Centurian Syndrome

G. S Ramesh Kumar

Abstract: AIM To describe clinical features and surgical outcome in patients of centurian syndrome. MATERIALS AND METHODS Retrospective study of three patients who underwent surgical correction for centurian syndrome between 2009 to 2014. The position of the punctum, prominent nasal bridge, inferiorly directed medial canthus tendon is noted. Patients underwent medial canthus tendon release. RESULTS Mean age of onset is 19 years, all three are male patients having prominent nasal bridge, malopposition of punctum, inferior angulation of medial canthus tendon beak sign in 2 cases. All three cases underwent medial canthus tendon release. CONCLUSION Centurian syndrome is a rare cause for epiphora in young adults and it can be treated successfully with medial canthus tendon release.

Keywords: Centurian syndrome, Epiphora, Medial canthus tendon, Beak sign