On clinical examination there was increased canthal distance in the left side from midline and obliteration of the canthal bay and caruncle. Lacrimal punctum did not dip into the lacrimal lake, thereby causing epiphora. 3DCT revealed an old medial wall fracture with minimal difference in skeletal intra orbital distance at the posterior poles of the globes. Hence the unilateral telecanthus was entirely soft tissue in origin and in this case, due to the faulty reattachment of the medial canthal ligament.
Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected this defect using modified miniplate technique for the reattachment of the medial canthal ligament. Results were immediate and patient feels very happy to have the entire correction of eye defect along with epiphora correction without any visible scars on the face.