Extreme Eyelid Lymphedema Associated With Rosacea (Morbihan Disease): Case Series, Literature Review, and Therapeutic Considerations. (May 2017)

• Record Type: Journal Article
• Authors: Carruth, Bryant P.; Meyer, Dale R.; Wladis, Edward J.; Bradley, Elizabeth A.; Al-Rohil, Rami; Jones, David M.; Bartley, George B.
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 33(2017)Supplement 3S
• Publication Date: 2017-05
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000000581
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : Purpose: To describe severe lymphedema of the eyelids, known as Morbihan disease, a previously characterized but infrequently reported and poorly understood entity related to rosacea that features solid mid-facial and eyelid lymphedema. Methods: Retrospective chart review, histopathologic and immunohistochemical analysis, and pertinent literature consideration. Results: Five cases of Morbihan disease were identified. Histopathologic examination revealed pleomorphic perivascular and perilymphatic inflammation with profound lymphangiectasis and lymph stasis, thus suggesting elements of both rosacea and localized, chronic lymphedema. Multiple therapeutic interventions were performed including systemic anti-inflammatory therapy, surgical debulking, and corticosteroid injection. Conclusions: Extreme eyelid edema associated with characteristic skin changes and histopathologic findings represents an entity known as Morbihan disease which is rare and difficult to treat. While multiple modalities have been employed with variable results, future therapeutic considerations may include the use of targeted biologic agents. Abstract : Extreme eyelid lymphedema associated with rosacea (Morbihan disease) is a rare and infrequently recognized condition that poses both diagnostic and therapeutic challenges.