Alar cartilages hypoplasia- coloboma- telecanthus is a very rare dysmorphic disorder characterized by hypoplasia and coloboma of the alar cartilages and telecanthus described in 2 sisters. No new cases with similar features have been reported since 1976. The disease is alar cartilages hypoplasia-coloboma-telecanthus syndrome (MONDO_0008744, a Monarch Disease Ontology entry).