PMC3745098_01
The opening of the nasolacrimal duct located inferolateral to the left ala
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F1
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].
Exit of saline from the lower punctum of left eye after injecting normal saline into the ectopic opening
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F2
Injecting saline into this opening showed exit of saline from the punctum of inferior canaliculus confirming the nasolacrimal duct [Figure 2].
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
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F3
The lower third of the duct was dissected circumferentially [Figure 3].
The aberrant nasolacrimal duct rerouted to inferior meatus with a stent insitu and closure of the lateral wall
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F4
Prolene [Figure 4]. Patient was on intravenous ceftriaxone 1 g IV followed by oral cefixime for five days, Gentamicin eye drop for two weeks.