Abstract Number: 207

Surgical management for the treatment of chronic eyelid lymphedema

K. Sharpe, S. Morris

Meeting: 2016 Dermcoll

Session Information

Date: -

Session Title: Poster Presentations

Session Time: -

Lymphedema occurs when there is a deficit in the lym- phatic drainage system, leading to an abnormal accumula- tion of extracellular fluid, which can be both grossly disfiguring and difficult to manage. More than aesthetics, lymphedema is risk factor for infection including cellulitis. Lymphedema typically affects a whole limb, and localised oedema is infrequently encountered. Lymphedema of the eyelid is generally acute, resolves spontaneously and occurs following various surgical procedures. Chronic eye- lid lymphedema is far less common and occurs on either congenital basis (aplasia or hypoplasia of the lymphatic vessels) or an acquired basis (surgery, radiation, trauma to the lymphatic vessels). Chronic eyelid lymphedema is typi- cally managed with lymphatic massage; however, this con- dition is difficult if not impossible to completely treat using this method alone. Surgery, involving the removal of sub- cutaneous tissues, is a promising recent intervention with several reported cases in the literature. Here we present our own case of chronic upper and lower eyelid lym- phedema in a 68-year-old male, which developed post parotidectomy, radical neck dissection and reconstruction, treated successfully by debulking blepharoplasty. We pre- sent this case in the context of review of the literature to examine the use, approach and success of the surgical management of chronic eyelid lymphedema.