Anterior canthal tendon release for correction of the centurion syndrome.

PURPOSE: To investigate the effectiveness of anterior canthal tendon release in the management of centurion syndrome.

METHODS

Four patients diagnosed as having the centurion syndrome were treated over a period of 3 years. They all underwent bilateral anterior canthal tendon release under local anesthesia.

RESULTS

None of these patients had adequate apposition of the lower puncta after surgery. One patient had partial relief of epiphora on one side.

CONCLUSIONS

Our results indicate that anterior canthal tendon release is insufficient as a sole treatment for patients with centurion syndrome.