An ophthalmologist rarely encounters a CSF fistula simulating tears. A case of this condition has been recently operated at Lahore Neurosurgical Centre and is described here. The author is unaware of any report of this condition caused by an occult Naso-orbital Encephalomeningocoele.CSF rhinorrhoea and otorrhoea due to various causes are well known and well described in literature 1+2 but escape of cerebro-spinal fluid from the eyes simulating tears must be very rare situation. Awareness of this possibility is advised.