Occult Rosacea Diagnosed After Recurring Blepharoplasty Incision Inflammation.

Journal Article (Journal Article)

We report an unusual case of a 58-year-old Caucasian female who developed intermittent eyelid erythema, edema, and wound thickening in the early postoperative period after bilateral upper eyelid blepharoplasty. These flares of inflammation sometimes appeared to respond to systemic antibiotics and steroid preparations and sometimes not. Because of concerns for possible mycobacterial infection, biopsy of the upper eyelid incision was performed and histopathology confirmed rosacea. Symptoms resolved with oral azithromycin. Our patient did not have a diagnosis of rosacea preoperatively. We believe that rosacea should be kept in mind in cases with either prolonged inflammation or recurrent inflammation in previously quiet eyelid incisions.

Full Text

Duke Authors

Cited Authors

  • Medsinge, A; Googe, P; Fowler, AM

Published Date

  • May 1, 2021

Published In

Volume / Issue

  • 37 / 3

Start / End Page

  • e112 - e114

PubMed ID

  • 33156147

Electronic International Standard Serial Number (EISSN)

  • 1537-2677

Digital Object Identifier (DOI)

  • 10.1097/IOP.0000000000001874


  • eng

Conference Location

  • United States