case_images: PMC3745098_01
case_images: The opening of the nasolacrimal duct located inferolateral to the left ala
case_images: IJPS-46-124-g001.jpg
case_images: PMC3745098_01_IJPS-46-124-g001.jpg
case_images: F1
case_images: A 22-year-old male presented with pinkish looking pit lateral to the left ala of nose with history of repeated purulent discharge with intermittent conjunctivitis since birth [Figure 1].
case_images: Exit of saline from the lower punctum of left eye after injecting normal saline into the ectopic opening
case_images: IJPS-46-124-g002.jpg
case_images: PMC3745098_01_IJPS-46-124-g002.jpg
case_images: F2
case_images: Injecting saline into this opening showed exit of saline from the punctum of inferior canaliculus confirming the nasolacrimal duct [Figure 2].
case_images: The cannulated aberrant nasolacrimal duct dissected circumferentially in the lower third, rerouted to the inferior meatus through an opening in the lateral wall of nose
case_images: IJPS-46-124-g003.jpg
case_images: PMC3745098_01_IJPS-46-124-g003.jpg
case_images: F3
case_images: The lower third of the duct was dissected circumferentially [Figure 3].
case_images: The aberrant nasolacrimal duct rerouted to inferior meatus with a stent insitu and closure of the lateral wall
case_images: IJPS-46-124-g004.jpg
case_images: PMC3745098_01_IJPS-46-124-g004.jpg
case_images: F4
case_images: Prolene [Figure 4]. Patient was on intravenous ceftriaxone 1 g IV followed by oral cefixime for five days, Gentamicin eye drop for two weeks.