Anterior posterior lamella eyelid split and tarso-conjunctival excision in a paediatric patient with lymphoedema-distichiasis syndrome: a case report

Lymphoedema-distichiasis syndrome (LDS) is a rare inherited congenital condition in which accessory eyelashes emerge from the meibomian gland orifices on the posterior lamella of the eyelid margin. We describe the first case of an anterior posterior lamella eyelid split and tarso-conjunctival excision without a mucosal graft performed in a paediatric patient with distichiasis. This case report provides further evidence of the safety and efficacy of this procedure as an alternative to previous treatment modalities, while demonstrating the feasibility of using the technique in paediatric patients.