Oblique facial cleft is an extremely rare and disfiguring congenital anomaly of the face manifests in a variety of patterns. Tessier classified craniofacial clefts from 0 to 14, which follow constant lines or axes through the eyebrows or eyelids, the maxilla, the nose and the lip. In these facial clefts, soft tissue and bony skeleton are often not involved to the same degree; the globe can be functional or may be micropthalmic or anopthalmic. The medial canthal tendon is intact but is displaced laterally and inferiorly. The nasolacrimal system is involved as the cleft runs medial to the punctum and through inferior canaliculus.

Fig. 1 Clinical photograph showing cleft extending from right angle of mouth to lower eyelid at its middle and lateral junction.