ABSTRACT

Centurion 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)