Lymphedema is a form of tissue edema resulting from the accumulation of lymph fluid and can occur anywhere. Eyelid involvement is often seen after various surgical procedures, but is short-lived and resolves as the lid heals. Chronic eyelid lymphedema is unusual. It is etiologically related to a loss of lymphatic vessels either on a congenital basis (aplasia or hypoplasia) or on an acquired basis (damage to lymphatic vessels from surgery, radiation, trauma, etc). Chronic lymphedema can be difficult if not impossible to eradicate. Surgical removal of involved subcutaneous tissues is beneficial in some instances.
I herein report a case of chronic eyelid lymphedema that responded well to the removal of orbicularis muscle (myectomy) in the involved eyelids.
Report of a Case.
—A 28-year-old man was seen in consultation for eyelid swelling. Three years prior to consultation, a malignant parotid gland tumor was removed followed by irradiation therapy on the right
Jordan DR. Eyelid Lymphedema. Arch Ophthalmol. 1991;109(2):178-179. doi:10.1001/archopht.1991.01080020024015