Table 4. [Recommended Surveillance for Individuals with Lymphedema-Distichiasis Syndrome]. - GeneReviews®

System/Concern	Evaluation	Frequency
Eyes	Slit lamp exam of the eyes	As required for control of symptoms from distichiasis
Lymphedema	Lymphoscintigraphy at diagnosis, then clinical assessment	1-2x/yr, but regular lymphedema therapy (every 6 mos) ¹
Varicose veins	Clinical assessment	1-2x/yr
Cleft palate	Per craniofacial team
Cardiovascular	Per cardiologist
Spine	Investigate w/spine MRI; only if symptomatic.
Renal	Per treating nephrologist/urologist

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Adam MP, Feldman J, Mirzaa GM, et al., editors.

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