Ectodermal dysplasia (ED) is a hereditary condition that occurs worldwide. It is due to abnormality in the development of skin and its appendages (hair, teeth and nail). ED also presents with ocular manifestations. This case of ED is reported to highlight ocular manifestations such as bilateral punctal agenesis, madarosis and blepharitis. The need for a multi-disciplinary approach in managing such cases is underscored.
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