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Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 373-375

Unveiling a rare aetiology of secondary acquired nasolacrimal duct obstruction: A case of morning glory syndrome with contralateral naso-ethmoidal encephalocele

Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India

Correspondence Address:
Dr. Muthukrishnan Vallinayagam
Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, Sri Balaji Vidyapeeth, Pondicherry - 607 402
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2378_20

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Morning Glory Syndrome (MGS) is a well-established association of basal encephalocele and usually presents with midline cranio-facial anomalies. 45-year-old female presented with Secondary Acquired Nasolacrimal Duct Obstruction (SANDO) in left eye. She had a broad nasal bridge, hypertelorism and a swelling inferomedial to medial canthus. Fundus examination in right eye showed Morning Glory disc anomaly. CT of the orbit and brain disclosed left naso-ethmoidal encephalocele. CT Dacryocystography showed partial dehiscence of nasolacrimal duct bilaterally. The patient underwent surgical repair of encephalocele followed by resolution of epiphora. The association of MGS with contralateral naso-ethmoidal encephalocele and SANDO is presented for its rarity.

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