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Clinical Case Notes

Medial canthal tendon release and lower eyelid retractor plication for Centurion syndrome

Authors

  • John H Chang MB BS(Hons),

    1. School of Medical Sciences, University of New South Wales,
    2. Department of Ophthalmology, St Vincent's Hospital, and
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  • Brett A O'Donnell FRANZCO

    1. Department of Ophthalmology, St Vincent's Hospital, and
    2. Department of Ophthalmology, Royal North Shore Hospital, Sydney, New South Wales, Australia
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Abstract

Centurion syndrome is an uncommon, idiopathic medial canthal anomaly that causes epiphora due to the forward displacement of the lacrimal punctum out of the tear lake associated with the abnormal anterior insertion of the medial canthal tendon and enophthalmos. A case of Centurion syndrome is presented together with the description of a previously unreported surgical treatment: the combined surgical techniques of medial canthal tendon release and lower eyelid retractor plication.

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