Centurion Syndrome: Clinical Presentation and Surgical Outcome

Abstract

Centurion syndrome is characterised by the abnormal anterior insertion of the medial canthal tendon with displacement of the punctum out of the lacrimal lake. Most cases present with unexplained watering. Surgical management by anterior canthal tendon release with or without conjunctivoplasty or lower lid retractor plication is usually successful.

Primary anterior punctal malposition presenting as Centurion syndrome

“…The anterior malposition in the present case was a contributing factor to the epiphora. It is important to differentiate this condition from secondary punctal malpositions, most importantly Centurion syndrome since the later can be managed successfully by procedures such as medial canthal tendon release and medial conjunctivoplasty 4 …”

Evaluation of Epiphora

“…Anterior insertion of the medial canthal tendon is seen in patients with Centurion syndrome [ 9 ]. This clinical condition is usually detected in the older children and has a spectrum of facial and ocular fi ndings including steep nasal bridge, anterior insertion of medial canthal tendon, punctal ectropion, punctal stenosis, lagophthalmos, etc.…”