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Chronic lymphedema of the eyelid: case series
1Ophthalmology Registrar, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Purpose:
To evaluate the clinical features, management and outcomes of treatment of chronic lymphedema of the eyelid in a tertiary referral setting.
Design:
Retrospective case series.
Participants:
15 patients referred to the authors with unilateral or bilateral eyelid swelling of greater than 3 months duration.
Main Outcome Measures:
Clinical features, patient management, response to treatment.
Results:
Chronic eyelid lymphedema was associated with acne rosacea in 9 patients, radiotherapy in 1 patient, trauma in 1 patient and post-vitrectomy silicone oil leak in 1 patient. In the remaining 4 patients no associated condition or factor was identified. Surgical debulking was performed in 9 cases with improvement in all cases and no complications.
Conclusion:
Chronic eyelid lymphedema is a rare condition most commonly associated with rosacea. In our experience, surgical resection of involved subcutaneous tissue was helpful.
