American Journal of Ophthalmology
Volume 150, Issue 5 , Pages 741-743.e1 , November 2010

The Posterior Limb in the Medial Canthal Tendon in Asians: Does It Exist?

  • Hirohiko Kakizaki

      Affiliations

    • Department of Ophthalmology, Aichi Medical University, Aichi, Japan
    • Corresponding Author InformationInquiries to Hirohiko Kakizaki, Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi 480-1195, Japan
  • ,
  • Yasuhiro Takahashi

      Affiliations

    • Department of Ophthalmology, Aichi Medical University, Aichi, Japan
  • ,
  • Takashi Nakano

      Affiliations

    • Department of Anatomy, Aichi Medical University, Aichi, Japan
  • ,
  • Dinesh Selva

      Affiliations

    • South Australian Institute of Ophthalmology and Discipline of Ophthalmology & Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia
  • ,
  • Igal Leibovitch

      Affiliations

    • Division of Oculoplastic and Orbital Surgery, Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv University, Tel-Aviv, Israel

,Accepted 30 May 2010.

References 

  1. Ritleng P, Bourgeon A, Richelme H. New concepts of the anatomy of the lacrimal apparatus. Anat Clin. 1983;5(1):29–34
  2. Kakizaki H, Zako M, Mito H, et al. The medial canthal tendon is composed of anterior and posterior lobes in Japanese eyes and fixes the eyelid complementarily with Horner's muscle. Jpn J Ophthalmol. 2004;48(5):493–496
  3. Jones LT, Wobig JL. Newer concepts of tear duct and eyelid anatomy and treatment. Trans Am Acad Ophthalmol Otolaryngol. 1977;83(4 Pt 1):603–616
  4. Fernandez-Valencia R, Gomez Pellico L. Functional anatomy of the human saccus lacrimaris. Acta Anat (Basel). 1990;139(1):54–59
  5. Yamamoto H, Morikawa K, Uchinuma E, Yamashita S. An anatomical study of the medial canthus using a three-dementional model. Aesth Plast Surg. 2001;25(3):189–193
  6. Kakizaki H, Zako M, Miyaishi O, Nakano T, Asamoto K, Iwaki M. The lacrimal canaliculus and sac bordered by the Horner's muscle form the functional lacrimal drainage system. Ophthalmology. 2005;112(4):710–716
  7. Kakizaki H, Zako M, Nakano T, Asamoto K, Miyaishi O, Iwaki M. Direct insertion of the medial rectus capsulopalpebral fascia to the tarsus. Ophthal Plast Reconstr Surg. 2008;24(2):126–130
  8. Adenis JP, Longueville E. Horner's muscle plication using an anterior approach. Orbit. 1991;10(4):187–191
  9. Demirci H, Hassan AS, Elner SG, Boehkle C, Elner VM. Comprehensive, combined anterior and transcaruncular orbital approach to medial canthal ligament plication. Ophthal Plast Reconstr Surg. 2007;23(5):384–388

 Supplemental Material available at AJO.com.

PII: S0002-9394(10)00409-5

doi: 10.1016/j.ajo.2010.05.038

American Journal of Ophthalmology
Volume 150, Issue 5 , Pages 741-743.e1 , November 2010