal anterior displacement of the medial canthal tendon and epiphora due to lack of punctum-globe apposition.…”

Section: Discussionmentioning

confidence: 99%

“…Most of our patients were male (76.9%). Sujatha et al (1999) reported that 38 of their 40 patients (95%) were male. The mean age at onset of watering was 20.7 years, similar to the study by Sujatha et al (1999), who reported that the onset of epiphora was in the second decade of life.…”

Section: Discussionmentioning

confidence: 99%

“…Sujatha et al (1999) reported that 38 of their 40 patients (95%) were male. The mean age at onset of watering was 20.7 years, similar to the study by Sujatha et al (1999), who reported that the onset of epiphora was in the second decade of life. The onset of this condition in the second decade can be ascribed to the growth of the mid-face during this period, which pulls the medial canthal tendon forward (Sullivan et al, 1993).…”

Section: Discussionmentioning

confidence: 99%

“…Though uncommon, it is important to identify this anomaly as the management of this condition surgically, results in a good outcome (Sujatha et al, 1999;Welham & Hughes, 1985). In this study we describe the clinical signs and management outcome of patients with Centurion syndrome.…”

mentioning

confidence: 98%

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Centurion Syndrome: Clinical Presentation and Surgical Outcome

Murthy¹,

Honavar²,

Naik³

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

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Centurion Syndrome: Clinical Presentation and Surgical Outcome

Murthy¹,

Honavar²,

Naik³

et al. 2009

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“…Bu hastalarda eşlik eden enoftalmus varlığı hakkında bilgi verilmemiştir. 2 Ma'luf ve ark. 3 , Centurion sendromlu 4 olguda, anterior medial kantal tendon serbestleştirilmesi ile hiçbir hastada yeterli bir alt punktum apozisyonu sağlayamamışlardır ve bu cerrahinin Centurion sendromu tedavisinde yeterli olmadığı, geriye tespitin gerekli olduğu sonucuna varmışlardır.…”

Section: Resim 3 Alt Kapak Retraktör Tamiriunclassified

Centurion Sendromu: Nadir bir Epifora Nedeni

...

2012

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Ya z›fl ma Ad re si/Ad dress for Cor res pon den ce: Dr. Emrah Mat, Avukat Cengiz Gökçek Devlet Hastanesi Gaziantep, Türkiye Gsm: +90 505 292 68 29 E-pos ta: dremrahmat@yahoo.com Ge lifl Ta ri hi/Re cei ved: 12.06.2011 Ka bul Ta ri hi/Ac cep ted: 12.12.2011 ÖzetCenturion sendromu, genç erişkinlerde epiforaya neden olan bir medial kantal tendon yapışma anomalisidir.Bu çalışmada epifora yakınması ile başvuran ve centurion sendromu tanısı alan bir hastanın klinik özelliklerini ve tedavi sonuçlarını sunmak amaçlanmıştır. 18 yaşındaki erkek hastanın yapılan muayenesinde medialde bilateral glob-kapak apozisyonunun kaybolduğu, gözyaşı gölcüğünden uzaklaşan ve öne doğru yer değiştiren punktumlarla birlikte belirgin burun kökü izlendi. Bulguların Centurion sendromu ile uyumlu bulunduğu hastaya, bilateral medial kantal tendon serbestleştirilmesi ve medial tarsokonjonktival rezeksiyon girişimi uygulandı. Cerrahi sonrasında hastanın sulanma yakınmaları tamamiyle geriledi. Centurion sendromlu olgularda medial kantal tendon ön bacağının serbestleştirilmesi ve medial tarsokonjonktival rezeksiyon etkin bir cerrahi yaklaşımdır. (Turk J Ophthalmol 2012; 42: 243-5) Anah tar Ke li me ler: Centurion sendromu, epifora, medial kantal tendon Sum maryCenturion syndrome is a rare medial canthal tendon insertion anomaly that causes epiphora in young adults. The purpose of the current study is to describe the clinical signs and outcome of surgery in a 18-year-old male patient with Centurion syndrome. Ophthalmic examination revealed bilateral loss of lid globe apposition medially, with anterior displacement of the lacrimal puncta out of the tear lake and a prominent nasal bridge. The patient, whose findings were consistent with Centurion syndrome, underwent bilateral medial canthal tendon release and medial tarsoconjunctival resection. Tearing was completely resolved after surgery. Anterior medial canthal tendon release with medial conjunctivoplasty is an effective surgical approach in patients with Centurion syndrome. (Turk J Ophthalmol 2012; 42: 243-5)

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